Papiernik E
Hôpital Cochin, Service de Gynécologie-Obstétrique I, Paris.
Rev Epidemiol Sante Publique. 1996 Nov;44(6):597-602.
Three periods are described. The first is the period of perinatality from 1971 to 1981 during which the precise objective was to reduce perinatal mortality and morbidity based on actions proposed after cost-effectiveness analysis and early surveys in France to evaluate the effect of these actions. This plan allowed a new policy including prevention of prematurity and improvement in delivery conditions. National surveys have shown a reduction in prematurity rates and perinatal mortality. The second period was a wait-and-see period with the abandon of national actions, but also a transfer of responsibility for perinatal health to the different departments. Certain departments developed perinatal actions:actions in Martinique and Guadeloupe are described together with the early audit on perinatal care in Seine-Saint-Denis. The third period, the current period, began in 1994 when the government proposed a new perinatality plan based on a new perception of maternal mortality risk and a come back of the idea of a collective approach to safe birth.
共描述了三个阶段。第一个阶段是1971年至1981年的围产期阶段，在此期间，确切目标是根据成本效益分析以及法国早期调查中提出的行动来降低围产期死亡率和发病率，这些行动旨在评估这些措施的效果。该计划促成了一项新政策，包括预防早产和改善分娩条件。全国性调查显示早产率和围产期死亡率有所降低。第二个阶段是观望阶段，在此期间，国家行动被放弃，同时围产期健康责任也被转移到不同部门。某些部门开展了围产期行动：介绍了马提尼克岛和瓜德罗普岛的行动以及塞纳 - 圣但尼省围产期护理的早期审计情况。第三个阶段即当前阶段始于1994年，当时政府基于对孕产妇死亡风险的新认识以及回归安全分娩集体方法的理念，提出了一项新的围产期计划。
