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Prenatal screening with evaluated high risk scores.

E Papiernik¹, G Grangé

¹Department of Obstetrics and Gynecology, Maternité de Port Royal, University René Descartes, Paris, France.

Journal of Perinatal Medicine

|May 27, 1999

Summary

The French preterm birth prevention strategy, initiated in the 1970s, effectively reduced singleton spontaneous preterm births. However, it did not impact twin or induced preterm birth rates.

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Area of Science:

Obstetrics and Gynecology
Public Health
Perinatal Medicine

Background:

The French approach to preterm delivery risk scoring was developed in 1969.
This strategy involves recognizing uterine contractions, reducing physical activity, and prescribing work-leave for physically demanding jobs.
It was widely adopted by French obstetricians and midwives in the early 1970s.

Purpose of the Study:

To review data supporting the effectiveness of the French risk scoring approach for preterm delivery prevention.
To assess the impact of this prevention strategy on preterm birth rates in France.

Main Methods:

Analysis of three datasets: Alsace Region preterm prevention program evaluation, five French national sample surveys, and a twin prevention program study in Haut de Seine.
Review of historical data on preterm birth rates and prevention interventions.

Main Results:

A substantial decline in the overall preterm birth rate in France was observed.
The decline was primarily concentrated among singleton spontaneous births.
Induced preterm births have increased since the 1970s, and interventions have not lowered preterm birth rates in twin pregnancies.

Conclusions:

The French preterm birth prevention strategy has shown effectiveness in reducing singleton spontaneous preterm births.
The strategy has not been effective in reducing preterm birth rates for twins or for cases of induced preterm birth.

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