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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
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https://afar.info/id=2296

Created on : 29 Dec 2008
Modified on : 29 Dec 2008

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Bibliographical entry (without author) :

Perinatal mortality in the Netherlands. Backgrounds of a worsening international ranking. Demographic Research, vol.11, 13.

Author(s) :

Joop Garssen, Anouschka van der Meulen

Year of publication :

2004

URL(s) :

http://www.demographic-research.org/Volumes/Vol11/…

Résumé (français)  :

Abstract (English)  :

Perinatal mortality rates have dropped sharply in the past few decades, in the Netherlands as well as in all other European countries. However, as the decrease has generally slowed down since the 1980s, the Netherlands has lost its prominent position in the international ranking of countries with favourable perinatal mortality rates. This lower ranking is not only the result of the dialectics of progress, but also the consequence of a relatively restrained use of antenatal diagnostics. In addition, the Netherlands is among the European countries scoring highest on a number of important risk factors. This article examines the effect on perinatal mortality rates of known risk factors, in particular the presence of non-western foreigners, multiple births and older mothers. With respect to the latter factor, it is concluded that children of older mothers run a significantly higher risk of foetal mortality, whereas babies of young mothers (including women in their early twenties) run a higher risk of infant mortality. For babies of non-western mothers, infant mortality rates are higher, although there are substantial differences between ethnic backgrounds. First week mortality is most unfavourable for Surinamese and Antillean/Aruban children, and post-neonatal mortality is highest among Turkish and Moroccan babies. The fact that relatively many non-western foreigners from countries with relatively high risks of perinatal mortality have settled in the Netherlands, is one of the reasons for the fall in the international ranking. Lastly, the increase in the number of multiple births has been stronger in the Netherlands than in most other countries. The higher incidence of assisted reproduction explains most of this increase.

Sumário (português)  :

Comments :

Il est intéressant de constater que dans les 37 pages de cet article, qui passe en revue tous les facteurs de risque de mortalité périnatale, il n’est nulle part question d’accouchement à domicile… Alors que cet article est cité dans les argumentaires (voir par exemple <http://afar.info/id=2297>) visant à démontrer qu’en facilitant l’accouchement à domicile en France nous finirons avec des statistiques « pires que les Pays-Bas » !

On pourrait raisonner de la même manière en s’appuyant sur d’autres a-priori : puisque les mauvais résultats aux Pays-Bas sont causés par une importante présence de femmes immigrées de faible niveau socio-économique-culturel (notamment Surinam, Antilles, Turquie et Maroc), c’est à Brice Hortefeux qu’il appartient de sauver le système périnatal français. Ou encore, puisque la deuxième cause de mortalité périnatale est la plus forte incidence de grossesses multiples induites par les FIV, appelons au secours Christine Boutin… :-(

Argument (français) :

Argument (English):

Perinatal mortality rates have dropped sharply in the past few decades, in the Netherlands as well as in all other European countries. However, as the decrease has generally slowed down since the 1980s, the Netherlands has lost its prominent position in the international ranking of countries with favourable perinatal mortality rates.

Argumento (português):

Keywords :

➡ place of birth ; homebirth ; public health ; perinatal death rates

Author of this record :

Bernard Bel — 29 Dec 2008

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