Deputy Prime Minister · Web viewUK: England and Wales Austria Malta Latvia Sweden (2014) Croatia Czech Republic UK: Scotland UK: Northern Ireland Lithuania Finland Greece Poland

Highlights of EuroPeristat Report – League Tables and graphs -

Malta PerspectiveAll data for tables and graphs presented in this document have been taken from the European

Perinatal Health Report – Core Indicators of the Health and Care of Pregnancy, Women and

Babies in Europe in 2015 (www.europeristat.com).

Multiple Birth Rate

Rank Country/coverage Multiple birth rate (Rates/1000 woman)

1 Cyprus 26.82 Spain 22.43 Slovenia 19.54 Ireland 19.24 Germany 19.25 Luxembourg 18.35 Switzerland (2014) 18.36 Bulgaria (2014) 18.07 Belgium 17.67 Iceland 17.68 France 17.58 Portugal 17.59 Netherlands 17.09 Denmark 17.0

10 Italy 16.910 Norway 16.911 Estonia 16.712 Hungary (2012) 16.413 UK: England and Wales 16.114 Austria 15.715 Malta 15.316 Latvia 15.217 Sweden (2014) 15.118 Croatia 15.019 Czech Republic 14.720 UK: Scotland 14.620 UK: Northern Ireland 14.621 Lithuania 13.722 Finland 13.523 Greece 13.324 Poland (2014) 13.225 Slovakia 12.826 Romania 10.4

Table 1. Multiple birth rate per 1000 women in Europe.

1

http://www.europeristat.com/

Cyprus

Spain

Slovenia

Ireland

Germany

Luxembourg

Switzerland (2014)

Bulgaria (2014)

Belgium

Iceland

France

Portugal

Netherlands

Denmark

Italy

Norway

Estonia

Hungary (2012)

UK: England and Wales

Austria

Malta

Latvia

Sweden (2014)

Croatia

Czech Republic

UK: Scotland

UK: Northern Ireland

Lithuania

Finland

Greece

Poland (2014)

Slovakia

Romania

0 5 10 15 20 25 30

26.8

22.4

19.5

19.2

19.2

18.3

18.3

18

17.6

17.6

17.5

17.5

17

17

16.9

16.9

16.7

16.4

16.1

15.7

15.3

15.2

15.1

15

14.7

14.6

14.6

13.7

13.5

13.3

13.2

12.8

10.4

Fig. 1 - Multiple birth rate /1000 women

Multiple maternity rate per 1000 women

Maternal age younger than 20 years2

Rank Country/coverage Maternal Age younger than 20 yrs

1 Bulgaria (2014) 10.22 Romania 9.63 Hungary 6.44 Slovakia 6.35 UK: Scotland 4.06 Lithuania 3.87 Poland (2014) 3.68 UK: England and Wales 3.59 Latvia 3.4

10 UK: Northern Ireland 3.111 Malta 3.011 Croatia 3.012 Portugal 2.712 Estonia 2.713 Greece 2.514 Czech Republic 2.415 Germany 2.216 Austria 2.116 Iceland 2.117 Spain 2.018 Ireland 1.918 France 1.919 Finland 1.719 Belgium 1.720 Luxembourg 1.521 Cyprus 1.422 Italy 1.322 Norway 1.323 Sweden (2014) 1.224 Denmark 1.024 Slovenia 1.025 Netherlands 0.926 Switzerland (2014) 0.7

Table 2. Percentage distribution of Maternal Age <20 years.

3

Bulgaria (2014)

Romania

Hungary

Slovakia

UK: Scotland

Lithuania

Poland (2014)


Latvia


Malta

Croatia

Portugal

Estonia

Greece

Czech Republic

Germany

Austria

Iceland

Spain

Ireland

France

Finland

Belgium

Luxembourg

Cyprus

Italy

Norway

Sweden (2014)

Denmark

Slovenia

Netherlands

Switzerland (2014)

0 2 4 6 8 10 12

10.2

9.6

6.4

6.3

4

3.8

3.6

3.5

3.4

3.1

3

3

2.7

2.7

2.5

2.4

2.2

2.1

2.1

2

1.9

1.9

1.7

1.7

1.5

1.4

1.3

1.3

1.2

1

1

0.9

0.7

Fig. 2 - Maternal Age younger than 20 years

Percentage of women delivering live or stillbirths

4

Maternal age older than 35 yearsRank Country/coverage Older than 35 yrs

1 Spain 37.22 Italy 36.33 Ireland 34.34 Greece 29.75 Portugal 29.46 Luxembourg 27.47 Switzerland (2014) 27.28 Hungary 23.99 Germany 23.3

10 UK: Northern Ireland 22.311 Sweden (2014) 21.512 Cyprus 21.413 UK: England and Wales 21.314 Denmark 21.215 Czech Republic 2116 Finland 20.816 Netherlands 20.817 UK: Scotland 20.718 Austria 20.619 France 20.520 Norway 20.221 Iceland 20.122 Estonia 19.823 Malta 19.124 Croatia 18.925 Slovenia 18.626 Belgium 18.527 Latvia 18.328 Slovakia 16.929 Lithuania 15.730 Poland (2014) 14.731 Romania 14.532 Bulgaria (2014) 13.6

Table 3. Percentage distribution of maternal age >35 years.

5

Spain

Italy

Ireland

Greece

Portugal

Luxembourg

Switzerland (2014)

Hungary

Germany


Sweden (2014)

Cyprus


Denmark

Czech Republic

Finland

Netherlands

UK: Scotland

Austria

France

Norway

Iceland

Estonia

Malta

Croatia

Slovenia

Belgium

Latvia

Slovakia

Lithuania

Poland (2014)

Romania

Bulgaria (2014)

0 5 10 15 20 25 30 35 40

37.2

36.3

34.3

29.7

29.4

27.4

27.2

23.9

23.3

22.3

21.5

21.4

21.3

21.2

21

20.8

20.8

20.7

20.6

20.5

20.2

20.1

19.8

19.1

18.9

18.6

18.5

18.3

16.9

15.7

14.7

14.5

13.6

Fig. 3- Maternal age older than 35 yrs


6

Maternal Parity

Rank Country/coverageRate of

Primagravida mothers (%)

1 Romania 54.52 Portugal 53.53 Italy 52.74 Spain 51.55 Bulgaria (2014) 51.26 Malta 50.77 Switzerland (2014) 49.58 Croatia 49.08 Slovenia 49.08 Germany 49.09 Austria 48.8

10 Cyprus 48.411 Czech Republic 48.312 Lithuania 48.213 Poland (2014) 48.114 Greece1 47.815 Luxembourg 47.616 Hungary 46.717 Denmark 45.518 Netherlands 44.619 UK: Scotland 43.220 Sweden (2014) 43.121 Latvia 43.122 Norway 42.723 Belgium 42.523 France (Survey, 2016) 42.524 Estonia 42.325 Slovakia 41.726 Finland 41.627 Iceland 39.827 UK: England and Wales 38.829 UK: Northern Ireland 38.429 Ireland 38.2

Table 4. Percentage of women having the first baby.

7

Romania

Portugal

Italy

Spain

Bulgaria (2014)

Malta

Switzerland (2014)

Croatia

Slovenia

Germany

Austria

Cyprus

Czech Republic

Lithuania

Poland (2014)

Greece

Luxembourg

Hungary

Denmark

Netherlands

UK: Scotland

Sweden (2014)

Latvia

Norway

Belgium

France (Survey, 2016)

Estonia

Slovakia

Finland

Iceland



Ireland

0.0 10.0 20.0 30.0 40.0 50.0 60.0

54.5

53.5

52.7

51.5

51.2

50.7

49.5

49.0

49.0

49.0

48.8

48.4

48.3

48.2

48.1

47.8

47.6

46.7

45.5

44.6

43.2

43.1

43.1

42.7

42.5

42.5

42.3

41.7

41.6

39.8

38.8

38.4

38.2

Fig. 4 - Primagravida women


Smoking in Pregnancy8

Rank Country/coverage Smokers %

1 France (Survey, 2016) 29.82 ES: Catalonia 22.83 Italy (2013) 20.54 UK: Scotland 16.45 Finland 14.76 UK: England (2015-2016) 14.27 Luxembourg 13.38 Denmark 11.09 Lithuania 8.0

10 Malta 7.711 Estonia 7.612 Norway 5.513 Sweden 5.1

Table 5. Percentage of women who smoked in early pregnancy.

France (Survey, 2016)

ES: Catalonia

Italy (2013)

UK: Scotland

Finland

UK: England (2015-2016)

Luxembourg

Denmark

Lithuania

Malta

Estonia

Norway

Sweden

0 5 10 15 20 25 30 35

29.8

22.8

20.5

16.4

14.7

14.2

13.3

11

8

7.7

7.6

5.5

5.1

Fig 5 - Percentage of mothers reported as smokers

% of women who reported smoking during early pregnancy

9

Pre-pregnancy maternal obesity (BMI>30)

Rank Country/coverage % of mothers with BMI ≥30.0

1 UK: Wales (2016) 25.62 UK: Scotland 22.73 UK: England (2015-16) 21.24 UK: Northern Ireland 20.45 Germany 14.96 Malta 13.76 Sweden (2014) 13.77 Finland 13.28 Belgium 12.79 Denmark 12.6

10 France, Survey (2016) 11.811 Norway 11.612 Austria 10.013 Slovenia 9.614 Croatia 7.8

Table 6. Percentage of women being obese pre-pregnancy.

UK: Wales (2016)

UK: Scotland

UK: England (2015-16)


Germany

Malta

Sweden (2014)

Finland

Belgium

Denmark

France, Survey (2016)

Norway

Austria

Slovenia

Croatia

0.0 5.0 10.0 15.0 20.0 25.0 30.0

25.6

22.7

21.2

20.4

14.9

13.7

13.7

13.2

12.7

12.6

11.8

11.6

10.0

9.6

7.8

Fig. 6 - Distribution of obese mothers pre-pregnancy


10

Caesarean Section rate as a percentage of total births

Rank Country/coverage Rate of Caesarean Sections - total

1 Cyprus 56.92 Romania 46.93 Bulgaria (2014) 43.04 Poland (2014) 42.25 Hungary 39.06 Italy 35.47 Switzerland (2014) 34.28 Portugal 32.99 Luxembourg 32.7

10 UK: Scotland 32.511 Germany 32.212 Malta 32.013 Ireland 31.314 Slovakia 31.115 UK: Northern Ireland 29.916 Austria 29.717 UK: England 27.018 UK: Wales 26.118 Czech Republic 26.119 Spain 24.620 Latvia 22.021 Lithuania 21.922 Croatia 21.622 Denmark 21.623 Belgium 21.324 Slovenia 21.225 France 20.926 Estonia 19.527 Sweden (2014) 18.328 Netherlands 17.429 Norway 16.530 Finland 16.431 Iceland 16.1

Table 7. Caesarean section rate as a percentage of total births.

11

Cyprus

Romania

Bulgaria (2014)

Poland (2014)

Hungary

Italy

Switzerland (2014)

Portugal

Luxembourg

UK: Scotland

Germany

Malta

Ireland

Slovakia


Austria

UK: England

UK: Wales

Czech Republic

Spain

Latvia

Lithuania

Croatia

Denmark

Belgium

Slovenia

France

Estonia

Sweden (2014)

Netherlands

Norway

Finland

Iceland

0 10 20 30 40 50 60

56.9

46.9

43

42.2

39

35.4

34.2

32.9

32.7

32.5

32.2

32

31.3

31.1

29.9

29.7

27

26.1

26.1

24.6

22

21.9

21.6

21.6

21.3

21.2

20.9

19.5

18.3

17.4

16.5

16.4

16.1

Fig 7 - Rate of total Caesarean Sections for all births

Percentage of caesereans by total births

12

Maternal Mortality Ratio

Rank Country/coverage Maternal Mortality Ratio/ 100000 livebirths

1 Latvia 24.72 Romania 15.03 Hungary 13.14 Austria 11.05 Bulgaria 6.96 Lithuania 6.67 France 6.48 Cyprus 6.29 United Kingdom 6.1

10 Luxembourg 6.011 Portugal 5.912 Slovenia 5.713 Croatia 5.514 Switzerland 4.915 Iceland 4.615 Belgium 4.616 Slovakia 4.316 Estonia 4.316 Norway 4.317 Germany 4.218 Sweden 3.618 Italy 3.619 Denmark 3.119 Spain 3.120 Greece 2.921 Finland 2.722 Ireland 2.623 Poland 1.924 Malta 0.0

Table 8. Maternal mortality ratio per 100 000 live births.

13

Latvia

Romania

Hungary

Austria

Bulgaria

Lithuania

France

Cyprus

United Kingdom

Luxembourg

Portugal

Slovenia

Croatia

Switzerland

Iceland

Belgium

Slovakia

Estonia

Norway

Germany

Sweden

Italy

Denmark

Spain

Greece

Finland

Ireland

Poland

Malta

0 5 10 15 20 25 30

24.7

15

13.1

11

6.9

6.6

6.4

6.2

6.1

6

5.9

5.7

5.5

4.9

4.6

4.6

4.3

4.3

4.3

4.2

3.6

3.6

3.1

3.1

2.9

2.7

2.6

1.9

0

Fig. 8 - Maternal Mortality Ratio

Maternal mortality rate per 100000 live births

14

Low birth weight babies <2500g

Rank Country/coverage% of births with

birthweight <2500g

1 Cyprus 10.62 Bulgaria (2014) 9.93 Greece 9.34 Portugal 8.95 Hungary 8.56 Spain 8.47 Romania 7.98 Czech Republic 7.89 Slovakia 7.7

10 France (Survey 2016) 7.511 Italy 7.411 France 7.412 UK: England and Wales 7.012 Germany 7.013 Belgium 6.914 UK: Scotland 6.815 Luxembourg 6.716 Austria 6.517 Switzerland (2014) 6.417 Slovenia 6.418 Malta 6.318 UK: Northern Ireland 6.319 Netherlands 6.120 Poland (2014) 5.921 Ireland 5.722 Croatia 5.123 Denmark 5.024 Norway 4.524 Lithuania 4.524 Latvia 4.525 Iceland 4.326 Sweden (2014) 4.327 Finland 4.228 Estonia 4.1

Table 9. Percentage of low birth weight births (<2,500g).

15

Cyprus

Bulgaria (2014)

Greece

Portugal

Hungary

Spain

Romania

Czech Republic

Slovakia

France (Survey 2016)

Italy

France


Germany

Belgium

UK: Scotland

Luxembourg

Austria

Switzerland (2014)

Slovenia

Malta


Netherlands

Poland (2014)

Ireland

Croatia

Denmark

Norway

Lithuania

Latvia

Iceland

Sweden (2014)

Finland

Estonia

0.0 2.0 4.0 6.0 8.0 10.0 12.0

10.6

9.9

9.3

8.9

8.5

8.4

7.9

7.8

7.7

7.5

7.4

7.4

7.0

7.0

6.9

6.8

6.7

6.5

6.4

6.4

6.3

6.3

6.1

5.9

5.7

5.1

5.0

4.5

4.5

4.5

4.3

4.3

4.2

4.1

Fig. 9 - Rate of Low Birth Weight (<2500g) births

Percentage of lve births with low birth weight <2500g

16

Very high birth weight (macrosomia) >4500g

Rank Country/coverage% High birth weight births

>4500g1 Iceland 4.32 Sweden (2014) 3.43 Norway 3.04 Estonia 2.84 Latvia 2.85 Denmark 2.56 Finland 2.37 Ireland 2.28 UK: Northern Ireland 2.18 Lithuania 2.19 UK: Scotland 2.0

10 Netherlands 1.811 UK: England and Wales 1.612 Poland (2014) 1.412 Croatia 1.413 Germany 1.214 Slovenia 1.115 Hungary 1.016 Belgium 0.916 Austria 0.917 Switzerland (2014) 0.817 Czech Republic 0.817 Slovakia 0.818 France 0.719 Luxembourg 0.619 Spain 0.620 Italy 0.520 Bulgaria (2014) 0.520 Malta 0.520 Romania 0.521 Portugal 0.322 Cyprus 0.223 Greece 0.2

Table 10. Percentage of high birth weight births (>4,500g).

17

Iceland

Sweden (2014)

Norway

Estonia

Latvia

Denmark

Finland

Ireland


Lithuania

UK: Scotland

Netherlands


Poland (2014)

Croatia

Germany

Slovenia

Hungary

Belgium

Austria

Switzerland (2014)

Czech Republic

Slovakia

France

Luxembourg

Spain

Italy

Bulgaria (2014)

Malta

Romania

Portugal

Cyprus

Greece

0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5

4.3

3.4

3

2.8

2.8

2.5

2.3

2.2

2.1

2.1

2

1.8

1.6

1.4

1.4

1.2

1.1

1

0.9

0.9

0.8

0.8

0.8

0.7

0.6

0.6

0.5

0.5

0.5

0.5

0.3

0.2

0.2

Fig. 10 - Rate of births with High Birth Weight >4500g

Percentage of live births

18

Preterm births with Gestation <37 weeks

Rank Country/coverage % of births <37 weeks

1 Cyprus 12.02 Greece 11.33 Hungary 8.74 Germany 8.55 Romania 8.46 UK: Scotland 8.27 Belgium 8.18 Portugal 8.09 Austria 7.8

10 UK: England and Wales 7.610 Italy 7.610 Spain 7.611 Czech Republic 7.511 Slovenia 7.512 UK: Northern Ireland 7.412 Bulgaria (2014) 7.413 Luxembourg 7.313 Poland (2014) 7.314 Switzerland (2014) 7.215 France 7.116 Slovakia 7.017 Netherlands 6.918 Malta 6.819 Croatia 6.519 Ireland 6.520 Denmark 6.220 Norway 6.221 Iceland 6.122 Finland 5.822 Latvia 5.823 Estonia 5.724 Sweden (2014) 5.625 Lithuania 5.4

Table 11 – Rate of preterm births with gestation <37 weeks.

19

Cyprus

Greece

Hungary

Germany

Romania

UK: Scotland

Belgium

Portugal

Austria


Italy

Spain

Czech Republic

Slovenia


Bulgaria (2014)

Luxembourg

Poland (2014)

Switzerland (2014)

France

Slovakia

Netherlands

Malta

Croatia

Ireland

Denmark

Norway

Iceland

Finland

Latvia

Estonia

Sweden (2014)

Lithuania

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

12.0

11.3

8.7

8.5

8.4

8.2

8.1

8.0

7.8

7.6

7.6

7.6

7.5

7.5

7.4

7.4

7.3

7.3

7.2

7.1

7.0

6.9

6.8

6.5

6.5

6.2

6.2

6.1

5.8

5.8

5.7

5.6

5.4

Fig. 11 - Preterm births with gestational age <37 weeks

Percentage of live births <37 weeks

20

Fetal Mortality Rates

Rank Country/coverageFetal Mortality Rate at

22+ weeks gestation/1000 total births

1 France 8.72 Luxembourg 8.33 Bulgaria 7.94 Hungary 6.25 Slovenia 6.16 Latvia 4.96 Belgium 4.97 Netherlands 4.87 UK: Scotland 4.88 Italy 4.78 Croatia 4.79 UK: England and Wales 4.5

10 Switzerland 4.410 Finland 4.410 Ireland 4.411 Lithuania 4.011 Sweden 4.011 Malta 4.012 Estonia 3.913 Romania 3.713 Norway 3.713 Slovakia 3.714 Czech Republic 3.615 Germany 3.515 Poland 3.516 Denmark 3.416 Greece 3.417 Cyprus 3.317 Austria 3.317 Portugal 3.317 UK: Northern Ireland 3.318 Spain 3.119 Iceland 2.4

Table 12. Fetal mortality rate at 22+ weeks gestation and over per 1000 total births including

termination of pregnancy.

21

France

Luxembourg

Bulgaria

Hungary

Slovenia

Latvia

Belgium

Netherlands

UK: Scotland

Italy

Croatia


Switzerland

Finland

Ireland

Lithuania

Sweden

Malta

Estonia

Romania

Norway

Slovakia

Czech Republic

Germany

Poland

Denmark

Greece

Cyprus

Austria

Portugal


Spain

Iceland

0 1 2 3 4 5 6 7 8 9 10

8.7

8.3

7.9

6.2

6.1

4.9

4.9

4.8

4.8

4.7

4.7

4.5

4.4

4.4

4.4

4

4

4

3.9

3.7

3.7

3.7

3.6

3.5

3.5

3.4

3.4

3.3

3.3

3.3

3.3

3.1

2.4

Fig 12 - Fetal Mortality Rate

Fetal mortality rate per 1000 total births

22

Neonatal Mortality Rates

Rank Country/coverageNeonatal mortality rate for births 22 weeks and over /

1000 livebirths1 Bulgaria (2014) 4.42 Romania 4.33 UK: Northern Ireland 3.63 Malta 3.64 Croatia 3.25 Netherlands 3.06 Poland (2014) 2.97 Greece 2.88 Hungary 2.79 Latvia 2.5

10 France 2.410 Lithuania 2.411 Switzerland (2014) 2.311 Germany 2.312 Italy 2.212 UK: England and Wales 2.213 Portugal 2.113 Belgium 2.114 Slovakia 2.015 Denmark 1.915 Cyprus 1.916 Austria 1.917 Spain 1.818 Luxembourg 1.619 Norway 1.519 Czech Republic 1.519 Estonia 1.519 UK: Scotland 1.519 Sweden (2014) 1.520 Finland 1.321 Iceland 1.222 Slovenia 0.7

Table 13. Neonatal mortality rate per 1000 live births.

*Annual death rates were used where cohort data was not available

23

Bulgaria (2014)

Romania


Malta

Croatia

Netherlands

Poland (2014)

Greece

Hungary

Latvia

France

Lithuania

Switzerland (2014)

Germany

Italy


Portugal

Belgium

Slovakia

Denmark

Cyprus

Austria

Spain

Luxembourg

Norway

Czech Republic

Estonia

UK: Scotland

Sweden (2014)

Finland

Iceland

Slovenia

0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5

4.4

4.3

3.6

3.6

3.2

3

2.9

2.8

2.7

2.5

2.4

2.4

2.3

2.3

2.2

2.2

2.1

2.1

2

1.9

1.9

1.9

1.8

1.6

1.5

1.5

1.5

1.5

1.5

1.3

1.2

0.7

Fig. 13 - Total Neonatal mortality rate

Neonatal mortality rate per 1000 live births

24

Infant Mortality Rate

Rank Country/coverageAll Infant

Mortality / 1000 livebirths

1 Bulgaria (2014) 7.62 Malta 5.23 UK: Northern Ireland 5.14 Latvia 4.35 Croatia 3.86 Lithuania 3.57 UK: England & Wales 3.28 Belgium 3.19 Switzerland (2014) 3.0

10 Estonia 2.911 Denmark 2.612 Austria 2.313 Norway 2.214 Cyprus 2.115 Finland 1.715 Slovenia 1.7

Table 14. Infant mortality rate per 1000 live births*Annual death rates were used where cohort data was not available

Bulgaria (2014)

Malta


Latvia

Croatia

Lithuania


Belgium

Switzerland (2014)

Estonia

Denmark

Austria

Norway

Cyprus

Finland

Slovenia

0 1 2 3 4 5 6 7 8

7.6

5.2

5.1

4.3

3.8

3.5

3.2

3.1

3

2.9

2.6

2.3

2.2

2.1

1.7

1.7

Fig. 14 - All Infant Mortality Rate

Rate / 1000 livebirths

25

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