“Eliminating the 111 maternity ward means organizing the desertification of what is offered to pregnant women”

PPosted on February 28 and titled “Perinatal policy planning in France: organizing the continuum of care is a necessity and an emergency”. A report by the Academy of Medicine states that this planning “It should be based on further reductions in the number of maternity cases.”

However, over the past thirty years, few improvements have been made in this area, despite the disaster of medical deserts and the massive closure of two-thirds of maternity wards, despite France’s poor results compared to its European neighbours.

The report argues that only Type 2 and Type 3 maternity units are appropriate for medium- and high-risk pregnancies, respectively. “It can include the most complex ways of care, as well as the most physiological ways of health, through the strengthening of human resources and at the cost of architectural adaptation, which allows the coexistence of different levels of care”.

contempt

It is enough to combine 111 type 1 maternity units with the lowest risk. “physiological”, With the 2nd and 3rd types of maternity hospitals, in order to avoid, the report notes, a caricature image“Children’s Factories” which is often aimed at Large structures are saturated and therefore undesirable.”

Suffice it to say, it’s about harming the means by always advocating the same solution that doesn’t work, with the same analysis and the same view of the situation. If we have to talk about numbers, in 2021 metropolitan France has 452 maternity wards, including 170 type 1, 222 type 2 and 60 type 3. The removal of 111 maternity units means organizing the desertification of the offer for pregnant women.

but let’s make sure “Perinatal Desert” Compensation will be announced, still according to the report of the Academy of Medicine, “TDevelopment of hotel-hospital structures” Where women would lodge while waiting to give birth, or even, but it is not said to be activated.

What a degradation against pregnant women and their families! Instead of proposing the opening of more welcoming maternity hospitals, the promotion of maternity centers whose development is still delayed, the eventual creation of autonomous physiological units, the organization of coordinated care to approve home births, in the face of increasing demand and which has been used in other European countries for a long time, the report proposes as event “Lighthouse” The first type of maternity wards should be abolished. because, “Architectural limitations, particularly those related to medical and paramedical staff, make it illusory to support less than 1,000 delivery activities.”