Sénécal J, Delahaye M, Morellec J, Defawe G, Roussey M, Le Marec B
J Gynecol Obstet Biol Reprod (Paris). 1981;10(7):641-50.
The authors describe and comment on some of the results that have been obtained in a French département (Ille-and-Vilaine) using the information obtained from the first health certificate which has been set up compulsorily for all children in the eight days following delivery. This analysis makes it possible to carry out an annual survey of the demographic course of affairs (birth rate, perinatal mortality rate) and compare these with France as a whole. The certificate gives interesting information about labour (multiple births, Caesarean births, the state of the infant at birth, weight, length, skull circumference, prematurity and small for dates), and the pathology of the first week of life (transfer to other hospitals and death). Malformations are as yet poorly registered and there is need to obtain more information from doctors. Correlations can be established, as for example between neonatal mortality and social class. Finally, using this first certificate will make it possible to open a file on high-risk women for a possible future pregnancy. the authors point out that the contents obtained in the first certificate had to be modified and will later give extra information about the pregnancies, the number of antenatal visits, the number of admissions to hospital, and the preparation for delivery, etc. The results that have up till now been given for various maternity departments allow each obstetrician to audit the work in his department.
作者描述并评论了在法国某省（伊勒-维莱讷省）利用分娩后八天内为所有儿童强制设立的第一份健康证明所获取的一些结果。这项分析使得对人口动态情况（出生率、围产期死亡率）进行年度调查并与法国整体情况进行比较成为可能。该证明提供了有关分娩（多胞胎、剖腹产、婴儿出生时状况、体重、身长、头围、早产和小于胎龄）以及出生后第一周病理情况（转至其他医院和死亡）的有趣信息。畸形登记情况至今仍不佳，需要从医生那里获取更多信息。可以建立相关性，例如新生儿死亡率与社会阶层之间的相关性。最后，利用这份第一份证明将有可能为未来可能怀孕的高危女性建立档案。作者指出，第一份证明所包含的内容必须进行修改，之后还将提供有关妊娠、产前检查次数、住院次数以及分娩准备等方面的更多信息。到目前为止，各个产科部门给出的结果能让每位产科医生对其所在部门的工作进行审核。
