Results of the 2021 French National Perinatal Survey and trends in perinatal health in metropolitan France since 1995

Ray, Camille Le; Lelong, Nathalie; Cinelli, Hélène; Blondel, Béatrice; Regnault, Nolwenn; Demiguel, Virginie; Lebreton, E.; Salanave, Benoît; Fresson, Jeanne; Vilain, Annick; Deroyon, Thomas; Raynaud, Philippe; Rey, Sylvie; Chemlal, Khadoudja; Rabier-Thoreau, Nathalie

doi:10.1016/j.jogoh.2022.102509

Cited by 42 publications

(7 citation statements)

References 29 publications

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“…The ENP data are collected by trained midwives, using the same methodology in nearly all French maternity units, with few missing data, and can be considered representative of all births in France. 20 Another strength is that we differentiated exclusive and mixed breastfeeding rates, when most studies in France only use any breastfeeding rates. 33 , 34 Our results can be enriched by the analysis of the impact of the BFHI on breastfeeding continuation and duration using the data of the ENP 2021 at 2, 6 and 12 months.…”

Section: Discussionmentioning

confidence: 99%

“…Data on singleton full-term newborns, their mothers and maternity units in metropolitan France from the 2010, 2016 and 2021 ENP were used; their study design is described elsewhere. 20 Supplementary Figure S1 (available as Supplementary data at IJE online) presents the exclusion criteria in our study. Our final study population included 522 maternity units and 13 075 mother–infant pairs in 2010, 493 maternity units and 10 919 mother–infant pairs in 2016 and 456 maternity units and 10 209 mother–infant pairs in 2021.…”

Section: Methodsmentioning

confidence: 99%

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The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

Guajardo-Villar,

Pelat,

Blondel

et al. 2024

International Journal of Epidemiology

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Background The Baby-Friendly Hospital Initiative (BFHI) is associated with improved breastfeeding outcomes in many high-income countries including the UK and the USA, but its effectiveness has never been evaluated in France. We investigated the impact of the BFHI on breastfeeding rates in French maternity units in 2010, 2016 and 2021 to assess if the BFHI aids to reduce inequalities in breastfeeding. Methods We examined breastfeeding in maternity units (exclusive, mixed and any breastfeeding) in mothers of singleton full-term newborns using the 2010 (n = 13 075), 2016 (n = 10 919) and 2021 (n = 10 209) French National Perinatal Surveys. We used mixed-effect hierarchical multinomial regression models adjusting for neonatal, maternal, maternity unit and French administrative department characteristics, and tested certain interactions. Results The adjusted rate of exclusive breastfeeding was higher by +5.8 (3.4–8.1) points among mothers delivering in BFHI-accredited maternity units compared with those delivering in non-accredited units. When compared with average-weight newborns, this difference was sharper for infants with low birthweight: +14.9 (10.0–19.9) points when their birthweight was 2500 g. Mixed breastfeeding was lower by -1.7 points (-3.2–0) in BFHI-accredited hospitals, with no notable difference according to the neonatal or maternal characteristics. Conclusion Mothers delivering in BFHI-accredited maternity units had higher exclusive breastfeeding rates and lower mixed breastfeeding rates than those delivering in non-accredited maternity units. The positive impact of the BFHI was stronger among low-birthweight neonates, who are less often breastfed, helping reduce the gap for this vulnerable group while favouring mothers with higher education levels.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

Guajardo-Villar,

Pelat,

Blondel

et al. 2024

International Journal of Epidemiology

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“…The degree of medicalization of labor varies significantly across countries, with a discernible trend toward limiting medical interventions during childbirth [ 41 ]. This trend, however, contradicts the notably high rates of epidural analgesia, particularly in France, where over 80% of women opt for neuraxial analgesia as a primary pain management method [ 29 ]. Despite conflicting evidence and country-specific variations, existing research demonstrates an association between the occurrence of postpartum depression and deliveries involving epidural anesthesia [ 42 , 43 , 44 ].…”

Section: Research Gaps Addressable With Inertial Sensorsmentioning

confidence: 99%

“…Multimodal pain control with preserved motor function and, most importantly, less restricted or non-restricted movements during labor have been studied using traditional outcome measurements such as pain level, opioid consumption, duration of birth phases, maternal satisfaction, neonatal outcomes, and many others [ 21 , 28 , 29 , 30 ]. None of these studies assess the quality and quantity of women’s movements during labor, and the published results, which at time conflict, are not adjusted for movement quantity.…”

Section: Introductionmentioning

confidence: 99%

The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

Dziadzko,

Péneaud,

Bouvet

et al. 2024

Sensors

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There is a growing interest in wearable inertial sensors to monitor and analyze the movements of pregnant women. The noninvasive and discrete nature of these sensors, integrated into devices accumulating large datasets, offers a unique opportunity to study the dynamic changes in movement patterns during the rapid physical transformations induced by pregnancy. However, the final cut of the third trimester of pregnancy, particularly the first stage of labor up to delivery, remains underexplored. The growing popularity of “walking epidural”, a neuraxial analgesia method allowing motor function preservation, ambulation, and free movement throughout labor and during delivery, opens new opportunities to study the biomechanics of labor using inertial sensors. Critical research gaps exist in parturient fall prediction and detection during walking epidural and understanding pain dynamics during labor, particularly in the presence of pelvic girdle pain. The analysis of fetal descent, upright positions, and their relationship with dynamic pelvic movements facilitated by walking during labor is another area where inertial sensors can play an interesting role. Moreover, as contemporary obstetrics advocate for less restricted or non-restricted movements during labor, the role of inertial sensors in objectively measuring the quantity and quality of women’s movements becomes increasingly important. This includes studying the impact of epidural analgesia on maternal mobility, walking patterns, and associated obstetrical outcomes. In this paper, the potential use of wearable inertial sensors for gait analysis in the first stage of labor is discussed.

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“…According to the latest French National Prenatal Survey (NPS), the rate of preterm birth was 7% in 2021, which represents about 46,000 newborns [1].This rate has remained stable since 2016. Most of preterm deliveries happen between 32 and 36 GW (5.3%), and1.7% occurbetween 22 and 31 GW [1].…”

Section: Introductionmentioning

confidence: 99%

Qualitative analysis of mothers’ perception related to the delivery of information regarding preterm births

Randriamboarison,

Fustec,

Enderlé

et al. 2024

BMC Pregnancy Childbirth

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Background Preterm birth is a major health issue due to its potential outcomes and socioeconomic impact. Prenatal counseling is of major importance for parents because it is believed that the risk of preterm birth is associated with a higher parental mental burden. Nowadays in France, the content and delivery of antenatal counseling is based on personal experience since there is a lack of official guidelines. The goal of the study was to evaluate maternal perception of antenatal information delivered in the setting of preterm births. Methods A qualitative study was performed using semi-structured individual interviews of 15 mothers with a child born > 26–34 GW. Data analysis was based on a constant comparative method. Results Concerning prenatal counseling content, parents wanted to be informed of their role in the care of their preterm child more so than statistics that were not always considered relevant. Parents’ reactions to the announcement of the risk of a preterm birth was dominated by stupefaction, uncertainty and anxiety. When it comes to the setting of prenatal counseling, patients’ room was deemed an appropriate setting by parents and ideally the presence of a coparent was appreciated as it increased patients’ understanding. The physicians’ attitude during the counseling was considered appropriate and described as empathic and optimistic. The importance of support throughout the hospitalization in the form of other parents’ experiences, healthcare professionals and the possibility to preemptively visit the NICU was emphasized by participants. Delivery experience was dominated by a sense of uncertainty, and urgency. Some leads for improvement included additional support of information such as virtual NICU visit; participants also insisted on continuity of care and the multidisciplinary aspect of counseling (obstetrician, neonatologist, midwife, nurse, lactation consultant and psychologist). Conclusion Highlighting parents’ expectations about prenatal counseling could lead to the establishment of overall general guidelines. However, some topics like the use of statistics and mentioning the risk of death underline the importance of a personalized information.

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Results of the 2021 French National Perinatal Survey and trends in perinatal health in metropolitan France since 1995

Cited by 42 publications

References 29 publications

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

Qualitative analysis of mothers’ perception related to the delivery of information regarding preterm births

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