Une \u00e9tude publi\u00e9e dans la revue eClinicalMedicine pr\u00e9sente de nouveaux r\u00e9sultats sur la sant\u00e9 et le d\u00e9veloppement \u00e0 10 ans d\u2019enfants n\u00e9s pr\u00e9matur\u00e9ment en France. Elle s\u2019appuie sur la cohorte Epipage-2, qui suit depuis 2011 2 181 enfants n\u00e9s avant 37 semaines d\u2019am\u00e9norrh\u00e9e, et compare leurs donn\u00e9es \u00e0 celles de 7 286 enfants n\u00e9s \u00e0 terme issus de la cohorte Elfe. Ces travaux sont men\u00e9s par des chercheurs de l\u2019Inserm, de l\u2019Universit\u00e9 Paris Cit\u00e9 et du Centre hospitalier intercommunal de Cr\u00e9teil, dans le cadre de l\u2019\u00e9quipe Oppale du Centre de recherche en \u00e9pid\u00e9miologie et statistiques.<\/p>\n
L\u2019\u00e9tude indique qu\u2019\u00e0 10 ans, la majorit\u00e9 des parents consid\u00e8rent que leurs enfants n\u00e9s pr\u00e9matur\u00e9ment sont en bonne sant\u00e9 globale et qu\u2019ils sont tous scolaris\u00e9s. Toutefois, ces enfants pr\u00e9sentent plus fr\u00e9quemment des difficult\u00e9s comportementales et scolaires que ceux n\u00e9s \u00e0 terme. Ainsi, 16 % des enfants n\u00e9s pr\u00e9matur\u00e9ment pr\u00e9sentent des difficult\u00e9s comportementales, contre 12 % des enfants n\u00e9s \u00e0 terme, avec notamment des probl\u00e8mes li\u00e9s \u00e0 la gestion des \u00e9motions. Ces difficult\u00e9s peuvent se traduire par un recours accru \u00e0 des soins de sant\u00e9 sp\u00e9cifiques li\u00e9s au d\u00e9veloppement, un besoin de soutien scolaire sp\u00e9cialis\u00e9 et une participation plus limit\u00e9e \u00e0 certaines activit\u00e9s sociales.<\/p>\n
En France, 7 % des naissances surviennent avant le terme normal de la grossesse, d\u00e9fini par un \u00e2ge gestationnel inf\u00e9rieur \u00e0 37 semaines d\u2019am\u00e9norrh\u00e9e. La pr\u00e9maturit\u00e9 est class\u00e9e en trois cat\u00e9gories : pr\u00e9maturit\u00e9 extr\u00eame (24 \u00e0 26 semaines d\u2019am\u00e9norrh\u00e9e r\u00e9volues), grande pr\u00e9maturit\u00e9 (27 \u00e0 31 semaines) et pr\u00e9maturit\u00e9 mod\u00e9r\u00e9e (32 \u00e0 34 semaines). La pr\u00e9maturit\u00e9 peut entra\u00eener des alt\u00e9rations structurelles et fonctionnelles de plusieurs organes, en particulier du cerveau, ce qui justifie un suivi sp\u00e9cifique du d\u00e9veloppement.<\/p>\n
Les donn\u00e9es de l\u2019\u00e9tude proviennent d\u2019entretiens t\u00e9l\u00e9phoniques avec les parents, portant sur le comportement de l\u2019enfant, le recours aux soins de sant\u00e9 en lien avec le d\u00e9veloppement, la scolarit\u00e9 et la participation aux activit\u00e9s sociales. Les r\u00e9sultats soulignent l\u2019importance d\u2019une meilleure compr\u00e9hension des difficult\u00e9s rencontr\u00e9es par les enfants n\u00e9s pr\u00e9matur\u00e9ment et leurs familles afin d\u2019am\u00e9liorer leur suivi et leur prise en charge, en particulier en mati\u00e8re de sant\u00e9, de soutien scolaire et d\u2019inclusion sociale.\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 la sant\u00e9 et le d\u00e9veloppement \u00e0 10 ans d\u2019enfants n\u00e9s pr\u00e9matur\u00e9ment en France. Elle s\u2019appuie sur la cohorte […]<\/p>\n","protected":false},"author":1,"featured_media":4209,"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":[3],"tags":[68,227],"class_list":["post-17058","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-publique-prevention-epidemiologie","tag-inserm","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17058","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=17058"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17058\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4209"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17058"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17058"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17058"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}