Le suivi prénatal des femmes accouchant dans le canton de Vaud: etude rétrospective de 854 cas. [Prenatal care of women delivering in the Vaud canton: retrospective study of 854 cases].

Details

Serval ID
serval:BIB_53F308DC678D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Le suivi prénatal des femmes accouchant dans le canton de Vaud: etude rétrospective de 854 cas. [Prenatal care of women delivering in the Vaud canton: retrospective study of 854 cases].
Journal
Sozial- und Präventivmedizin
Author(s)
Bachelard O., Santos-Eggimann B., Paccaud F.
ISSN
0303-8408 (Print)
ISSN-L
0303-8408
Publication state
Published
Issued date
1996
Peer-reviewed
Oui
Volume
41
Number
5
Pages
270-279
Language
french
Abstract
The association between prenatal care and infant health has been shown in many studies. Therefore, accurate information on prenatal care is required to assess the organization of preventive measures aiming at a reducing in neonatal mortality any morbidity. We retrospectively collected data on 854 pregnancies. According to a classification scheme developed by Kessner, 61.6% of women had access to adequate prenatal care. Overall, the proportion of adequate prenatal care was lower among multiparas, and in this subgroup we found a lower rate for women with base line insurance. In the primiparas subgroup we found a lower rate of adequate prenatal care for foreigners, women under 20 years or unmarried mothers, and for women without professional activity during pregnancy, besides preterm birth was more frequent amongst women in the group of prenatal care qualified as intermediate or inadequate. The frequency of pregnancy visits and the Kessner index are discussed in a literature review. The association between socio-economic indicators and prenatal care was unexpected considering the overall wealth of Switzerland. With a 6.8% infant mortality registered in 1989, this country can be considered to have one of the lowest rates in the world. These findings nevertheless suggest the way to possible additional gains by interventions targeted to specific socio-economic groups.
Keywords
Adult, Birth Weight, Cohort Studies, Demography, Female, Humans, Infant, Newborn, Parity, Pregnancy, Pregnancy Outcome, Prenatal Care/utilization, Retrospective Studies, Socioeconomic Factors, Switzerland
Pubmed
Web of science
Create date
11/08/2011 15:39
Last modification date
20/08/2019 15:08
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