Posted September 20, 2022, 7:59 amUpdated September 20, 2022 at 11:11 am
For the first time, Public Health France is publishing a series of indicators describing the health status of pregnant women and newborns in a single report. Despite the “high and stable” level of care in France, some data “advocate the strengthening of perinatal health”, emphasizes Public Health France.
The first source of concern: the number of deaths of infants less than 27 days after birth is on the rise. A result “that must be the subject of special attention in order to reverse the trends in the coming years”, the report highlights. In mainland France, the neonatal mortality rate fell from 1.6 to 2 deaths per 1,000 live births between 2010 and 2019.
This applies to Ile de France, Auvergne-Rhône-Alpes, Hauts-de-France, Normandy and New Aquitaine. The indicator reached its peak mainly in the overseas departments and regions, where it was 4.1 in 2019 (compared to 3.7 in 2010), i.e. twice as much as in mainland France.
A public health priority
Indeed, the report emphasizes “large territorial inequalities” in terms of perinatal health and emphasizes that reducing them “must be a public health priority”. The overseas departments and regions show indicators that are “generally more unfavorable than the whole of mainland France”: the maternal mortality rate for the period is multiplied by 4 and the stillbirth rate by 1.5.
Mayotte and French Guiana are most concerned: France has the highest prevalence of premature births and stillbirths. The situation of mothers who give birth in Guyana is also more precarious: in 2019, 27.7% of them benefited from state medical aid billing, 2% in mainland France.
When we look at maternal health, we also realize that certain medical conditions increase during or after pregnancy. At national level, this is for example the case of hypertension (5% in 2019 compared to 4.5% in 2010) and gestational diabetes (13.6% in 2019 compared to 6.7% in 2010). Rate birthrate all regions of France also continued to decline: 734,000 births were recorded in 2019 compared to 841,000 in 2010. This trend can be partly explained by the decrease fertility in younger women. The average age at childbirth continues to increase, reaching 30.1 years between 2016 and 2019.
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