Une \u00e9tude publi\u00e9e dans la revue eClinicalMedicine pr\u00e9sente de nouveaux r\u00e9sultats sur l\u2019\u00e9tat de sant\u00e9 et le d\u00e9veloppement d\u2019enfants n\u00e9s pr\u00e9matur\u00e9ment en France \u00e0 l\u2019\u00e2ge de 10 ans. Elle est conduite par l\u2019\u00e9quipe Oppale du Centre de recherche en \u00e9pid\u00e9miologie et statistiques (Inserm\/Universit\u00e9 Paris Cit\u00e9), dans le cadre du suivi initi\u00e9 en 2011 avec l\u2019enqu\u00eate Epipage-2. Les donn\u00e9es portent sur 2 181 enfants n\u00e9s pr\u00e9matur\u00e9ment, compar\u00e9s \u00e0 7 286 enfants n\u00e9s \u00e0 terme issus de la cohorte Elfe. Les informations ont \u00e9t\u00e9 recueillies par entretiens t\u00e9l\u00e9phoniques aupr\u00e8s des parents.<\/p>\n
En France, 7 % des naissances surviennent avant 37 semaines d\u2019am\u00e9norrh\u00e9e. L\u2019\u00e9tude distingue la pr\u00e9maturit\u00e9 extr\u00eame (24\u201326 SA r\u00e9volues), la grande pr\u00e9maturit\u00e9 (27\u201331 SA r\u00e9volues) et la pr\u00e9maturit\u00e9 mod\u00e9r\u00e9e (32\u201334 SA r\u00e9volues). Selon les parents, la majorit\u00e9 des enfants pr\u00e9matur\u00e9s sont en bonne sant\u00e9 globale \u00e0 10 ans et tous sont scolaris\u00e9s. Cependant, certains pr\u00e9sentent des difficult\u00e9s comportementales et scolaires, avec un recours accru \u00e0 des soins de sant\u00e9 sp\u00e9cifiques et\/ou \u00e0 un soutien scolaire sp\u00e9cialis\u00e9, ainsi qu\u2019une participation plus limit\u00e9e \u00e0 certaines activit\u00e9s sociales.<\/p>\n
L\u2019enqu\u00eate montre qu\u2019\u00e0 10 ans, 16 % des enfants n\u00e9s pr\u00e9matur\u00e9ment pr\u00e9sentent des difficult\u00e9s comportementales, contre 12 % des enfants n\u00e9s \u00e0 terme, les probl\u00e8mes de gestion des \u00e9motions \u00e9tant les plus fr\u00e9quemment signal\u00e9s. Pr\u00e8s d\u2019un enfant sur deux n\u00e9 extr\u00eamement pr\u00e9matur\u00e9 b\u00e9n\u00e9ficie d\u2019au moins un soin en lien avec des difficult\u00e9s d\u00e9veloppementales, cette proportion diminuant avec l\u2019augmentation de l\u2019\u00e2ge gestationnel. \u00c0 l\u2019inverse, 73 % des enfants n\u00e9s mod\u00e9r\u00e9ment pr\u00e9matur\u00e9s n\u2019ont pas eu recours \u00e0 des soins de sant\u00e9 li\u00e9s au d\u00e9veloppement.<\/p>\n
Ces r\u00e9sultats soulignent que, malgr\u00e9 un \u00e9tat de sant\u00e9 globalement jug\u00e9 satisfaisant et une scolarisation g\u00e9n\u00e9ralis\u00e9e, les enfants n\u00e9s pr\u00e9matur\u00e9ment, en particulier les plus immatures \u00e0 la naissance, pr\u00e9sentent plus souvent des besoins sp\u00e9cifiques en mati\u00e8re de suivi d\u00e9veloppemental, de soins de sant\u00e9 et de soutien scolaire, ainsi qu\u2019un risque accru de difficult\u00e9s comportementales. Ils mettent en \u00e9vidence l\u2019importance d\u2019un suivi adapt\u00e9 dans la dur\u00e9e pour ces enfants et leurs familles.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Une \u00e9tude publi\u00e9e dans la revue eClinicalMedicine pr\u00e9sente de nouveaux r\u00e9sultats sur l\u2019\u00e9tat de sant\u00e9 et le d\u00e9veloppement d\u2019enfants n\u00e9s pr\u00e9matur\u00e9ment en France \u00e0 l\u2019\u00e2ge de 10 ans. Elle est […]<\/p>\n","protected":false},"author":1,"featured_media":4388,"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":[5],"tags":[70,227],"class_list":["post-17042","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-mentale-et-psychiatrie","tag-santementale-fr","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17042","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=17042"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17042\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4388"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17042"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17042"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17042"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}