Among the human development indicators of a country, those relating to perinatal health are among the most convincing. They measure, through the state of health of pregnant women and their newborns, that of the global population and the quality of the care system. However, the recent public health report France on perinatal health, which has appreciated its evolution since 2010, is alarming. It reveals, in a country world known for the quality of its perinatal care, a selective degradation according to the territories and especially the populations.
In Ile-de-France, the case of foreign women and undocumented and their babies is extremely worrying. More generally, in France, the number of women without pregnant papers or with young children on the street continues to grow. These women and their children, often of African and Maghreb origin, are in danger. And we with.
Health services alert to the resurgence of childhood mortality and maternity outings on the streets for a long time. In 2012, the Ile-de-France regional agency pointed out, in the survey “Reduce infant and perinatal mortality”, infant on Seine-Saint-Denis: 4.8 ‰ against 3.2 ‰ in France Metropolitan. One of the recommendations resulting from this work is the stabilization of the accommodation of pregnant and giving women, at least in the third trimester of pregnancy and up to 6 months of the child. Relating to the reduction of early health inequalities, the report on the “first 1,000 days of the child” (September 2020) pleads for an obligation of accommodation up to its 2 years, prerogative Departmental councils. However, the situation only wins.
If the street scandal on the street has become “a major regional cause” from 2017, the latest public health report France specifies that the proportion of homeless women having given birth in Ile-de-France went from 5.8 ‰ in 2010 at 22.8 ‰ in 2019. The most exposed are the most recently arrived foreign women. In 2020, 38.75 % of pregnant women in great precariousness accompanied by the Perinatal Solidarité Paris Maman (Solipam) Ile-de-France health network, arrived in France between 2019 and 2020. This proportion is 67 , 5 % if we take into account those arrived since 2018. 2>
residential wandering
The case of Sonia is illustrative. Working, not declared, as a diver in a restaurant at the beginning of her pregnancy, she sleeps there to be on time in her workstation. At five months of pregnancy, exhausted, she contacts Solipam to be helped in her search for accommodation. Due to the shortage of places, professionals are helpless. Sonia is experiencing a residential wandering journey during the rest of her pregnancy, led to change his hotel regularly, spending nights on the street. In Paris, his hospital doctor program a cesarean due to a risk pregnancy. A few days before, Sonia enters work. She is hosted in a hotel 115 [Samu Social] in the Yvelines, where she gives birth, in an emergency, in a maternity that she does not know, without the hospital team being able to have access to her medical file.
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