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

Autor: Béatrice Blondel, Nicolas Drewniak, Jennifer Zeitlin, Hugo Pilkington
Přispěvatelé: Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants (UMR_S 953), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Descartes - Paris 5 (UPD5)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris-Sud - Paris 11 (UP11), Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris 8 Vincennes-Saint-Denis (UP8)-Université Paris Nanterre (UPN)-Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS), Université Paris Diderot - Paris 7 (UPD7)-Université Paris Nanterre (UPN)-Université Paris 8 Vincennes-Saint-Denis (UP8)-Université Panthéon-Sorbonne (UP1)-Centre National de la Recherche Scientifique (CNRS), Université Paris-Sud - Paris 11 (UP11)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Debs, Nayla, Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants ( UMR_S 953 ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université Paris Descartes - Paris 5 ( UPD5 ) -Université Pierre et Marie Curie - Paris 6 ( UPMC ) -Université Paris-Sud - Paris 11 ( UP11 ), Laboratoire dynamiques sociales et recomposition des espaces ( LADYSS ), Université Panthéon-Sorbonne ( UP1 ) -Université Paris 8 Vincennes-Saint-Denis ( UP8 ) -Université Paris Nanterre ( UPN ) -Université Paris Diderot - Paris 7 ( UPD7 ) -Centre National de la Recherche Scientifique ( CNRS )
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Health (social science)
Geography
Planning and Development
Medically Underserved Area
Health Services Accessibility
Health services
0302 clinical medicine
MESH: Pregnancy
MESH : Health Services Accessibility
Pregnancy
MESH: Maternal Health Services
Medicine
MESH : Female
030212 general & internal medicine
Out of hospital
MESH: Health Services Accessibility
030219 obstetrics & reproductive medicine
[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie
MESH : Adult
3. Good health
MESH: Medically Underserved Area
Parity
MESH: Young Adult
Birth Certificates
Female
France
Adult
MESH : Medically Underserved Area
MESH : Young Adult
Infant health
Birth certificate
Social class
Unit (housing)
Young Adult
03 medical and health sciences
Nursing
Humans
Maternal Health Services
MESH : France
MESH : Parity
High parity
MESH: Humans
business.industry
MESH : Humans
MESH: Parity
Parturition
Public Health
Environmental and Occupational Health
MESH: Adult
MESH: France
MESH : Pregnancy
MESH : Parturition
MESH: Birth Certificates
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
MESH: Parturition
MESH : Maternal Health Services
MESH: Female
MESH : Birth Certificates
Demography
Zdroj: Health & Place
Health & Place, Elsevier, 2011, 17 (5), pp.1170-3. ⟨10.1016/j.healthplace.2011.06.002⟩
Health & Place, 2011, 17 (5), pp.1170-3. ⟨10.1016/j.healthplace.2011.06.002⟩
Health & Place, Elsevier, 2011, 17 (5), pp.1170-3. 〈10.1016/j.healthplace.2011.06.002〉
ISSN: 1873-2054
DOI: 10.1016/j.healthplace.2011.06.002⟩
Popis: International audience; 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 30km 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.
Databáze: OpenAIRE
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