Presented at the Academy of Medicine on February 28, a report by Professor Yves Ville, head of maternity at the Necker Hospital in Paris, lists the structures at risk for expectant mothers and their babies. Produced with fourteen partners, it recommends the closure of some establishments.
Wednesday March 1 revealed parisian , Professor Yves Will’s “shocking” report, which testifies to the alarming state of maternity hospitals in France. The head of the department of gynecology and obstetrics at Necker in Paris listed 111 deliveries out of 452 that put women in labor at risk. Regrouping “for the safety of mother and child”. “If we don’t, we are headed for disaster,” he warned in his report, which was presented to the Academy of Medicine on February 28 and signed by fourteen colleagues.
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The panel of experts therefore confirms that the most dangerous will be small births, that is, those providing fewer than 1,000 births per year. It’s a lack of practice to begin with, which leads to a skills shortage and is exacerbated by the closure of these facilities several days a week due to staff shortages. “We make fewer deliveries there, we lose experience, which is dangerous. To continue, they turn to temporary workers. This organization does not ensure the safety and quality of care in the form of temporary patches,” explains Yves Ville.
“Children’s Factories”
The doctor adds to this that expectant mothers would prefer to give birth in institutions of type 2 (neonatological unit or neonatal intensive care) or type 3 (neonatal intensive care unit), but cannot. Indeed, at a time when France has to deal with many medical deserts, a geographical area where health professionals are absent, the mobilization of personnel in small structures leads to the understaffing of large institutions and the saturation of certain services. Nicknamed “child factories”, they will then operate in “degraded working conditions”.
What exactly does the report suggest to combat this? It becomes necessary for Yves Ville and his colleagues to focus on these large structures as a priority and strengthen their teams. In the second step, it is necessary to change the services of small maternity hospitals, to turn them into places of prenatal and postnatal support. “Pre-pregnancy and post-pregnancy care will still be provided there, but women will no longer give birth there,” the report says.
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Accommodation and travel time
This measure is, however, discussed in light of the travel time between homes and major hospitals in areas prone to medical deserts; An argument raised by Yves Ville’s opponents. “89% of births would take place within thirty minutes from the nearest maternity hospital,” however, the professor minimizes it in his report. In order to overcome this, he suggests, in particular, to accommodate pregnant women before giving birth in hotels near major hospitals in France.
Note that in 2021, the Ministry of Health listed 221 maternity hospitals that closed between 2000 and 2017. Last year, at least 10% of France’s 460 maternity hospitals were in a state of “partial closure” due to a lack of caregivers, the National Union said. nursing professors (SNPI) as transfers Figaro.
Source: Le Figaro
