Evaluation of the care given to pre-term news born prematurely by general practitioner in the Bouches Du Rhône and creation of a practical follow up tool ; Évaluation de la prise en charge des enfants nés prématurément par les médecins généralistes dans les Bouches-du-Rhône et création d’un outil pratique de suivi

Context: premature birth represents 65000 births per year in 2016 in France or 7.5% of all births compared to 6.5% in 2010. This rate is constantly increasing in this raises public health concerns because premature newborns are at greater risks of complications and therefore require close and specialized care.Method: early care is coordinated by the hospital, the pediatricians, the perinatal health care network. The general practitioner also plays a role because he is led to care from the earliest stages for the pre-term newborns. Hence, this descriptive study was carried out by means of a questionnaire addressed to a sample of general practitioners from the Bouches du Rhône department. This study allowed the determination of the role of the general practitioner in this process, his experience and know how being utilized with the objective of harmonizing the care taking of the pre-term infant, through a follow up tool which is designed for him and by him.Results: 129 general practitioners answered this questionnaire and follow, or have followed, for 71% of them, pre-term newborn. Most of them have an experience on the corrected age, the plagiocephaly and the newborn nutrition. However, there appears some uncertainties on the pervasive developmental disorders, oral disorders, iron supplementation, the Synagis®, the vaccination and the practice of cocooning. Only 13% of questioned general practitioners know of the existence of a downstream network.A tool was created with the objective to harmonize the practices and help the general practitioners to detect the abnormalities and to better guide the children in a specific manner. 90% of general practitioners are in favor of the creation of this new tool.Conclusion: It is important that the general practitioners have reliable references and relevant clinical tools for a better natal care of pre-term children. A coordination of town-hospital should likewise be favored and a downstream network must also be further developed. ; Contexte : Les naissances prématurées ...