[Do women from Seine-Saint-Denis have different prenatal care compared to other women in the region?].
OBJECTIVE
We compared the care of pregnant women residing in Seine-Saint-Denis (SSD) to those resident elsewhere in Île-de-France because of the high rate of perinatal and infant mortality in this district.


METHODS
Data come from the French national perinatal surveys of 2003 and 2010 (n=969 in Seine-Saint-Denis, n=5636 other Île-de-France). We analyzed two indicators: inadequate prenatal care (late initiation, <3 ultrasounds, insufficient number of visits) and lack of knowledge of about screening and diagnostic tests for Down's Syndrome. Models were adjusted for sociodemographic characteristics.


RESULTS
Nineteen percent of women in Seine-Saint-Denis and 12 % elsewhere in Île-de-France had inadequate care and 29 % and 16 % did not know if they had been screened for Down's Syndrome. These rates were higher among migrant women but did not differ by place of residence (25 and 40 % respectively). For French citizens, residence in Seine-Saint-Denis was a risk factor for both indicators.


CONCLUSIONS
A reflection on how to improve care during pregnancy should be initiated in Seine-Saint-Denis.
Service départemental de protection maternelle et infantile de Seine-Saint-Denis, 93006 Bobigny, France. Electronic address: marion.carayol@gmail.com.
M
M
Carayol
Service départemental de protection maternelle et infantile de Seine-Saint-Denis, 93006 Bobigny, France.
M
M
Bucourt
Service départemental de protection maternelle et infantile de Seine-Saint-Denis, 93006 Bobigny, France.
J
J
Cuesta
Inserm U1153 équipe épidémiologie périnatale, obstétricale et pédiatrique (EPOPé), centre de recherche épidémiologie et biostatistique, 75014 Paris, France; Université Paris Descartes, Sorbonne Paris-Cité, 75006 Paris, France.
B
B
Blondel
Inserm U1153 équipe épidémiologie périnatale, obstétricale et pédiatrique (EPOPé), centre de recherche épidémiologie et biostatistique, 75014 Paris, France; Université Paris Descartes, Sorbonne Paris-Cité, 75006 Paris, France.
J
J
Zeitlin
D000328:Adult; D004314:Down Syndrome / Q000175:diagnosis; D005260:Female; D054625:Healthcare Disparities / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D010297:Paris / Q000453:epidemiology; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards* / Q000706:statistics & numerical data; D011296:Prenatal Diagnosis / Q000592:standards* / Q000706:statistics & numerical data
Déterminants sociaux; Inadequate prenatal care; Migration; Social determinants; Suivi de grossesse insuffisant