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Perinatal Care in Canada.

Beverley Chalmers1, Shi Wu Wen

  • 1Sunnybrook and Women's College Health Science Centre, University of Toronto, 790 Bay Street, Toronto, Canada. bevc@lincsat.com

BMC Women'S Health
|September 4, 2004
PubMed
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Canada offers high-quality perinatal care, but disparities persist. Aboriginal populations face higher stillbirth and mortality rates, alongside risks from older mothers and multiple births.

Area of Science:

  • Perinatal Health
  • Public Health Surveillance
  • Maternal-Infant Outcomes

Background:

  • Canada's perinatal care is globally high-standard, yet regional and international disparities require attention.
  • Maternal and infant morbidity and mortality data are crucial for evaluating and improving care.
  • Existing data highlight areas of success and persistent challenges in Canadian perinatal health.

Purpose of the Study:

  • To evaluate maternal and infant morbidity and mortality in Canada using Canadian Perinatal Surveillance System (CPSS) data.
  • To identify disparities in perinatal outcomes among different subpopulations.
  • To assess trends in Caesarean section rates, births to older women, and multiple births.

Main Methods:

  • Utilized data from the Canadian Perinatal Surveillance System (CPSS).

Related Experiment Videos

  • Analyzed maternal mortality rates, Caesarean section rates, and infant mortality rates.
  • Examined disparities in stillbirth and perinatal mortality within Aboriginal populations.

    • Main Results:

    • Maternal mortality rates decreased to 4.4 per 100,000 live births (1993-1997).
    • Caesarean section rates increased from 15.3% (1994) to 19.1% (1997).
    • Infant mortality rates (5.3-8.8 per 1,000 live births, 1990-2000) show significant disparities, with Aboriginal populations experiencing 2-2.5 times the average rates of stillbirth and perinatal mortality.

    Conclusions:

    • While overall Canadian perinatal outcomes are strong, significant disparities exist, particularly for Aboriginal populations.
    • Increasing rates of births to older women and multiple births present growing risks and healthcare costs.
    • Timely, uniform data collection and international comparisons are needed to enhance the CPSS and improve perinatal care standards.