Question 17114 — health establishments

Summary

Mr. Vincent Trébuchet draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the need to secure the legal framework for local perinatal centers providing postnatal accommodation after transfer from an authorized maternity ward. In several areas, particularly rural or far from a maternity ward, local perinatal centers have developed particularly supportive care. useful for mothers and newborns. After a delivery in a partner maternity hospital, certain structures can thus welcome patients following childbirth, in a secure environment, with monitoring provided by health professionals, in particular midwives. This model makes it possible to bring postnatal support closer to families' homes, limit travel, promote the mother-child bond and maintain a perinatal presence in living areas which have often experienced the closure of their maternity wards. The Tournon-sur-Rhône hospital center, in Ardèche, is an example of this model. Its local perinatal center welcomes patients and their newborns in post-delivery accommodation after transfer from approved maternity wards. This system responds to an obvious territorial need: it brings postnatal support for families at home, promotes mother-child monitoring and maintains a perinatal presence in a living area that has lost its maternity ward. However, the national regulatory framework for local perinatal centers does not seem to explicitly secure this postnatal accommodation activity. Article R. 6123-50 of the public health code mentions prenatal and postnatal consultations, preparation courses for birth, teaching of newborn care and family planning consultations, but does not expressly cover post-partum accommodation. This situation maintains a gray area for structures which are neither maternity wards, since they do not carry out childbirth, nor birth centers, whose legal regime follows a different logic. This uncertainty is all the more regrettable since these devices can operate within the framework of agreements with authorized maternity wards, according to secure medical protocols and for the direct benefit of families. It places unnecessary fragility on proven, useful structures adapted to the realities of rural areas. He therefore asks whether the Government intends to clarify and secure, at the national level, the status of local perinatal centers ensuring postnatal accommodation after transfer from an authorized maternity hospital, in order to fully recognize their role in the territorial organization of perinatal care and to guarantee their sustainability.

Machine translation from French. The official text remains authoritative.

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1. 21 July 2026

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• Vincent Trébuchet · auteur

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