Question 13746 — health establishments

Summary

Mr. Philippe Juvin draws the attention of the Minister of Health, Families, Autonomy and Persons with Disabilities to the management of neonatal anoxo-ischemic encephalopathy (AEI) and to the prevention of losses of opportunity associated with this pathology. EAI occurs in France in approximately 1 newborn in 1,000 live births. In its moderate to severe forms, it causes neonatal mortality of up to 20%. and at high risk of neurological sequelae. For around fifteen years, neuroprotection by controlled therapeutic hypothermia (HTC), when initiated in the first six hours of life, has significantly improved the prognosis. However, the quality of initial care depends heavily on the organization of maternity wards and the effective presence of specialized professionals at the time of delivery. birth. However, numerous field reports indicate that not all maternity units have the necessary skills on site to immediately deal with serious neonatal distress. The actual presence of an anesthetist-resuscitator, a gynecologist-obstetrician and a pediatrician at the time of delivery can indeed vary depending on the establishments and territories. In certain situations, these professionals are not physically present in the establishment and must be called or intervene from on-call, which can delay the assessment and care of newborns in critical situations. In this context, he wishes to know the real proportion of maternity wards which do not have an effective and real presence on site: an anesthetist-resuscitator, a gynecologist-obstetrician, a pediatrician. He would also like to know if this real-life data is available by type of maternity (I, II and III) and by territory. Finally, he asks what measures the Government intends to take to guarantee that deliveries can benefit, when the situation requires it, from immediate care by these specialists in order to limit the loss of opportunity for newborns.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.