L\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) publie un rapport, r\u00e9dig\u00e9 par la mission conduite par Dr Aquilino Morelle, Alexandre Pascal et Marie-Odile Saillard, sur l\u2019\u00e9volution de la p\u00e9rinatalit\u00e9 en France sur une quinzaine d\u2019ann\u00e9es. Le rapport constate une hausse de la mortalit\u00e9 infantile, qui atteint 4 d\u00e9c\u00e8s pour 1 000 naissances vivantes en 2024, principalement en raison de l\u2019augmentation de la mortalit\u00e9 n\u00e9onatale. Cette d\u00e9gradation est analys\u00e9e comme un ph\u00e9nom\u00e8ne multifactoriel, combinant des d\u00e9terminants d\u00e9mographiques, sociaux et \u00e9conomiques. La France se situe, selon ce rapport, \u00e0 un niveau de mortalit\u00e9 infantile plus \u00e9lev\u00e9 que de nombreux autres pays europ\u00e9ens.<\/p>\n
L\u2019analyse met en \u00e9vidence d\u2019importantes in\u00e9galit\u00e9s territoriales de sant\u00e9, en particulier dans les outre-mer et en \u00cele-de-France. L\u2019organisation territoriale de l\u2019offre de soins p\u00e9rinatals est examin\u00e9e, mais la mission estime que les restructurations des maternit\u00e9s engag\u00e9es depuis plusieurs d\u00e9cennies ne suffisent pas \u00e0 expliquer la d\u00e9gradation observ\u00e9e. Elle souligne \u00e9galement qu\u2019aucun mod\u00e8le unique et stabilis\u00e9 d\u2019organisation territoriale optimale des maternit\u00e9s ne peut \u00eatre mis en avant de mani\u00e8re convaincante \u00e0 ce stade.<\/p>\n
La mission insiste sur la n\u00e9cessit\u00e9 d\u2019agir \u00e0 la fois en amont et en aval de la grossesse pour r\u00e9duire la mortalit\u00e9 infantile. Elle recommande de renforcer la pr\u00e9vention et le rep\u00e9rage des situations \u00e0 risque pendant la grossesse, ainsi que d\u2019am\u00e9liorer la prise en charge des nouveau-n\u00e9s les plus vuln\u00e9rables apr\u00e8s la naissance. Parmi les principales orientations propos\u00e9es figurent le renforcement du r\u00f4le des services de protection maternelle et infantile (PMI), la consolidation du syst\u00e8me d\u2019information en p\u00e9rinatalit\u00e9, l\u2019am\u00e9lioration du parcours p\u00e9rinatal des femmes et des jeunes enfants et la mise en \u0153uvre d\u2019un plan strat\u00e9gique national de p\u00e9rinatalit\u00e9 pour la p\u00e9riode 2027-2030.<\/p>\n
Le rapport pr\u00e9conise enfin l\u2019\u00e9laboration, dans chaque territoire, d\u2019un diagnostic partag\u00e9 de la situation p\u00e9rinatale afin d\u2019adapter l\u2019organisation de l\u2019offre de p\u00e9rinatalit\u00e9 aux besoins locaux. Cette adaptation devrait s\u2019inscrire dans une logique pragmatique, priorisant les imp\u00e9ratifs de sant\u00e9 publique. L\u2019IGAS met \u00e0 disposition une synth\u00e8se et le rapport complet, et indique les coordonn\u00e9es de son service de presse pour tout compl\u00e9ment d\u2019information.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" L\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) publie un rapport, r\u00e9dig\u00e9 par la mission conduite par Dr Aquilino Morelle, Alexandre Pascal et Marie-Odile Saillard, sur l\u2019\u00e9volution de la p\u00e9rinatalit\u00e9 en France […]<\/p>\n","protected":false},"author":1,"featured_media":4524,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[249,227],"class_list":["post-16790","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","tag-igas","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/16790","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16790"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/16790\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4524"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}