L\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS), \u00e0 travers un rapport r\u00e9dig\u00e9 par Dr Aquilino Morelle, Alexandre Pascal et Marie-Odile Saillard, analyse l\u2019\u00e9volution de la prise en charge p\u00e9rinatale en France sur environ quinze ans. Le rapport constate une hausse de la mortalit\u00e9 infantile, qui atteint 4 pour 1 000 en 2024, principalement en raison d\u2019une augmentation de la mortalit\u00e9 n\u00e9onatale. Cette \u00e9volution est d\u00e9crite comme un ph\u00e9nom\u00e8ne multifactoriel, li\u00e9 \u00e0 la combinaison de d\u00e9terminants d\u00e9mographiques, sociaux et \u00e9conomiques.<\/p>\n
L\u2019IGAS met en \u00e9vidence des in\u00e9galit\u00e9s territoriales marqu\u00e9es, en particulier dans les d\u00e9partements et r\u00e9gions d\u2019outre-mer et en \u00cele-de-France, ainsi qu\u2019un niveau de mortalit\u00e9 infantile sup\u00e9rieur \u00e0 celui de nombreux autres pays europ\u00e9ens. Sur le plan de l\u2019organisation des soins, le rapport nuance les explications centr\u00e9es sur la restructuration des maternit\u00e9s : les regroupements et fermetures de maternit\u00e9s men\u00e9s depuis plusieurs d\u00e9cennies ne suffisent pas, \u00e0 eux seuls, \u00e0 expliquer la d\u00e9gradation des indicateurs. De m\u00eame, les auteurs estiment qu\u2019il n\u2019est pas possible, \u00e0 ce stade, de proposer un mod\u00e8le unique et standardis\u00e9 d\u2019organisation r\u00e9gionale des maternit\u00e9s qui serait optimal et valable pour l\u2019ensemble du territoire.<\/p>\n
Le rapport insiste sur la n\u00e9cessit\u00e9 d\u2019agir \u00e0 deux niveaux temporels pour r\u00e9duire le risque de mortalit\u00e9 infantile : en amont, avant et pendant la grossesse, par une meilleure pr\u00e9vention et identification des situations \u00e0 risque ; en aval, apr\u00e8s la naissance, par un renforcement de la prise en charge des nouveau-n\u00e9s les plus vuln\u00e9rables. Parmi les principales recommandations figurent le renforcement du r\u00f4le de la protection maternelle et infantile (PMI), la consolidation du syst\u00e8me d\u2019information p\u00e9rinatal, l\u2019am\u00e9lioration du parcours p\u00e9rinatal des femmes et des jeunes enfants, ainsi que la mise en \u0153uvre d\u2019un plan strat\u00e9gique national pour la p\u00e9rinatalit\u00e9 sur la p\u00e9riode 2027-2030.<\/p>\n
Enfin, l\u2019IGAS pr\u00e9conise que chaque r\u00e9gion r\u00e9alise une \u00e9valuation partag\u00e9e de la situation p\u00e9rinatale afin d\u2019adapter l\u2019offre et l\u2019organisation des soins aux besoins locaux, dans une logique pragmatique et fond\u00e9e prioritairement sur des imp\u00e9ratifs de sant\u00e9 publique. Ces \u00e9l\u00e9ments pr\u00e9sentent un int\u00e9r\u00eat direct pour le suivi des politiques de sant\u00e9, de solidarit\u00e9 et de r\u00e9duction des in\u00e9galit\u00e9s territoriales, dans un cadre qui tient compte des sp\u00e9cificit\u00e9s r\u00e9gionales et des comparaisons europ\u00e9ennes.\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), \u00e0 travers un rapport r\u00e9dig\u00e9 par Dr Aquilino Morelle, Alexandre Pascal et Marie-Odile Saillard, analyse l\u2019\u00e9volution de la prise en charge p\u00e9rinatale en France 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