The perinatal health professionals (midwives, nurses, obstetrician gynecologists, childcare assistants, pediatricians) are extremely worried about the risk that staff are weighing on pregnant women, mothers and their children. Today, and after having, on multiple occasions, alerted our guardianships in recent years, we, heads of service and members of the supervision of maternities of Ile-de-France, university and non-university maternity people participating in the public service , want to alert this extremely worrying situation.
For years, perinatality has suffered from organizations and working conditions imposed by guardianships away from the field. The emergency activity which constitutes an important part of this medicine is not recognized as such and the Colamatian staff, as long as it can, under the eye of our guardianships who know but offer nothing decisive. Now the boat flows and always no effective proposal is made to us to avoid the sinking.
Indeed, the situation continues to worsen and the nursing staff flees these working conditions. Those who remain see their conditions of exercise becoming even harder, the vicious circle is engaged … Despite our regular alerts with the regional health agency of Ile-de-France and the ministry, these do not seem to take measurement of the severity of the situation and the emergency.
rethink the model of our maternities
Most maternities in Ile-de-France who participate in the public service live these shortages despite support often provided by hospital departments. In some maternities, up to 30 % of midwives positions that are now vacant. Maternities are obliged to limit certain consultation activities, for lack of professionals. Neonatalogy units had to close, for lack of pediatricians. The childcare schedules are not filled and will probably not be able to be. The forecasts for the coming months are alarming. In addition to the usual bed closings, they are whole units of hospitalization that may close with the reduction of the care offer that goes with it. How to maintain the quality of care when the workforce is amputated at this point? How to imagine, in such a situation, that this does not have an impact on the safety of mothers and children? What can health professionals when they are no longer numerous enough to support the work of a pregnant woman? What to say to parents when the birth of a child born prematurely cannot be organized in a maternity unit of a neonatalogy unit due to bed closings?
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