The perinatal survey 2010 results conducted by the Directorate-General of health (DGS) and the Directorate of research, studies, evaluation and statistics (Drees) come to be made public. The opportunity to learn more about childbirth, pregnancy and the first days of life in France today!
The national perinatal survey, what is?
Since 1995, these surveys allow the competent authorities to have a global vision of the State of the birth in France, from pregnancy to the first days of baby: followed medical of the pregnant women, middle ages, socio-professional categories, but also medical practices and health status of the child… The data collected to establish a plan of perinatal.
Survey 2010 has brought 15187 women and 15 418 children, metropolitan France as well as in Guadeloupe, Guyana and Réunion, in 553 medical facilities.
The follow-up of the pregnancy and the health of future mothers
More older and overweight pregnant women
The average age of the first baby does not vary: 27.5 years. On the other hand, the average age at the time of a second birth continues to increase, since throughout the birth, 19% of the women had at least 35 years!
Moreover, the share of pregnant women with overweight increases: 17.3% in 2010, against 15.4 in 2003 (the latest perinatal survey date).
The average number of ultrasounds by woman in 2010 amounts to 5 (against 4.5 in 2003). However, the survey authors cautioned against a possible medical over-consumption, since 20 percent of women suffer more than 6 ultrasounds and 4% more than 10! Reminder: 3 ultrasounds are supported 100% by the Social security.
- Prenatal tests
45% of women have benefited from 10 medical tests or more during their pregnancy, compared with 28% in 2003. 7 reviews are required and reimbursed by social security.
- Choice of healthcare for the follow-up of pregnancy
The gynecologist-obstetrician ensures majority follow-up of pregnancy in 2010, followed by the hospital midwife (39.4%), the practitioner (23.8% of women) and the liberal midwife (15.6%). Mothers-to-be are evidence of diversity in the choice of practitioners.
- Birth preparationcourses
73.2% of the heifers (66.8% in 2003) and 28.5% of the multiparous (25.1%) attended a childbirth preparation. In contrast, only 21, 4% of women received prenatal 4th month maintenance of pregnancy, set up during the previous plan of perinatal.
Better followed public health recommendations
- Smoking and pregnancy
The future mothers who smoke are less numerous. More than 80% of them to stop smoking in the first trimester of pregnancy. Note: this is constant since 1998, witness of the positive impact of alerts onthe harmfulness of tobacco during pregnancy.
- Alcohol and pregnancy
A little less good review about “0 tolerance” alcohol: nearly 20 percent of pregnant women reported drinking at least once knowing they were pregnant. However this consumption remains very measured (less than one glass for 75% of women surveyed). Here again, the new prevention standards seem to have been integrated.
- Prescription of folic acid
More than 40% of mothers received supplementation with folic acid (vitamin B9). The importance of folic acid in the proper development of the fetus has been highlighted in recent years: he would notably reduce anomalies at the level of the neural tube ( Spina bifida type syndromes).
- Screening for trisomy 21
Finally, expectant mothers are more informed of the different diagnosis of trisomy 21 reviews: measure of the appointment, serum markers (sorting test)… Consequence: there are far feweramniocenteses in 2003, especially among women aged 38 years and more (from 61% to 43% in 2010).
Delivery: fewer episiotomies, acclaimed breastfeeding
Episiotomy is declining: 45% of the heifers have undergone an episiotomy in 2010, against… 71% in 2003. A significant drop, which proves that the multiple recommendations (World Health Organization, national College of gynecologists and obstetricians french, patient associations) we were heard!
60% of young mothers are exclusively breastfeeding motherhood. It’s better than in 2003 where they were 55%, but still “trolling” compared to other European countries (more than 85% in Norway or Sweden, for example).
- Caesarean sections, epidural and triggers
21 per cent of births occurred by c-section, programmed in 10.9% of cases; Moreover 81% of mothers received epidural or an anaesthesia. 22.7 percent of deliveries were triggered.
5.5 percent of single births and 43% of births of twins were held in a premature way.
- Medically assisted reproduction
2.3 percent of births are the result of IVF ; It is as much as deliveries after a pregnancy obtained with treatment of fertility drugs without IVF. Total births following fertility treatment are around 5% of total births.
Health of infants at birth
- Apgar score at birth
7 percent of children have a less than 8 at birth Apgar score .
- Transfer of the newborn after delivery
They are also 7% to be transferred to a unit after delivery, or 1% fewer than in 2003. 14% of these transfers are at another institution in the maternity of birth, which is half as much as in 2003.
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