To study the trends in gestational age and birthweight in France, we c
ompared data from three surveys that were based on representative samp
les of births in 10 French regions and were conducted in 1972, 1981 an
d 1988-89. Only single livebirths were considered in the analysis. The
rate of preterm births decreased from 7.9% in 1972 to 5.8% in 1981 an
d 4.0% in 1988-89. The corresponding rates of children with a birthwei
ght below 2500 g were 5.4, 4.3 and 4.7%. The mean birthweight of prete
rm babies born in 1988-89 was lower than the mean birthweight of those
born in 1972 and 1981. The reduction in preterm births cannot be attr
ibuted to the improved accuracy of gestational age determination, but
the general use of ultrasound may have played a major role in the appa
rent reduction of the mean birthweight of preterm babies.