Trends in perinatal health in metropolitan France from 1995 to 2016: Results from the French National Perinatal Surveys.
TLDR
Routine national perinatal surveys highlight successful policies and recommendations but also point out some health indicators, practices, preventive behaviours and risk factors that need special attention.Abstract:
Objective To study trends in the main indicators of perinatal health, medical practices and risk factors in France since 1995. Population and method All live births during one week in 1995 (n = 13,318), 2003 (n = 14,737), 2010 (n = 14,903) and 2016 (n = 13,384). Data were from interviews of women in postpartum wards and from medical records and were compared between years. Results Between 1995 and 2016, maternal age and body mass index increased steadily. Pregnancies that occurred with use of contraception increased from 7.4% in 2010 to 9.3% in 2016. Smoking during pregnancy (16.6%) did not decrease since 2010. The frequency of more than three ultrasounds during pregnancy was 48.5% in 1995 and 74.7% in 2016. Deliveries in large public hospitals increased steadily. The caesarean section rate has been relatively stable since 2003 (20.4% in 2003, 21.1% in 2010 and 20.4% in 2016). The rate of induction of labour was 22% in 2010 and 2016. Overall, 83.8% of women had epidural analgesia/anaesthesia in 2016. Rates of pre-term birth in 2016 ranged from 7.5% among all live births to 6.0% among live born singletons; for singletons, this rate increased steadily from 1995 to 2016, whereas there was no clear trend for low birth weight. Exclusive breastfeeding decreased from 60.3% in 2010 to 52.2% in 2016. Conclusion Routine national perinatal surveys highlight successful policies and recommendations but also point out some health indicators, practices, preventive behaviours and risk factors that need special attention.read more
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References
More filters
Journal ArticleDOI
The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey
Heidi J. Larson,Heidi J. Larson,Alexandre de Figueiredo,Zhao Xiahong,William S. Schulz,Pierre Verger,Iain G. Johnston,Alex R. Cook,Nick S. Jones +8 more
TL;DR: Regular monitoring of vaccine attitudes – coupled with monitoring of local immunization rates – at the national and sub-national levels can identify populations with declining confidence and acceptance.
Journal ArticleDOI
Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study
José Villar,Guillermo Carroli,Nelly Zavaleta,Allan Donner,Daniel Wojdyla,Anibal Faundes,Alejandro Velazco,Vicente Bataglia,Ana Langer,Alberto Narváez,Eliette Valladares,Archana Shah,Liana Campodonico,Mariana Romero,Sofia Reynoso,Karla Simônia de Pádua,Daniel Giordano,Marius Kublickas,Arnaldo Acosta +18 more
TL;DR: Caesarean delivery independently reduces overall risk in breech presentations and risk of intrapartum fetal death in cephalic presentations but increases the risk of severe maternal and neonatal morbidity and mortality in cEPhalic presentation.
Journal ArticleDOI
Obesity in pregnancy
TL;DR: Maternal obesity is associated with many risks to the pregnancy, with increased risk of miscarriage, and obese woman should try to lose weight before pregnancy but probably not during pregnancy.
Journal ArticleDOI
Preterm birth time trends in Europe: a study of 19 countries.
Jennifer Zeitlin,Jennifer Zeitlin,Katarzyna Szamotulska,Nicolas Drewniak,Nicolas Drewniak,Ashna D. Mohangoo,James D. Chalmers,Luule Sakkeus,Lorentz M. Irgens,Lorentz M. Irgens,Miriam Gatt,Mika Gissler,Béatrice Blondel,Béatrice Blondel +13 more
TL;DR: To investigate time trends in preterm birth in Europe by multiplicity, gestational age, and onset of delivery, a large number of cases are reported to have occurred within the first trimester of pregnancy.
Journal ArticleDOI
Trends in perinatal health in France from 1995 to 2010. Results from the French National Perinatal Surveys
Béatrice Blondel,Nathalie Lelong,Nathalie Lelong,M Kermarrec,M Kermarrec,François Goffinet,François Goffinet +6 more
TL;DR: Routine national perinatal surveys highlight major trends in maternal characteristics, obstetric practices, organisation of services, and perinnatal health.