Trends in perinatal health in metropolitan France from 1995 to 2016: Results from the French National Perinatal Surveys
Trends in perinatal health in metropolitan France from 1995 to 2016: Results from the French National Perinatal Surveys
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DOI：
10.1016/j.jogoh.2017.09.002
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发表时间：
2017-12-01
影响因子：
1.9
通讯作者：
Le Ray, C.
中科院分区：
文献类型：
--
作者：
Blondel, B.;Coulm, B.;Le Ray, C.
目标。-研究1995年以来法国围产期健康、医疗实践和风险因素主要指标的趋势。人口和方法。- 1995年（n = 13,318）、2003年（n = 14,737）、2010年（n = 14,903）和2016年（n = 13,384）一周内的所有活产婴儿。数据来自对产后病房妇女的访谈和医疗记录，并在不同年份之间进行比较。——1995年至2016年，孕产妇年龄和体重指数稳步上升。使用避孕措施的怀孕率从2010年的7.4%上升到2016年的9.3%。怀孕期间吸烟（16.6%）自2010年以来没有下降。妊娠期3次以上超声检查的频率1995年为48.5%，2016年为74.7%。大型公立医院分娩率稳步上升。剖宫产率自2003年以来相对稳定（2003年20.4%，2010年21.1%，2016年20.4%）。2010年和2016年的引产率为22%。总体而言，2016年有83.8%的女性使用硬膜外镇痛/麻醉。2016年早产率在所有活产婴儿中占7.5%，在活产单胎婴儿中占6.0%；从1995年到2016年，这一比例稳步上升，而低出生体重没有明显的趋势。纯母乳喂养由2010年的60.3%下降到2016年的52.2%。-例行的全国围产期调查突出了成功的政策和建议，但也指出需要特别注意的一些健康指标、做法、预防行为和风险因素。(C) 2017 Elsevier Masson SAS。版权所有。
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. (C) 2017 Elsevier Masson SAS. All rights reserved.