Pregnancy and childbirth

7 February 2023

From Tiny Tot to Toddler: a practical guide for parents from pregnancy to age two (2019)

From Tiny Tot to Toddler is a practical guide that contains scientifically supported information about pregnancy, delivery and the first two years of a child’s life. A free printed guide is given to all new Québec parents at the beginning of pregnancy follow-up. Parents involved in an adoption process can also receive a free guide.

2019 edition: What’s new?

The 2019 update is in continuity with previous edition, so you will find the same section and chapter page numbering as in previous versions of the guide

The document What’s new? will give you an overview of the changes made to the 2019 edition. 

9 February 2021

Current state of knowledge on parents’ social isolation and loneliness from pregnancy to the end of early childhood: definitions, measuring instruments, extent, and associated factors

This review provides a portrait of our current knowledge on parents’ social isolation and loneliness during the perinatal and early childhood period. This document informs public health actors working with parents and their families on various aspects of these two phenomena. A scoping review was carried out to identify: 1) the definitions of social isolation and loneliness, as well as the distinction with certain related concepts; 2) the main instruments used to measure social isolation and loneliness; 3) the extent of social isolation and loneliness in the population of interest; and 4) the main factors associated with social isolation and loneliness.

The current state of knowledge on social isolation and loneliness during the perinatal and early childhood period is limited. However, this scoping review demonstrates that:

  • There is an emerging consensus that social isolation and loneliness are two separate realities. Social isolation is considered an objective p…
4 September 2018

Portrait of Preterm and Small-for-Gestational-Age Birth by Linguistic Community in Québec, 1989 to 2010

This surveillance report examines changes from 1989–1992 to 2008–2010 in preterm and small-for-gestational-age birth rates in Québec for the general population and by mother’s first language. Rates based on selected sociodemographic characteristics (e.g., place of residence, material deprivation, and immigrant status) of mothers in each linguistic community are also presented.

The report’s main finding is that previously observed variations in perinatal health favoring Anglophones were not observed in 2008–2010: preterm and small-for-gestational-age birth rates were similar for Anglophones, Francophones, and Allophones during this period.

Preterm birth rates

  • Preterm birth rates increased for all linguistic communities from 1989–19921 and stabilized beginning in 2002–2004.
  • In 2008–2010 preterm birth rates per 100 live births were comparable for Francophones, Anglophones, and Allo…
14 January 2016

Impact of the Overall Workload on Pregnancy: Summary

  • The overall workload is evaluated by means of the cumulative set of occupational conditions, the level of physical activity and the level of energy expenditure.
  • Exposure to an increased number of occupational conditions is linked to increased preterm deliveries and, to a lesser extent, to increased small-for-gestational-age births.
  • Increases in the incidence of low-birthweight and high blood pressure during pregnancy are suspected in the presence of two or three occupational conditions. 
  • Excessive preterm deliveries and low-birthweights are suspected during exposure to high and moderate levels of physical activity, respectively.
  • Different effects of energy expenditure are suspected, i.e., lower birthweight, an increase in spontaneous abortions and a higher incidence of high blood pressure during pregnancy in the presence of a high level of activity, and increased small-for-gestational-age births in the case of moderate and high levels of…
14 December 2015

Scientific Advisory Report on the Effects of Group Prenatal Classes

The Institut national de santé publique du Québec (INSPQ) [Québec’s public health institute] was mandated by Québec’s Ministère de la Santé et des Services sociaux (MSSS) [ministry of health and social services] to produce a report on the effects of group prenatal classes. In Québec, prenatal classes are meant to provide pregnant women and their partners with information and to prepare them for childbirth and their new role as parents.

The purpose of this report is to identify the effects of group prenatal classes based on the recent scientific literature in order to better position their contribution to the service offering in Québec.


Bibliographic research was conducted with a focus on publications dated between 2004 and 2015 in the Ovid SP, Medline and EBSCOhost databases using keywords related to health promotion, obstetrical procedures, pregnancy outcomes, breastfeeding, health and adaptation. The model of health status and i…

11 February 2010

Effects of workplace noise exposure during pregnancy: Systematic review with meta-analysis and meta-regression - Abstract

To summarize the available scientific information on the effects of workplace noise exposure during pregnancy. The studied effects on pregnancy are: spontaneous abortion (SA), stillbirth (SB), congenital anomalies (CA), preterm delivery (PTD), low birth weight (LBW), small-forgestational- age (SGA) infant, pre-eclampsia (PE) and gestational hypertension (GHT). The effect of workplace noise during pregnancy on the child's hearing is also addressed.

First, two bibliographic searches, one in Medline and the other in Embase, were performed to identify the original epidemiological studies that evaluated the effects of workplace noise on pregnancy. Studies published in French or in English between 1970 and August 2008 were selected. The bibliographies of the articles and the personal files of the author completed the list of the articles for consultation. There was no systematic search for unpublished material. The pr…

8 October 2004

Status Report on Fetal Alcohol Syndrome in Québec

The consumption of alcohol during pregnancy is likely to cause what is considered the most frequent preventable birth defect. This defect is fetal alcohol syndrome (FAS), which is a complex problem closely related to alcoholism and substance abuse among women. Described for the first time some 35 years ago, this syndrome has since been the subject of many studies conducted for the purpose of providing insight into its specific nature, documenting its prevalence or identifying ways to prevent it and help those who are afflicted with it. This research was conducted primarily in North America, but also in some European countries. Canada’s contribution to developing knowledge in this area should be pointed out.

In December of 2003, the Institut national de santé publique du Québec was mandated by the Minister of Health and Social Services to produce a status report on FAS. In response to this request, this report describes the current state of knowledge in Québec, and its situat…