Question 17602 — health

Summary

Mr. Eric Liégeon draws the attention of the Minister of Health, Families, Autonomy and Disabled People to the alarming figures for infant mortality in France. France, which has long been exemplary in terms of perinatal care, is seeing neonatal mortality increase from year to year. In 2024, data from the Department of Research, Studies, Evaluation and Statistics (Drees) and Public Health France indicate that 11.2 children per 1,000 births were born dead or died in their first week. This is a level not seen in ten years and these figures are worrying because the country has, until now, always been at the forefront in the care of newborns. Furthermore, the figures for infant mortality (before the age of one year) are not very encouraging either since they reach 4.08 deaths per 1,000 births, relegating France to 21st European rank, far behind the Scandinavian countries or the Netherlands. This deterioration seems multifactorial and profound: poor management of prematurity (84% of deaths and 63-fold increase in the risk of dying at birth) due to recruitment difficulties and chronic understaffing in neonatology, standards of organization of care which have not been revised for almost thirty years (decrees of 1998), increase in high-risk pregnancies, but also strong social and territorial inequalities in access to appropriate monitoring of pregnant women and to maternity wards of an appropriate level (in the most disadvantaged municipalities, perinatal mortality reaches 12 per 1,000 compared to 9.5 per 1,000 in the most advantaged). Health professionals and associations are warning about the scale of the project. If a national mission on perinatal care was initiated in order to modernize the organization of care, improve the monitoring of the most vulnerable women and revise the regulatory framework applicable to maternity wards and neonatology services, those in the field are now calling for concrete and rapid measures to address the urgency of the situation. He asks her what measures she intends to implement in order to sustainably stem the rise in mortality. perinatal and infant health, and if strong actions will soon be deployed to reorganize the provision of care, strengthen the human and material resources of neonatology services, improve the network of maternity wards and thus reduce territorial inequalities in access to perinatal care, with the aim of guaranteeing each newborn, whatever their place of birth, care that meets the best standards of quality and security.

Machine translation from French. The official text remains authoritative.

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