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![Public Health Agency of Canada (PHAC)](/web/20060117013932im_/http://www.phac-aspc.gc.ca/gfx_common/pphb.gif)
![Canadian Perinatal Surveillance System](/web/20060117013932im_/http://www.phac-aspc.gc.ca/rhs-ssg/images/perinat_e.gif)
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
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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
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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
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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
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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 sheets on
perinatal topics such as preterm birth, sudden
infant death syndrome,
breastfeeding, alcohol
and pregnancy, infant mortality, induced
abortion,
maternal mortality and 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:
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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.
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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: CPSS@hc-sc.gc.ca
Internet: www.phac-aspc.gc.ca/rhs-ssg/
[Maternal and Infant Health Section]
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