Title :

Providing active antenatal care depends on the place of birth for extremely preterm births: the epipage 2 cohort study

Author(s) :

Diguisto, Caroline [Auteur]
Goffinet, François [Auteur]
Lorthe, Elsa [Auteur]
Kayem, Gilles [Auteur]
Roze, Jean-Christophe [Auteur]
Boileau, Pascal [Auteur]
Khoshnood, Babak [Auteur]
Benhammou, Valérie [Auteur]
Langer, Bruno [Auteur]
Sentilhes, Loic [Auteur]
Subtil, Damien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Azria, Elie [Auteur]
Kaminski, Monique [Auteur]
Ancel, Pierre-Yves [Auteur]
Foix-L'helias, Laurence [Auteur]

Journal title :

Archives of disease in childhood. Fetal and neonatal edition

Abbreviated title :

Arch. Dis. Child.-Fetal Neonatal Ed.

Volume number :

102

Pages :

F476-F482

Publication date :

2017-11-01

ISSN :

1359-2998

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Survival rates of infants born before 25 weeks of gestation are low in France and have not improved over the past decade. Active perinatal care increases these infants' likelihood of survival. OBJECTIVE: Our aim was to ...
Show more >Survival rates of infants born before 25 weeks of gestation are low in France and have not improved over the past decade. Active perinatal care increases these infants' likelihood of survival. OBJECTIVE: Our aim was to identify factors associated with active antenatal care, which is the first step of proactive perinatal care in extremely preterm births. METHODS: The population included 1020 singleton births between 220/60/6 RESULTS: Among the population of extremely preterm births, 42% received active antenatal care. After standardisation for gestational age, regional rates of active antenatal care varied between 22% (95% CI 5% to 38%) and 61% (95% CI 44% to 78%). Despite adjustment for individual and organisational characteristics, active antenatal care varied significantly between maternity units (p=0.03). Rates of active antenatal care increased with gestational age with an aOR of 6.46 (95% CI 3.40 to 12.27) and 10.09 (95% CI 5.26 to 19.36) for infants born at 25 and 26 weeks' gestation compared with those born at 24 weeks. No other individual characteristic was associated with active antenatal care. CONCLUSIONS: Even after standardisation for gestational age, active antenatal care in France for extremely preterm births varies widely with place of birth. The dependence of life and death decisions on place of birth raises serious ethical questions.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T16:55:07Z