• J Gynecol Obstet Biol Reprod (Paris) · Mar 2015

    [Do women from Seine-Saint-Denis have different prenatal care compared to other women in the region?].

    • M Carayol, M Bucourt, J Cuesta, B Blondel, and J Zeitlin.
    • Service départemental de protection maternelle et infantile de Seine-Saint-Denis, 93006 Bobigny, France. Electronic address: marion.carayol@gmail.com.
    • J Gynecol Obstet Biol Reprod (Paris). 2015 Mar 1; 44 (3): 258-68.

    ObjectiveWe compared the care of pregnant women residing in Seine-Saint-Denis (SSD) to those resident elsewhere in Île-de-France because of the high rate of perinatal and infant mortality in this district.Materials And MethodsData come from the French national perinatal surveys of 2003 and 2010 (n=969 in Seine-Saint-Denis, n=5636 other Île-de-France). We analyzed two indicators: inadequate prenatal care (late initiation, <3 ultrasounds, insufficient number of visits) and lack of knowledge of about screening and diagnostic tests for Down's Syndrome. Models were adjusted for sociodemographic characteristics.ResultsNineteen percent of women in Seine-Saint-Denis and 12 % elsewhere in Île-de-France had inadequate care and 29 % and 16 % did not know if they had been screened for Down's Syndrome. These rates were higher among migrant women but did not differ by place of residence (25 and 40 % respectively). For French citizens, residence in Seine-Saint-Denis was a risk factor for both indicators.ConclusionA reflection on how to improve care during pregnancy should be initiated in Seine-Saint-Denis.Copyright © 2014 Elsevier Masson SAS. All rights reserved.

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