Rumeau-Rouquette C, Crost-Deniel M, Bréart G, du Mazaubrun C
Rev Epidemiol Sante Publique. 1977 Jun 30;25(2):107-29.
In 1971, a Health Project was established in order to organize some actions destined for the prevention of perinatal mortality and morbidity. A first examination of these actions was studied in the Rhône-Alpes Region by comparing the results of two surveys, one carried out in 1972 and the other in 1975, both on a representative sample of births. This article successively examines the evolution of morbidity and prevention. The authors note an important improvement in the quality of prevention and a slight progress in the results: perinatal morbidity declined as well as certain signs of fetal distress, while on the other hand, the term and birth weight showed no significant change. In the second part of this article the authors studied the relationships between the socio-cultural characteristics of the parents and the use of prevention measures. They found that certain social inequalities observed in 1972 had decreased while some others increased, new measures seem to be adopted sooner by the higher social classes when they were first envisioned for the interest of better protecting the lower social classes. However, the inequalities diminished for certain fundamental elements of prenatal surveillance, such as the respect for the minimum number of prenatal consultations.
1971年，设立了一个健康项目，旨在组织一些预防围产期死亡率和发病率的行动。通过比较1972年和1975年进行的两项调查结果，对罗纳-阿尔卑斯地区的这些行动进行了首次研究，这两项调查均针对具有代表性的出生样本。本文相继考察了发病率和预防措施的演变情况。作者指出预防质量有了显著提高，结果也有了些许进展：围产期发病率下降，某些胎儿窘迫迹象也有所减少，而另一方面，孕周和出生体重没有显著变化。在本文的第二部分，作者研究了父母的社会文化特征与预防措施使用之间的关系。他们发现，1972年观察到的某些社会不平等现象有所减少，而另一些则有所增加，新措施在最初是为了更好地保护社会下层阶级而设想的，但似乎更高社会阶层更早采用。然而，在产前监测的某些基本要素方面，不平等现象有所减少，比如对产前检查最少次数的遵守情况。
