Rumeau-Rouquette C, Bréart G, du Mazaubrun C, Crost M, Rabarison Y
J Gynecol Obstet Biol Reprod (Paris). 1978 May-Jun;7(5):905-16.
Two national enquiries were carried out in France by INSERM in 1972 and in 1975-76 in order to review the efficiency of using medical discoveries and health programmes. The first was carried out on a representative sample of 11,254 deliveries and the second on a representative sample of 4,685 deliveries. The perinatal mortality rate and the prematurity rate have gone down quite definitely, while on the other hand the birth weight has stayed more or less identically the same and the number of small-for-dates babies has not become less and in fact there is a slight tendency for a rise in the number. Antenatal care has improved considerably for most women, without the idea of high risk factors having really become integrated. The number of maternity units with fewer than 15 beds has considerably dropped, especially in the private sector. Monitoring of labour and of the newborn has shown a certain progress. These changes exist in a family context which is evolving with more planned pregnancies and a slight improvement in the social and cultural conditions of parents.
1972年以及1975 - 1976年，法国国家卫生与医学研究所（INSERM）开展了两项全国性调查，旨在评估医学发现及健康项目的应用效果。第一项调查选取了11254例分娩的代表性样本，第二项调查选取了4685例分娩的代表性样本。围产期死亡率和早产率显著下降，然而，另一方面，出生体重基本保持不变，小样儿数量并未减少，事实上还有略微上升的趋势。大多数女性的产前护理有了显著改善，但高危因素的概念尚未真正融入其中。床位少于15张的产科病房数量大幅减少，尤其是在私立部门。产程及新生儿监测已取得一定进展。这些变化存在于家庭环境之中，此时家庭环境正随着更多有计划的怀孕以及父母社会文化条件的略微改善而不断演变。
