Les liaisons post-natales maternité/PMI : étude épidémiologique descriptive d'un dispositif de soutien à la parentalité mis en place dans la ville de Marseille par le Conseil départementale des Bouches-du-Rhône

Abstract : Introduction: In order to prevent and reduce social inequalities in perinatal health, the Bouches-du-Rhône Departmental Council, through its Mother and Child Health (MCH), has set up a medico-social system called "post-natal links". Although old, this system has never been evaluated on its interest and limitations. The number of links has been constantly increasing over the last ten years. However, the technical and human resources to manage them may eventually become insufficient. The objective of this study is to describe the current system of post-natal maternity-MCH links, in order to improve it if necessary, taking the example of those received by the Maison de la Solidarité des Flamants in the 14th arrondissement of Marseille. Material: Longitudinal, monocentric, retrospective descriptive epidemiological study. Inclusion criteria: post-natal links for children born in 2017, in public or private maternity hospitals in Marseille, parents residing in the 14th arrondissement of Marseille. Data collected on the basis of archived paper documents, anonymized by numbering and transcribed into a standardized Excel table. Items studied: maternity and issuing department, maternal age and parity, reason for using the link, actions of the MCH in the first month of the child's life, deadlines for action, existence of subsequent medical follow-up in the MCH. The statistics were obtained by quantitative analysis. Results: In 2/3 of the cases, the links were transmitted by the maternity units of the public hospital (Nord and Conception). In 46.8% of cases, mothers were first-time mothers. The average maternal age was 28.6 years, 4.7% were minors, 17.1% were so-called "young" mothers (≤ 21 years). The two most common reasons for linking were parental support for almost two-thirds of the links, followed by psycho-social and financial precariousness (38.8%). The 397 links included resulted in a total of 429 actions by the sector PMI in the 1st month of life, with home visits in more than half of the cases and childcare consultations (24.9%). Conclusion: The system of post-natal maternity/MCH links provides real support to families in difficulty during the perinatal period, whether the problem encountered is social, medical or psychological, thanks to its many actions, the responsiveness of its services and a quality partnership with public and private maternity hospitals. On the other hand, some adaptations will probably be necessary in the future to ensure the sustainability of the system. Finally, it would be interesting to involve the family doctors in this device, as there is currently no role for them.
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https://dumas.ccsd.cnrs.fr/dumas-02089259
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Submitted on : Wednesday, April 3, 2019 - 3:45:14 PM
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Karine Buonalana. Les liaisons post-natales maternité/PMI : étude épidémiologique descriptive d'un dispositif de soutien à la parentalité mis en place dans la ville de Marseille par le Conseil départementale des Bouches-du-Rhône. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02089259⟩

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