Search PubMed⌕ Search

Biomedical subjects

M Kaminski

Publications and source records attributed to M Kaminski.

At least 163 records · Page 9Linked to original sources
PubMed1982

Impact of the French system of statutory visits on antenatal care.

A survey of a representative sample of births in France in 1976 showed that the great majority of women receive at least the minimum antenatal care laid down by law: 4% of women missed one of the three statutory visits linked to payment of the antenatal allowance and 6% missed the fourth visit that should take place in the ninth month. A smaller study conducted in two hospitals, one in the Paris region and the other in Nord-Pas-de-Calais, showed that the date of the first visit did not depend on a knowledge of the regulations. In one of the hospitals, where about 95% of women made more than the four statutory visits, the actual number of visits made was independent of a knowledge of the statutory number, In contrast, in the other hospital, where the mean number of visits was nearer to the statutory minimum, about half the women who said that four visits were required made exactly that number of visits and about half of those who gave three as the number made three visits.

Appointments and Schedules↗
PubMed1982

[Antenatal care and source of care during pregnancy (author's transl)].

The influence of the source of care on the unequalities in the number of antenatal visits was studied in a representative sample of births in France in 1976. The sources of care during pregnancy were divided into five groups according to number and qualification of the medical staff involved: hospital antenatal clinic, gynaecologist or obstetrician, general practitioner, hospital antenatal clinic and other practitioners, several practitioners outside hospital. The number of antenatal visits was related to the source of care. The inequalities in antenatal care according to maternal characteristics originated from inequal access to the most specialized sources of care and disparities in the number of visits within each source of care. Living in a big conurbation was a positive factor for consulting an obstetrician, going to hospital antenatal clinic and having a large number of visits; but even after allowing for this factor, there remained inequalities among women according to their socio-demographic characteristics or the source of care.

Adult↗
PubMed1982

[Occupational activities of pregnant women, prenatal care and pregnancy outcome].

The study of a national sample of births showed that, in 1976, more than 50% of French women worked during pregnancy. Working during pregnancy was, on the whole, associated with better antenatal care, and better outcome of pregnancy. This relationship remained after taking into account the more favourable social characteristics of working women. Nonetheless, physically hard working conditions were associated with a high risk of preterm delivery.

Adult↗
PubMed1981

Moderate alcohol use and pregnancy outcome.

Pregnancy outcome has been studied in relation to maternal alcohol consumption in two prospective surveys in public hospitals in Paris and one retrospective survey on a national sample. These studies have not shown any relationship between alcohol use during pregnancy and major congenital malformations. There was an excess of stillbirths, significant only in the first study, and a decrease in placental weight among women drinking more than 40 cl of wine or its equivalent in other alcoholic beverages per day. The national survey also showed a higher pre-term delivery rate. A decrease in birthweight was observed mainly for moderate or heavy beer drinker. These relationships remained after adjusting for confounding factors.

Abnormalities, Drug-Induced↗
PubMed1980

Antenatal care and maternal demographic and social characteristics. Evolution in France between 1972 and 1976.

A study was carried out on representative samples of 11 254 births in France in 1972 and 4685 births in 1976. Women were interviewed after delivery to obtain information about the medical care they had received during pregnancy. Inadequate antenatal care was defined as: first antenatal visit after the first trimester of pregnancy, or total number of visits fewer than the required minimum, or no visit to an obstetrician or the hospital maternity team. In 1972, the problem of inadequate care occurred mainly in very young women, or in those of high parity or with short birth intervals when the father's social class had been taken into account. Social status was also an important factor independently of a woman's demographic characteristics. These inequalities persisted in 1976 despite the policy adopted in 1972 to improve antenatal care for high-risk women.

Adult↗
PubMed1979

[Severity factors of poisoning in children admitted to intensive care units].

From 1964 to 1976, 854 children were admitted with poisoning to three intensive care units in Paris. The severity of the condition has been assessed in terms of the patients received: 1. observation only (67%). 2. routine intensive care (27%). 3. very seriously ill (6%). At the time of discharge, 92% of children were normal, 3% had minor sequelae, 3% had major sequelae; 2% died. The outcome was closely related to the severity of the illness. The main factors affecting the severity were: 1. The nature of the ingested substance. Poisoning with Amanita phalloides was the most serious with a high mortality. Poisoning with domestic agricultural and industrial products were more often responsible for major sequelae, particularly affecting the oesophagus, than drugs. 2. The type of poisoning. This was related to the age of the child. Iatrogenic poisoning of infants and self poisoning by adolescents were more serious than accidental poisoning in toddlers. 3. The toxicity of the ingested dose. 4. The interval between ingestion and effective treatment. Although all the factors are interrelated, each factor has its own prognostic value.

Adolescent↗