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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=3035

Created on : 26 Nov 2018
Modified on : 27 Nov 2018

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Bibliographical entry (without author) :

European Perinatal Health Report. Core indicators of the health and care of pregnant women and babies in Europe in 2015. World Health Organization

Author(s) :

Jennifer Zeitlin, Sophie Alexander, Henrique Barros, Béatrice Blondel, Marie Delnord, Mélanie Durox, Mika Gissler, Alison Macfarlane, Ashna Mohangoo, Katarzyna Szamotulska - Euro-Peristat Project

Year of publication :

2018

URL(s) :

http://www.epopé-inserm.fr/en/une-nouvelle-photog…
http://www.europeristat.com

Résumé (français)  :

La santé maternelle et néonatale est un indicateur essentiel de la santé et du bien-être de la population. Les progrès de la médecine, l’accès universel aux soins de santé, l’évolution de la santé de la population et l’accroissement des connaissances des femmes en âge de procréer ont été les moteurs de la baisse de la mortalité néonatale et maternelle observée depuis plusieurs décennies en Europe. Malgré ces progrès, l’objectif consistant à donner un bon départ dans la vie à tous les enfants et à toutes les familles se heurte à de grands défis. Le nombre de familles touchées par la perte d’un enfant, qu’il soit mort-né ou mort-né, reste important - plus de 40 000 familles en Europe chaque année. Deuxièmement, alors que les décès maternels sont de plus en plus rares, près de la moitié sont associés à des soins de qualité inférieure. De plus, on estime qu’entre 1 et 3% des femmes souffrent d’une morbidité grave au cours de leur hospitalisation à la suite d’une accouchement, également souvent à cause de soins de qualité inférieure, bien que nous ne disposions pas des bons outils pour mesurer cet indicateur. Troisièmement, bien que la mortalité associée aux complications de la grossesse, telles que l’accouchement prématuré et la restriction de croissance intra-utérine, ait diminué, la prévention de ces complications a été beaucoup moins efficace. Les taux de prématurité sont généralement restés stables en Europe ou ont augmenté dans certains pays. En outre, certains facteurs de risque majeurs de complications chez la mère et le nourrisson, notamment l’âge avancé de la mère et l’obésité, sont de plus en plus répandus et pourraient arrêter ou inverser les tendances à la baisse de la mortalité. Pour réduire ces facteurs de risque chez les femmes en âge de procréer, il faut mettre l’accent sur la santé de la population avant et pendant la grossesse. Enfin, les chocs économiques dans de nombreux pays ont créé des conditions difficiles pour les familles, ce qui justifie de mettre un accent particulier sur la protection des femmes enceintes et de leurs nouveau-nés.

Abstract (English)  :

Maternal and newborn health are essential indicators of population health and wellbeing. Medical advances, universal access to healthcare, changes in population health, and increases in knowledge among childbearing women have been the drivers of decades-long decreases in newborn and maternal mortality in Europe. Yet despite this progress, there are major challenges to the goal of providing an optimal start in life for all children and families. The number of families touched by the loss of a child, either a stillbirth or an infant death, remains substantial — more than 40 000 families in Europe every year. Second, while maternal deaths are increasingly rare, up to half are associated with substandard care. Moreover, it is estimated that between 1 and 3% of women experience severe morbidity during their delivery hospitalization, also often due to substandard care, although we lack good tools to measure this indicator. Third, although the mortality associated with pregnancy complications such as preterm delivery and intrauterine growth restriction has decreased, prevention of these complications has been much less successful. Preterm birth rates have generally stayed stable in Europe or have risen in some countries. Further, some major risk factors for maternal and infant complications, including older maternal age and obesity, are becoming more common and have the potential to stop or to reverse downward trends in mortality. Reducing these risk factors among childbearing women requires a holistic focus on population health before and during pregnancy. Finally, economic shocks in many countries have created difficult conditions for families that justify a special focus on protecting pregnant women and their newborns.

Sumário (português)  :

A saúde materna e neonatal são indicadores essenciais de saúde e bem-estar da população. Os avanços da medicina, o acesso universal aos cuidados de saúde, as alterações na saúde da população e o aumento do conhecimento entre as mulheres grávidas foram os motores de diminuições de décadas na mortalidade neonatal e materna na Europa. No entanto, apesar desse progresso, há grandes desafios para o objetivo de proporcionar um início de vida ideal para todas as crianças e famílias. O número de famílias afetadas pela perda de uma criança, seja uma natimortos ou uma morte infantil, continua substancial - mais de 40 mil famílias na Europa a cada ano. Segundo, enquanto as mortes maternas são cada vez mais raras, até a metade estão associadas a cuidados abaixo do padrão. Além disso, estima-se que entre 1 e 3% das mulheres experimentam morbidade grave durante a hospitalização no parto, também muitas vezes devido a cuidados abaixo do padrão, embora não tenhamos boas ferramentas para medir este indicador. Terceiro, embora a mortalidade associada a complicações na gravidez, como parto prematuro e restrição de crescimento intra-uterino tenha diminuído, a prevenção dessas complicações tem sido muito menos bem-sucedida. As taxas de nascimento prematuro geralmente permaneceram estáveis ​​na Europa ou aumentaram em alguns países. Além disso, alguns dos principais fatores de risco para complicações maternas e infantis, incluindo idade materna mais alta e obesidade, estão se tornando mais comuns e têm o potencial de interromper ou reverter tendências de queda na mortalidade. Reduzir esses fatores de risco entre mulheres grávidas requer um foco holístico na saúde da população antes e durante a gravidez. Finalmente, os choques econômicos em muitos países criaram condições difíceis para as famílias que justificam um foco especial na proteção de mulheres grávidas e seus recém-nascidos.

Full text (public) :

Comments :

On attend la version française de ce rapport…

Argument (français) :

Un premier message primordial est qu’en 2015, les taux de mortinatalité et de mortalité néonatale, infantile et maternelle étaient inférieurs pour les bébés et les femmes en Europe par rapport aux autres régions du monde, y compris aux pays à revenu élevé non européens.

Argument (English):

A first overarching message is that in 2015 rates of stillbirth and neonatal, infant, and maternal death were lower for babies and women in Europe than in other parts of the world, including other high-income countries outside Europe.

Argumento (português):

Uma primeira mensagem abrangente é que, em 2015, as taxas de natimortalidade e morte neonatal, infantil e materna foram menores para bebês e mulheres na Europa do que em outras partes do mundo, incluindo outros países de alta renda fora da Europa.

Keywords :

➡ survey ; public health ; statistics

Author of this record :

Bernard Bel — 26 Nov 2018
➡ latest update : Bernard Bel — 27 Nov 2018

Related records
#3034   Meagan Zimbeck, Ashna Mohangoo, Jennifer Zeitlin, the EURO-PERISTAT Report Writing Committee (2009). The European perinatal health report: Delivering comparable data for examining differences in maternal and infant health. European Journal of Obstetrics & Gynecology and Reproductive Biology Volume 146, Issue 2, October 2009, Pages 149-151. ➡ https://afar.info/id=3034
#3033World Health Organization (2018). Rapport sur la santé en Europe 2015 / The European health report 2015. ➡ https://afar.info/id=3033
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