French perinatal health report

Pregnant, fetal, infant, postnatal and maternal health: pfirst time, Report from Public Health France Describes perinatal health in France. He notes that certain indicators have undergone “an alarming” evolution in his decade, especially in France abroad. The report shows declining fertility rates, rising neonatal mortality and increasing maternal insecurity, especially in France.

Regionally heterogeneous global inventory

The 160-page document, published this Tuesday by the French Public Health Agency, covers the years 2010 to 2019. According to the health agency, it can describe France’s perinatal health for the first time on a global scale. .

specific indicators “High and stable support” in France, “The report notes an uneven situation across territories, with a deterioration in overseas sectors and regions,” Anne Galley, director of non-communicable diseases and trauma at Public Health France, told AFP.

Baby mortality and mothers ‘worried’

One of the main findings, emphasized Anne Gallay, is that mortality changes are contrasting and “even worrisome” for both mothers and children. Thereby, maternal mortality none not significantly decreased between 2007 and 2009 (9.5 deaths per 100,000 live births) and 2013-2015 (8.1 per 100,000), date of most recent data available. Neonatal Mortality (0-27 days after birth) increased in mainland France, In 2010, there were 1.6 deaths per 1,000 live births, but in 2019 there were 1.8 per 1,000 live births.“Work is ongoing to better understand the causes of this mortality.” Nolwenn Régnault, Head of the Perinatal Department of Public Health France, said: In any case the situation may progress, According to her “Many countries showing better results”.

Doubling of Mortality Rates in France Abroad

In foreign sectors and regions, the picture is even worse: maternal mortality four times the size of mainland France, the stillbirth rate is 1.5 times higher and the neonatal mortality rate is 2 times higher. Guyana and Mayotte are the worst affected provinces.These findings “Advocate for greater prevention and promotion of perinatal health”, “Improve rights and access to care, especially in specific areas” Abroad, the report says.

Fertility rates declining in all regions except Guyana

First observation: Fertility decline in all regions France excluding Guyana. Births fell from 841,000 in 2010 to 734,000 in 2019. The main reasons are: increasing maternal age childbirth and Reduced fertility in young women. The average age of childbearing across France fell from 29.4 in 2010 to 30.1 in 2019.

Increased maternal instability

At the same time, the mother’s anxiety seems to be getting worse. Slightly fewer deliveries are covered by health insurance (96.8% in 2010 compared to 96.0% in 2019). Also, mothers in irregular situations with state medical assistance (AME, 1.6% in 2010; 2.5% in 2019) and homeless mothers (Ile-de-France, 5.8% in 2010, 22.8% in 2019). ) mothers are increasing.

Fewer cigarettes, more hypertension and gestational diabetes

France remains if pregnant women smoke less than 20 years One of the European countries with the highest maternal smoking rates in Europe (16.2% of women who smoked in the third trimester of 2016). Disorders associated with certain maternal medical conditions during pregnancy and postpartum, in particular: high blood pressure (4.5% in 2010, 5% in 2019) and gestational diabetes (6.7% in 2010, 13.6% in 2019). This latest increase is partially explained by: Change in screening method and, Prevalence of risk factorsthat’s why Obesity or older maternal age.

Caesarean section rate stable, episiotomy plummeting

Caesarean section rates have remained stable since 2012 (approximately 20.2%). Vaginal episiotomy rates also increased for both first-time mothers (from 29.5% in 2010 to 10% in 2019) and mothers who gave birth after having already had children (from 10.5%). dropped sharply in the up to 2.7% in the same period).

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