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[法国的围产期情况。1981年至1995年的趋势]

[The perinatal situation in France. Trends between 1981 and 1995].

作者信息

Blondel B, Bréart G, du Mazaubrun C, Badeyan G, Wcislo M, Lordier A, Matet N

机构信息

Unité de Recherches Epidémiologiques sur la Santé des Femmes et des Enfants, INSERM U149, Villejuif.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1997;26(8):770-80.

PMID:9509317
Abstract

OBJECTIVES

Assess the main indicators of health status and medical practice at delivery and to determine the feasibility of a routine national survey.

POPULATION AND METHOD

A survey conducted in 1995 concerned all live births and stillbirths occurring within one week. The sample included 13,147 women in metropolitan France. The results were compared with those of earlier national perinatal surveys.

RESULTS

Since 1981, the perinatal situation in France has shown a rise in maternal age at delivery, development of prenatal care (particularly the number of visits), and an increase in the number of procedures at delivery, notably induction. The preterm delivery calculated for all births has remained unchanged: 5.6% in 1981 and 5.9% in 1995, but the proportion of infants weighing less than 2500 g has increased from 5.2% to 6.2%.

CONCLUSION

The 1995 national perinatal survey in France, based on all births during one week and involving minimal data collection has provided a representative sample of births and information well adapted to surveillance of the main health and medical practice parameters. This type of survey should become routine and serve as a basic element for epidemiological surveillance.

摘要

目标

评估分娩时的健康状况和医疗实践的主要指标,并确定全国常规调查的可行性。

人群与方法

1995年进行的一项调查涉及一周内发生的所有活产和死产。样本包括法国大都市的13147名妇女。将结果与早期全国围产期调查的结果进行了比较。

结果

自1981年以来,法国的围产期情况显示,分娩时产妇年龄上升,产前护理有所发展(尤其是就诊次数),分娩时的操作数量增加,尤其是引产。所有出生婴儿的早产率保持不变:1981年为5.6%,1995年为5.9%,但体重不足2500克的婴儿比例从5.2%增加到了6.2%。

结论

1995年法国全国围产期调查基于一周内的所有出生情况,且数据收集量最少,提供了具有代表性的出生样本以及非常适合监测主要健康和医疗实践参数的信息。这类调查应成为常规调查,并作为流行病学监测的基本要素。

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