Transparence des pratiques

Une transparence des pratiques hospitalières et extrahospitalières

La transparence des pratiques selon les structures (hôpital, maison de naissance, accouchement à domicile) est une condition pour permettre aux femmes et aux couples de choisir de façon éclairée leur lieu d’accouchement. Elles sont aussi nécessaires en démocratie pour un débat public éclairé. Afin de pouvoir choisir en toute connaissance de cause les circonstances et le professionnel qui va les accompagner lors de l’accouchement, nous souhaitons :

  • avoir accès aux statistiques de chaque structure en ce qui concerne notamment : le taux de césariennes pratiquées, le taux d’épisiotomies, et le taux de recours à l’anesthésie péridurale, le taux d’inductions et le taux d’optimalisations (accélération du travail par différentes méthodes), le taux d’accouchements physiologiques (sans aucune médicalisation), taux d’accouchements dans l’eau, taux de positions d’accouchement autre que décubitus dorsal, le respect du peau à peau, le fait de ne pas laver le bébé immédiatement, les résultats des enquêtes de satisfaction…
  • la mise en place d’une grande enquête qualitative nationale sur le vécu des femmes dans les différents lieux d’accouchement. La définition des critères d’évaluation doit être formulée en concertation avec les usagères.

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