2023-08-30 12:11:00
While European countries are tending to see their infant mortality rate drop, France, on the contrary, is seeing its rate increase. In 1980, she appeared in the 5 th place in the world ranking drawn up by the ORS. In 2020, she occupied the 18 th position.
For more than ten years, the infant mortality rate in France is on the rise, particularly in Île-de-France. A study published last June by the Regional Health Observatory revealed that over the past 19 years, the TMI is estimated at 3.63‰ in metropolitan France compared to 3.95 deaths per 1,000 live births in Île-de-France. -France. “Indeed, Île-de-France has had the highest 0-6 day mortality in the country since 2012” specifies the study.
Alarming data since infant deaths in the Ile-de-France region represent 25.2% of all deaths recorded in metropolitan France between the years 2000 and 2020, i.e. 53,077 deaths.
It should be noted that Essonne is the Ile-de-France department with the highest rates in the region since 2010.
TMI: why is it progressing in France?
Several causes explain why infant mortality in France is on the rise, starting with the later age of pregnancy, which exposes people to greater risks.
Other factors such as poverty and immigration status are involved since they are associated with difficulties in using or accessing care. Excess mortality has been observed in certain territories particularly affected by precariousness and recent immigration.
The distribution of health services on the territory is also one of the reasons which justifies a rising IMR in France. The consequences are significant for the regions with regard to the organization of care, are then impacted: the organization of maternity and neonatology service discharges, the city-hospital relationship or even the medical offer which is insufficient. compared to needs.
“The data we used (civil status data) does not collect information on the evolution of the pregnancy, the health of the newborn (gestational age, pregnancy pathology, congenital malformations, etc. .), the place of birth, the socio-economic status of the mothers etc., which limits our interpretation” specifies the study.
What is in place to fight against infant mortality?
In order to curb this disturbing phenomenon, certain measures have been put in place.
Between 1989 and 1992, infant mortality was on the rise in Seine-Saint-Denis. But the measures put in place at the time were not enough to lower the TMI, the ARS-IDF launched the Reduction of infant mortality program (RéMI) which also focused in department 93. The objective of this project was to understand the causes of excess mortality in this territory and to propose action levers. In its epidemiological component, the project had set up neonatal death audits and had made it possible to identify socio-economic factors, factors linked to care associated with excess mortality” specifies the ORS study.
In conclusion of its study, the ORS declared: “This Focus gives an alert. Further studies, taking into account factors such as gestational age and other risk factors are needed to better understand the evolution of infant mortality observed in our region. »
1693450354
#progressing #France