Out-of-hospital births and the supply of maternity units in France

被引：59

作者：

Blondel, Beatrice ^{[1
,2
]}

Drewniak, Nicolas ^{[1
,2
]}

Pilkington, Hugo ^{[1
,2
,3
]}

Zeitlin, Jennifer ^{[1
,2
]}

机构：

[1] INSERM, Epidemiol Res Unit Perinatal & Womens & Childrens, UMRS 953, F-94807 Villejuif, France

[2] Univ Paris 06, Paris, France

[3] Univ Paris 08, Dept Geog, St Denis, France

来源：

HEALTH & PLACE | 2011年 / 17卷 / 05期

关键词：

Health services; Distance; Maternity units; Supply; Out-of-hospital birth; Access; Social class; MORTALITY RATES; PLANNED HOME; WOMEN; OUTCOMES; CARE; DELIVERY; CANADA; ACCESS; IMPACT; LABOR;

D O I：

10.1016/j.healthplace.2011.06.002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Maternity unit closures in France have increased distances that women travel to deliver in hospital. We studied how the supply of maternity units influences the rate of out-of-hospital births using birth certificate data. In 2005-6, 4.3 per 1000 births were out-of-hospital. Rates were more than double for women living 30 km or more from their nearest unit and were even higher for women of high parity. These associations persisted in multilevel analyses adjusting for other maternal characteristics. Long distances to maternity units should be a concern to health planners because of the maternal and infant health risks. (C) 2011 Elsevier Ltd. All rights reserved.

引用

收藏

页码：1170 / 1173

页数：4

相关论文

共 26 条

[1] Maternal factors and the probability of a planned home birth [J].

Anthony, S ;

Buitendijk, SE ;

Offerhaus, PM ;

van Dommelen, P ;

van der Pal-de Bruin, KM .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2005, 112 (06) :748-753

[2] Choosing where to deliver: decision criteria among women with low-risk pregnancies in France [J].

Combier, E ;

Zeitlin, J ;

de Courcel, N ;

Vasseur, S ;

Lalouf, A ;

Amat-Roze, JM ;

de Pouvourville, G .

SOCIAL SCIENCE & MEDICINE, 2004, 58 (11) :2279-2289

[3] Are there inequalities in choice of birthing position? Sociodemographic and labour factors associated with the supine position during the second stage of labour [J].

de Jonge, Ank ;

Rijnders, Marlies E. B. ;

van Diem, Mariet Th. ;

Scheepers, Peer L. H. ;

Lagro-Janssen, Antoine L. M. .

MIDWIFERY, 2009, 25 (04) :439-448

[4] Characteristics of Planned and Unplanned Home Births in 19 States [J].

Declercq, Eugene ;

MacDorman, Marian F. ;

Menacker, Fay ;

Stotland, Naomi .

OBSTETRICS AND GYNECOLOGY, 2010, 116 (01) :93-99

[5]

Doisneau L., 2003, INSEE PREMIERE, P903

[6] Perinatal mortality and severe morbidity in low and high risk term pregnancies in the Netherlands: prospective cohort study [J].

Evers, Annemieke C. C. ;

Brouwers, Hens A. A. ;

Hukkelhoven, Chantal W. P. M. ;

Nikkels, Peter G. J. ;

Boon, Janine ;

van Egmond-Linden, Anneke ;

Hillegersberg, Jacqueline ;

Snuif, Yvette S. ;

Sterken-Hooisma, Sietske ;

Bruinse, Hein W. ;

Kwee, Anneke .

BRITISH MEDICAL JOURNAL, 2010, 341 :981

[7]

Faur B., 1988, COLLECT INSEE, V127, P109

[8] Characteristics of women giving birth at home in Sweden:: A national register study [J].

Hildingsson, Ingegerd M. ;

Lindgren, Helena E. ;

Haglund, Bengt ;

Radestad, Ingela J. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2006, 195 (05) :1366-1372

[9] Outcomes Associated with Planned Home and Planned Hospital Births in Low-Risk Women Attended by Midwives in Ontario, Canada, 2003-2006: A Retrospective Cohort Study [J].

Hutton, Eileen K. ;

Reitsma, Angela H. ;

Kaufman, Karyn .

BIRTH-ISSUES IN PERINATAL CARE, 2009, 36 (03) :180-189

[10] Mortality in out-of-hospital premature births [J].

Jones, P. ;

Alberti, C. ;

Jule, L. ;

Chabernaud, J-L ;

Lode, N. ;

Sieurin, A. ;

Dauger, S. .

ACTA PAEDIATRICA, 2011, 100 (02) :181-187