A look into the past: Improves in obstetrical and neonatal outcome in maternity since the 19th century
E. Ricard
(1)
,
X. Carcopino
(2, 3)
,
Loïc Lalys
(4)
,
J. Bertrand
(5)
,
R. Le Du
(2, 3)
,
J. Mancini
(4)
,
L. Boubli
(2)
,
Michel Signoli
(3)
,
Michel Panuel
(3, 6)
,
Pascal Adalian
(3, 7)
1
LSCE -
Laboratoire des Sciences du Climat et de l'Environnement [Gif-sur-Yvette]
2 Service de Gynécologie Obstétrique
3 UAABC - Anthropologie Bio-Culturelle
4 DEHIPE - Dynamique de l'évolution humaine : individus, populations, espèces [Paris]
5 ANDRA
6 Service de l'imagerie médicale
7 Médecine légale [Hôpital de la Timone - APHM]
2 Service de Gynécologie Obstétrique
3 UAABC - Anthropologie Bio-Culturelle
4 DEHIPE - Dynamique de l'évolution humaine : individus, populations, espèces [Paris]
5 ANDRA
6 Service de l'imagerie médicale
7 Médecine légale [Hôpital de la Timone - APHM]
X. Carcopino
- Fonction : Auteur
- PersonId : 174053
- IdHAL : xavier-carcopino
- ORCID : 0000-0002-9533-3558
- IdRef : 071568956
Loïc Lalys
- Fonction : Auteur
- PersonId : 740609
- IdHAL : loic-lalys
- IdRef : 076954218
J. Mancini
- Fonction : Auteur
- PersonId : 21170
- IdHAL : julien-mancini
- ORCID : 0000-0001-9500-8598
- IdRef : 109373278
Michel Signoli
- Fonction : Auteur
- PersonId : 1116986
- ORCID : 0000-0001-6384-3564
- IdRef : 076954439
Pascal Adalian
- Fonction : Auteur
- PersonId : 16169
- IdHAL : pascal-adalian
- ORCID : 0000-0002-5101-9508
- IdRef : 067266797
Résumé
Objective. - Evaluate changes in obstetrical and neonatal outcome of women who delivered in maternity hospital since the 19(th) century. Materials and Methods. - Data from a historic cohort of 1022 women who delivered between 1871 and 1874 in the hotel Dieu hospital of Marseille were compared to those from 1159 women who delivered from 2005 to 2006 in the level 3 maternity of Nord hospital of Marseille (contemporary cohort). Deliveries that had occured before 22 weeks and/or with a foetal birth weight of less than 500 g were excluded. Results. - A total of 2131 pregnancies were included: 1011 and 1120 in historic and contemporary cohort, respectively. Despite comparable mean term of delivery, mean birth weight of neonates from historic cohort were significantly lower: 2971 g (550-4900 g) vs 3250 g (500-5375 g), respectively (p < 0.001). Stillbirths were reported in 72 (7.1%) cases in historic cohort compared to nine (0.8%) in contemporary cohort (p < 0.001). Neonatal mortality was 3.7% in historic cohort and 1.9% in contemporary cohort (p = 0.012). A total of 99 (9.8%) maternal deaths were reported in historic cohort, while none in contemporary cohort (p < 0.001). A wide majority of maternal deaths were caused by maternal infection (72.9%); 5.2% were caused by postpartum haemorrhage. Conclusion. - Our results illustrate the tremendous impact on maternal and neonatal outcome of advances in obstetrical management. The significant increase in the median foetal birth weight is likely to be related to wide changes in environmental conditions and behaviour.
Domaines
Anthropologie biologiqueFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
A look into the past: Improves in obstetrical and neonatal outcome in maternity since the 19th century
|
Résumé |
en
Objective. - Evaluate changes in obstetrical and neonatal outcome of women who delivered in maternity hospital since the 19(th) century. Materials and Methods. - Data from a historic cohort of 1022 women who delivered between 1871 and 1874 in the hotel Dieu hospital of Marseille were compared to those from 1159 women who delivered from 2005 to 2006 in the level 3 maternity of Nord hospital of Marseille (contemporary cohort). Deliveries that had occured before 22 weeks and/or with a foetal birth weight of less than 500 g were excluded. Results. - A total of 2131 pregnancies were included: 1011 and 1120 in historic and contemporary cohort, respectively. Despite comparable mean term of delivery, mean birth weight of neonates from historic cohort were significantly lower: 2971 g (550-4900 g) vs 3250 g (500-5375 g), respectively (p < 0.001). Stillbirths were reported in 72 (7.1%) cases in historic cohort compared to nine (0.8%) in contemporary cohort (p < 0.001). Neonatal mortality was 3.7% in historic cohort and 1.9% in contemporary cohort (p = 0.012). A total of 99 (9.8%) maternal deaths were reported in historic cohort, while none in contemporary cohort (p < 0.001). A wide majority of maternal deaths were caused by maternal infection (72.9%); 5.2% were caused by postpartum haemorrhage. Conclusion. - Our results illustrate the tremendous impact on maternal and neonatal outcome of advances in obstetrical management. The significant increase in the median foetal birth weight is likely to be related to wide changes in environmental conditions and behaviour.
|
Auteur(s) |
E. Ricard
1
, X. Carcopino
2, 3
, Loïc Lalys
4
, J. Bertrand
5
, R. Le Du
2, 3
, J. Mancini
4
, L. Boubli
2
, Michel Signoli
3
, Michel Panuel
3, 6
, Pascal Adalian
3, 7
1
LSCE -
Laboratoire des Sciences du Climat et de l'Environnement [Gif-sur-Yvette]
( 518 )
- Bât. 12,
avenue de la Terrasse,
F-91198 GIF-SUR-YVETTE CEDEX
- France
2
Service de Gynécologie Obstétrique
( 167077 )
- Chemin des Bourrely;13915;Marseille
- France
3
UAABC -
Anthropologie Bio-Culturelle
( 942 )
- Faculté de Médecine - Secteur Nord Batiment A - CS80011 Bd Pierre Dramard 13344 MARSEILLE Cedex 15 FRANCE
- France
4
DEHIPE -
Dynamique de l'évolution humaine : individus, populations, espèces [Paris]
( 432 )
- 44 rue de l'Amiral Mouchez 75014 PARIS
- France
5
ANDRA
( 49466 )
- France
6
Service de l'imagerie médicale
( 10376 )
- Hôpital Nord 13915 Marseille cedex
- France
7
Médecine légale [Hôpital de la Timone - APHM]
( 260030 )
- Hôpital de la Timone [CHU - APHM] 264 Rue Saint-Pierre, 13385 Marseille
- France
|
Nom de la revue |
|
Audience |
Non spécifiée
|
Date de publication |
2011
|
Volume |
40
|
Numéro |
6
|
Page/Identifiant |
549-556
|
Comité de lecture |
Oui
|
Vulgarisation |
Non
|
Langue du document |
Anglais
|
Domaine(s) |
|
Mots-clés |
en
Maternal mortality, Neonatal mortality, Obstetrics, Infection, Evolution, Foetal birth weight
|
DOI | 10.1016/j.jgyn.2011.01.016 |
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