Spain is the European country with the highest percentage of mothers who have already reached the age of 35 when they face their first birth. It is one of the conclusions of the European report on perinatal health, which has been developed by the European Peri-Estat Agency with figures from 2015 that have gathered 100 data providers in all the member countries of the EU. In addition, the number of instrumental deliveries, those in which external instruments are used to extract the baby, place Spain at the head of the European countries analyzed, together with Ireland. 15.1% of births are of that class, while the European average is 7.2%. In some countries, cesarean sections are performed in more than 40% of deliveries. Spain, with a percentage of 24.6% is placed somewhat below the median (27%). It has fallen in this chapter, but in statistically insignificant figures.
In what Spain occupies an acceptable position is in neonatal mortality, at 22 weeks and more, whose European median is 2.2 dead children per 1,000 live births. Spain ranks ninth in 30 countries with one of the lowest rates, after Slovenia, Iceland, Finland, Norway, Czech Republic and others. Northern Ireland, Malta, Romania and have the highest rates of neonatal mortality. But these figures are directly related to the policy of interruption of pregnancy that each country has in the event that the fetus has anomalies. Countries with more restrictive abortions have higher neonatal mortality statistics.
In general, the European report highlights the decrease in this mortality with respect to the data collected in 2010, prior to this last report of 2015: they have fallen by 10%. With regard to infant mortality, whose median is 3.1, Spain ranks 12th among the best countries in this section, with 2.7 per 1,000 live children.
In other chapters Spain has not moved substantially with respect to the data of five years before. That is why its index of children with low birth weight, that is, they do not exceed 2.5 kilos, it is still higher than desirable, 8.3% while in countries such as Iceland, Sweden, Finland and Estonia you do not pass 4.5%. With rates above 8%, there are Hungary, Portugal, Greece or Cyprus. Spain occupies the sixth worst place in this classification.
Regarding premature births, Spain is in the average values, a 7.6%, low a bit taking as reference the data of 2010, but not significantly.
In any case, the report regrets the poor quality in the statistics of some countries, which make it difficult to monitor the deaths of parturients. Most countries place them in routine deaths which does not allow, says the study "draw firm conclusions." One of the risks for both premature birth and perinatal mortality and morbidity is multiple births, where Spain is at the head, only after Cyprus, with more than 19 per 1000 pregnancies. And another risk, tobacco during pregnancy, in which Spain is not going well either. 18.3% of pregnant women smoke, which contrasts with Norway, Sweden and Lithuania, whose incidence drops by 5%.