Eleven Ciane recommendations to help women during the perinatal period

Difficulties during pregnancy follow-up or for administration, language of attention and support in maternity, disarray when returning home… This is the bitter observation of the inter-associative collective around birth (Ciane) about the felt by women around birth.

With the financial support of Public Health France, Ciane launched an online survey in 2021, which collected the words of 8,500 women who gave birth between 2016 and 2021.

In front of the insecurity of women during pregnancy, childbirth, postpartum and the return home”, Ciane has therefore made 11 recommendations to improve the care pathway for women around maternity.

First on the information side, Ciane would like to see each maternity make available to patients indicators to describe their practices (rate of episiotomy, caesarean section, induction, etc.). The collective would also like to see the creation an online directory listing the professionals providing the pregnancy monitoringand that the information documents on the rights and procedures surrounding pregnancy include representatives of the users.

Regarding the supply of perinatal care, Ciane would likeone or two sessions childbirth preparation are intended for partnersand two post-natal sessions are added, to answer the questions of young mothers. The collective calls for support for the diversification of childbirth practices (home birth, birth centres, physiological birth in hospitals), so that women can choose according to their profile and their wishes.

While the Covid-19 crisis has often led to the eviction of fathers from maternity wards, the collective believes that it is time to generalize their reception 24 hours a day with young mothers and newborns. Childbirth can sometimes be difficult, Ciane recommends financing and setting up a time for discussion in this regard between young mothers and postpartum professionals, and that recourse to a psychologist is finally effective.

For better support for young mothers once they leave the maternity ward, the collective would like it to be possible toadjust the number of visits made by self-employed postpartum midwives to women’s needs. In practice, self-employed midwives most often make one or two visits within the framework of the PRADO, following an early discharge from the maternity ward. And it is most often up to the young mother to organize herself upstream to benefit from it.

Finally, the inter-associative collective recommends that efforts be made in terms of training and raising awareness of health professionals (respect, consent and good treatment in particular), but also of future and young parents (around birth preparation courses and paternity leave ), and companies (again about taking paternity leave).

It remains to be seen what follow-up the health authorities will give to these recommendations resulting from the feelings of women around the arrival of a baby.

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