[Health Surveillance] CPSS - Rate of Induced Abortion is a determinant of Maternal Health
krisf...@gmail.com
Overview
What is CPSS?
The Canadian Perinatal Surveillance System (CPSS) is part of Health
Canada's initiative to strengthen national health surveillance
capacity. The CPSS is an ongoing national health surveillance program
delivered through the Maternal and Infant Health Section in the Public
Health Agency of Canada (PHAC). Its mission is to contribute to
improved health for pregnant women, mothers and infants in Canada. The
CPSS is guided by a multidisciplinary and multisectoral Steering
Committee that provides guidance to the Maternal and Infant Health
Section with respect to the development and operation of the CPSS.
Steering Committee members include expert representatives of national
health professional associations, the provincial and territorial
governments, consumer and advocacy groups and federal government
departments, as well as Canadian and international experts in
perinatal health and epidemiology.
The CPSS is based on the concept of health surveillance as a
systematic, ongoing process that provides timely, relevant information
about trends and patterns in the health status of a population and the
factors that influence health status. The components of surveillance
are data collection, expert analysis and interpretation, and response
(communication of information for action).
CPSS Indicators
The CPSS identified 52 perinatal health indicators, consisting of
measures of maternal, fetal and infant health determinants and
outcomes. The complete list of these indicators can be found in the
document, Perinatal Health Indicators for Canada.
The CPSS is currently reporting on 27 perinatal health indicators.
They are listed below and are separated in two major categories with
four subcategories.
A: Determinants of Maternal, Fetal and Infant Health
Behaviours and Practices
Rate of Maternal Smoking during Pregnancy
Rate of Maternal Alcohol Consumption during Pregnancy
Rate of Breastfeeding
Rate of Low Maternal Education
Rate of Live Births to Teenage Mothers
Rate of Live Births to Older Mothers
Health Services
Rate of Labour Induction
Rate of Cesarean Delivery
Rate of Operative Vaginal Delivery
Rate of Trauma to the Perineum
Rate of Early Maternal Discharge from Hospital after Childbirth
Rate of Early Neonatal Discharge from Hospital after Birth
B: Maternal, Fetal and Infant Health Outcomes
Maternal Health Outcomes
Maternal Mortality Ratio
Severe Maternal Morbidity Ratio
Induced Abortion Ratio
Rate of Ectopic Pregnancy
Rate of Maternal Readmission after Discharge following Childbirth
Fetal and Infant Health Outcomes
Preterm Birth Rate
Postterm Birth Rate
Small-for-Gestational-Age Rate
Large-for-Gestational-Age Rate
Fetal Mortality Rate
Infant Mortality Rate and Causes of Death
Severe Neonatal Morbidity Rate
Multiple Birth Rate
Prevalence of Congenital Anomalies
Rate of Neonatal Hospital Readmission after Discharge following Birth
CPSS Cycle
The aim of the CPSS is to collect and analyze data on all recognized
pregnancies, regardless of their outcome - abortion, ectopic
pregnancy, stillbirth or live birth - and on the health of the baby
during the first year of life. The principal data sources of the CPSS
are the Statistics Canada Vital Statistics System, the Canadian
Institute for Health Information, Discharge Abstract Database (CIHI
DAD), the 'Système de maintenance et d'exploitation des données pour
l'étude de la clientèle hospitalière) MED-ECHO, the Population and
Health Research Unit, Dalhousie University in Nova Scotia, the
Manitoba Hospital Abstract System and the National Longitudinal Survey
of Children and Youth (NLSCY). These data are analyzed collaboratively
with perinatal health surveillance partners.
The response component of the CPSS consists of communication of
information that will serve as an evidence base for action to improve
the effectiveness and efficiency of clinical care and guide the
development of public health policies and programs for maternal and
infant health. The mechanisms and vehicles for information
dissemination vary according to the target audience (which includes
policy makers, health care providers, the public and researchers), and
include national reports, fact sheets, peer-reviewed publications and
the World Wide Web.
CPSS Publications
The most recent CPSS publications include the Canadian Perinatal
Health Report, 2003, the Congenital Anomalies in Canada: A Perinatal
Health Report, 2002, the Canadian Perinatal Health Report, 2000, and
the Perinatal Health Indicators for Canada. Fact sheet on physical
abuse during pregnancy are also available. Many articles have been
published by the CPSS collaborators. Please refer to the Canadian
Perinatal Health Report, 2003 for a listing of these publications.
CPSS Goals
The CPSS has established short, medium and long-term goals. In the
short and medium term, the CPSS will:
Continue to analyze and report on existing national perinatal health
data - vital statistics, hospitalization databases and national
surveys (e.g. National Longitudinal Survey of Children and Youth) -
using a set of national perinatal health indicators.
Work collaboratively with partners to standardize definitions of
perinatal health variables across the country, and promote the
addition of key variables to existing databases.
Strengthen and expand surveillance in priority areas, e.g: (1)
congenital anomalies and (2) women's knowledge, perspectives,
practices and experiences in pregnancy, birth and parenthood.
The long term goal of the CPSS is to establish a comprehensive
national perinatal database through electronic transfer of data from
vital event registration, hospital services and community-based
services.
Contact Us
If additional information is required please contact:
Canadian Perinatal Surveillance System
Maternal and Infant Health Section
Health Surveillance & Epidemiology Division
Jeanne Mance Building # 19, 10th Floor, A.L. 1910C
Tunney's Pasture
Ottawa, Ontario
K1A 0K9
e-mail: CP...@hc-sc.gc.ca
Internet: www.phac-aspc.gc.ca/rhs-ssg/
krisf...@gmail.com
Maternity Experiences Survey
Conceptual framework
In recent years there has been increasing recognition of the
importance of cultural and psychosocial issues in contributing to the
etiology and prognosis of illness.
This is true particularly regarding the care of women and their
families during pregnancy, birth and in the postpartum period. The MES
provides an opportunity to assess the views and needs of recent
mothers directly with regard to their reproductive health care in
Canada and its ability to meet the objectives for care.
Background Information
Introduction
The Maternity Experiences Survey (MES) is a national project of the
Canadian Perinatal Surveillance System (CPSS) managed by the Public
Health Agency of Canada's Health Surveillance and Epidemiology
Division, Centre for Health Promotion. The CPSS collaborates with
Statistics Canada, the Canadian Institute for Health Information
(CIHI), provincial and territorial governments, health professional
organizations, advocacy groups and university-based researchers. The
mandate of the CPSS is to contribute to improved health for pregnant
women, mothers and infants in Canada through ongoing monitoring and
reporting on perinatal health determinants and outcomes.
The proposed MES is the first of its kind in Canada. It aims to
provide information on important indicators such as use of prenatal
care services, abuse in pregnancy, postpartum depression and patient
satisfaction with services, which currently have no national data
source. The development, implementation, expert analysis and reporting
of the survey is being guided by the Maternity Experiences Study
Group, which is a multidisciplinary working group of the CPSS.
Primary objectives:
To document Canadian women's knowledge, experiences and practices
during pregnancy, birth and the early postpartum months and their
perceptions of perinatal care.
To provide information for in-depth examination of selected population
subgroups deemed to be at higher risk for adverse perinatal health
outcomes such as recent immigrants (immigration within the last 5
years) and teenage mothers (< 20 years old).
To identify areas of strength and areas in potential need of
strengthening within the Canadian reproductive and perinatal health
care system.
Secondary objectives:
To provide information for comparing Canadian experiences with reports
from other countries based on similar surveys.(Examples of similar
studies include large scale surveys completed in South East England
[Green et al, 1990], Scotland [Calder and Purton, 1999] and Victoria,
Australia [Brown and Lumley, 1994].) To further implement Canada's
commitment to the United Nations declarations regarding the Rights of
Women and the Child (Alcala MJ. Commitments to Sexual and Reproductive
Health and Rights for all: Framework for Action. New York : Family
Care International, 1995).