M Carayol1, M Bucourt2, J Cuesta2, B Blondel3, J Zeitlin3. 1. Service départemental de protection maternelle et infantile de Seine-Saint-Denis, 93006 Bobigny, France. Electronic address: marion.carayol@gmail.com. 2. Service départemental de protection maternelle et infantile de Seine-Saint-Denis, 93006 Bobigny, France. 3. Inserm U1153 équipe épidémiologie périnatale, obstétricale et pédiatrique (EPOPé), centre de recherche épidémiologie et biostatistique, 75014 Paris, France; Université Paris Descartes, Sorbonne Paris-Cité, 75006 Paris, France.
Abstract
OBJECTIVE: We 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 METHODS: Data 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. RESULTS: Nineteen 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. CONCLUSION: A reflection on how to improve care during pregnancy should be initiated in Seine-Saint-Denis.
OBJECTIVE: We 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 METHODS: Data 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. RESULTS: Nineteen 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. CONCLUSION: A reflection on how to improve care during pregnancy should be initiated in Seine-Saint-Denis.