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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

[20 years of perinatal epidemiology. The clinician's viewpoint]

E Papiernik1

  • 1Hôpital Cochin, Service de Gynécologie-Obstétrique I, Paris.

Revue D'Epidemiologie Et De Sante Publique
|November 1, 1996
PubMed

Insights

France

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Healthcare Policy

Context:

  • The evolution of French perinatal health policies from 1971 to the present.
  • Shift from national initiatives to departmental responsibility and back to a collective approach.
  • Impact of cost-effectiveness analysis and national surveys on policy development.

Purpose:

  • To describe the historical development and policy shifts in French perinatal care.
  • To evaluate the effectiveness of national actions in reducing perinatal mortality and morbidity.
  • To highlight the changing perceptions of maternal mortality risk and the approach to safe birth.

Summary:

  • The first period (1971-1981) focused on reducing perinatal mortality through national policies informed by cost-effectiveness analysis, leading to decreased prematurity and mortality rates.
  • The second period saw a decentralization of perinatal health actions, with varied departmental initiatives.
  • The third period (post-1994) re-emphasized a collective approach to safe birth, informed by a renewed focus on maternal mortality risk.

Impact:

  • Successful reduction in prematurity and perinatal mortality during the initial national plan.
  • Demonstrated the importance of national strategies and subsequent departmental actions in improving perinatal outcomes.
  • Established a precedent for evidence-based policy-making in maternal and child health.

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