title: [Social inequalities in maternal health].
abstract: Although medical literature on social inequalities in perinatal health is qualitatively heterogeneous, it is quantitatively important and reveals the existence of a social gradient in terms of perinatal risk. However, published data regarding maternal health, if also qualitatively heterogeneous, are relatively less numerous. Nevertheless, it appears that social inequalities also exist concerning severe maternal morbidity as well as maternal mortality. Analyses are still insufficient to understand the mechanisms involved and explain how the various dimensions of the women social condition interact with maternal health indicators. Inadequate prenatal care and suboptimal obstetric care may be intermediary factors, as they are related to both social status and maternal outcomes, in terms of maternal morbidity, its worsening or progression, and maternal mortality.
authors.affiliation: Maternité, groupe hospitalier Paris Saint-Joseph, université Paris Descartes, 75674 Paris cedex 14, France; Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), centre de recherche épidémiologie et statistique Sorbonne Paris Cité, DHU risques et grossesse, université Paris Descartes, 75014 Paris, France. Electronic address: eazria@hpsj.fr.
authors.forename: E
authors.initials: E
authors.lastname: Azria
authors.affiliation: Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), centre de recherche épidémiologie et statistique Sorbonne Paris Cité, DHU risques et grossesse, université Paris Descartes, 75014 Paris, France.
authors.forename: Z
authors.initials: Z
authors.lastname: Stewart
authors.affiliation: Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), centre de recherche épidémiologie et statistique Sorbonne Paris Cité, DHU risques et grossesse, université Paris Descartes, 75014 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Gonthier
authors.affiliation: Département d'épidémiologie et recherche clinique, URC Paris-Nord, hôpital Bichat, université Paris Diderot Paris, AP-HP, 75877 Paris cedex 18, France; Inserm, CIC-EC 1425, UMR 1123 ECEVE, 75877 Paris cedex 18, France.
authors.forename: C
authors.initials: C
authors.lastname: Estellat
authors.affiliation: Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), centre de recherche épidémiologie et statistique Sorbonne Paris Cité, DHU risques et grossesse, université Paris Descartes, 75014 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Deneux-Tharaux
mesh_terms: D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D000068097:Maternal Health; D008428:Maternal Mortality; D011247:Pregnancy; D012923:Social Class; D012959:Socioeconomic Factors
keywords: Insecurity; Inégalités sociales; Maternal health; Précarité; Santé maternelle; Social inequalities