[Obstetrical and perinatal outcome of patients not covered by medical insurance].
The number of pregnant women uncovered by medical insurance is increasing in the maternity of Saint-Pierre Hospital (44% increase over a 3 year period). During the academic year 92-93, this situation was present in 9.8% of the mothers; 98% of these patients were foreigners. The majority of pregnancies were not or poorly followed. Admissions occurred very often in emergency situations. The lack of prenatal care in this population with a very low socio-economic level led to a six-fold increase in perinatal mortality after exclusion of congenital malformations (58.4% versus 8.7%). This high mortality rate was mainly due to extreme prematurity (birthweight between 500 and 1500 g).
Barlow
P
P
Service de Gynécologie-Obstétrique, Hôpital Saint-Pierre, Bruxelles.
Haumont
D
D
Degueldre
M
M
D001530:Belgium / Q000453:epidemiology; D005006:Ethnicity; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D017057:Medically Uninsured; D011203:Poverty; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care
Devenir obstétrical et périnatal des patientes sans couverture sociale.