RECOMMANDATIONS DU RESEAU PERINATAL LORRAIN

Version du 12/07/19 RECOMMANDATIONS RPL_2019_HAD_OBS MAJ le 08/12/20 Réseau Périnatal Lorrain Rédaction Pr O. MOREL Dr E. GAUCHOTTE Dr C. BARTHES Dr M. CREUTZ LEROY V. BOCQUET HAD en obstétrique : Membres de la commission HAD

ante et post-partum Validation Commission HAD n° 3 du 16/05/2019 Conseil de coordination RPL du 27/06/2019

I – DEFINITION de l’HOSPITALISATION A DOMICILE

Hospitalisation à domicile (HAD) = modalité d’hospitalisation à part entière qui permet d’assurer « des soins médicaux et paramédicaux, continus et coordonnés. Ces soins se différencient de ceux habituellement dispensés par la complexité et la fréquence des actes » (ART. L 6125-2 du CSP).

L’objectif est d’éviter une hospitalisation conventionnelle à temps complet ou d’en diminuer la durée tout en assurant une permanence des soins (24 h/24 et 7j/7).

L’HAD n’est pas assimilable à une surveillance à domicile par une SF libérale.

II - INDICATIONS d’HAD en ANTE-PARTUM

II.1. - Critères généraux d’éligibilité à l’HAD

- Lieu de résidence de la patiente inclus dans le périmètre géographique d’autorisation d’une structure d’HAD avec une activité d’obstétrique (cartographie en annexe 1 et liste des communes couvertes en annexe 2). - Electricité et téléphone disponibles au domicile de la patiente - Transfert en urgence organisable facilement depuis le domicile vers un CH adapté - Patiente non isolée - Bonne compréhension et adhésion au protocole par la patiente et son entourage

II.2. - Critères médicaux en ante-partum

II.2.1. - Critères médicaux HAS

- RCIU (entre 10ème et 5ème percentile) - ATCD de MFIU - Cholestase gravidique modérée ou sévère - Lupus et SAPL

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- Fragilité de construction de la relation mère-enfant (en complément de la PEC par la PMI et les professionnels libéraux). - HTA (gravidique ou préexistante) mal équilibrée (TAS < 160mmHg, TAD < 110mmHg) sans protéinurie - HTA (gravidique ou préexistante) : si mal équilibrée (TAS < 160mmHg, TAD < 110mmHg) ou si associée à un RCIU ou un ATCD de MFIU/HRP/éclampsie - Thrombophilie génétique associée à un ATCD HRP ou MFIU ou d’une complication en cours (RCIU) - Diabète gestationnel ou préexistant à la grossesse avec objectifs glycémiques non atteints

II.2.2. - Critères médico-territoriaux HAS pour l’ante-partum

Indisponibilité sur le territoire d’un autre recours ou offre de soins (SF libérale, PMI, …) pour assurer le suivi à domicile d’une patiente présentant : - une MAP - un placenta prævia.

II.2.3. - Critères RPL pour l’ante-partum : hors HAS

- RPM (recommandations CNGOF 2018)

- RCIU < au 5ème percentile - Pré-éclampsie modérée  Les équipes appliquant ces deux dernières indications évaluent leurs pratiques de manière régulière. Ces données seront présentées en commission HAD.

II.3. - Critères HAS en post-partum

II.3.1. - Critères médicaux HAS pour le post-partum

- Cicatrisation difficile d’une plaie périnéale ou post-césarienne - Surveillance et soins locaux en cas d’abcès ou collection pariétale - Désunion de cicatrice après abcès ou hématome - Thrombus vaginal traité - Périnée complet - Difficultés sphinctériennes (auto-sondage vésical) - Dépression du post-partum - Pathologie thrombo-embolique récente - Diabète insulino-dépendant mal équilibré - Pathologies infectieuses après la phase aiguë - Anémie avec un taux d’Hb entre 7 et 9 g/dl - HTA persistante après l’accouchement mais non préexistante à la grossesse en cours d’équilibration médicamenteuse

II.3.2. - Critères médico-territoriaux HAS pour le post-partum

Difficultés d’allaitement chez les femmes à risque en l’absence d’offre de soin alternative (SF libérale, PMI, associations…) : - mineures - primiparité - vulnérabilité - ATCD de difficultés d’allaitement et de chirurgie mammaire - grossesse multiple - pathologie néonatale II.3.3. - Autres critères médico-territoriaux HAS pour le post-partum

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Mères en situation de vulnérabilité (associée à une indication médicale) : - mères adolescentes, - femmes isolées sans soutien familial ni affectif, - patientes dépendantes d’une drogue ou de l’alcool en complément d’une PEC multidisciplinaire, - grossesse mal ou peu suivie, - difficultés socio-économiques et nécessité de soins médicaux (césarienne, épisiotomie, allaitement débutant), - doute sur une fragilité psychologique ou une difficulté de l’établissement du lien mère- enfant, - patientes anorexiques, - victimes de violence, - patientes anxieuses ou présentant des ATCD familiaux de troubles de l’humeur, - patientes subissant des événements graves (décès, séparation).

III – MODALITES D’ADMISSION EN HAD

III.1. - Prescripteur

L’HAD en ante et post-natal est prescrite par un gynécologue obstétricien.

III.2. - Contractualisation

La patiente doit accepter son admission en HAD via la signature d’un contrat (annexe 3).

III.3. - Admission

L’admission en HAD ne peut être effective qu’après réception par la structure d’HAD :

- du contrat d’hospitalisation signé (annexe 3) - de la fiche de demande d’admission (annexe 4 : pre-partum ou 4bis : post-partum) remplie par le prescripteur, après avoir obtenu l’accord : - du coordinateur médical responsable des lits d’obstétrique de l’HAD concernée (annexes 5) - du médecin traitant désigné1 par la patiente. Pour rappel, si l’HAD n’est pas validée par le médecin désigné, elle ne sera pas payée. Toutefois, l’absence de médecin traitant désigné ne doit pas être un frein à la mise en place de l’HAD puisque le gynéco-obstétricien prescripteur peut, avec son accord, être désigné comme « traitant »par la patiente.

1 En cas de transfert en HAD un week-end ou jour férié : pour contourner la difficulté à obtenir cette autorisation, il conviendra d’anticiper, en staff, la sortie de la patiente dès son entrée en hospitalisation conventionnelle. - Pour les grossesses d’emblée à haut risque, possibilité de recueillir le consentement par défaut du médecin traitant en début de grossesse. Il restera toutefois nécessaire de lui faire confirmer son acceptation au plus tard dans les 48 h suivant la sortie, pour chaque séjour : en cas d’opposition de sa part, l’HAD devra s’arrêter.

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Toutes les fiches de demande d’admission en HAD impliquant une autre structure que celles du prescripteur et de l’HAD sont envoyées, par le prescripteur, par mail sécurisé ou fax, au GO référent HAD de cette tierce structure.

- Dans le cas d’une prescription émanant d’un type II ou III, la fiche est adressée au GO référent HAD (tableau en annexe 6) de l’établissement de naissance du territoire où vit la patiente (établissement de premier recours en cas d’urgence). - Dans le cas d’une prescription émanant d’un type I ou II et, pour un terme de grossesse et/ou une EPF inférieurs aux seuils établis par le RPL (tableau en annexe 7) au moment de l’admission, la fiche est adressée au GO référent HAD (tableau en annexe 6) de l’établissement de naissance du territoire adapté (type II ou III).

Le transfert entre la maternité prescriptrice et le domicile peut se faire directement, sans passage par les urgences de la maternité de territoire, sauf demande spécifiée.

III.4. – Rôle du gynéco-obstétricien référent HAD

Chaque maternité désigne un gynécologue obstétricien référent HAD.

Ce professionnel a pour missions de :

- Faire le lien entre l’équipe d’obstétrique de sa maternité et la ou les HAD partenaire(s), notamment, en informant les membres du staff de toutes les nouvelles admissions en HAD - Réceptionner les fiches d’admission et les résumés cliniques hebdomadaires de : o toutes les patientes hospitalisées en HAD sur le territoire de sa maternité o et pour les établissements de type II ou III, des patientes hospitalisées sur un autre territoire mais dont l’âge gestationnel et/ou l’estimation du poids fœtal correspondent au niveau de soin de sa maternité - Transmettre une copie de la fiche d’admission et des résumés cliniques hebdomadaires de toutes les patientes en HAD à la salle de naissance (cahier/classeur dédié) - Assurer la continuité de ces missions en cas d’absence (binôme ou remplaçant désigné).

IV – SUIVI

La structure d’HAD transmet, une fois par semaine, un résumé clinique au GO référent HAD des établissements concernés (établissement de territoire et établissement de niveau de soin adapté le cas échéant).

Cette transmission d’informations peut se faire par mail sécurisé ou fax ou encore via la messagerie sécurisée Teams pour les territoires équipés.

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V – SORTIE D’HAD

L’arrêt de l’HAD ou le retour en hospitalisation conventionnelle peut être décidé par tout professionnel prenant en charge la patiente.

En cas de passage d’une HAD à une hospitalisation conventionnelle sur un autre établissement que celui de territoire, il est recommandé que la patiente soit vue par le senior de garde de la maternité de proximité qui validera et organisera, si besoin, le transfert sur l’établissement de niveau de soin adapté.

VI – BIBLIOGRAPHIE

1. HAS. Recommandations par consensus formalisé. Situations pathologiques pouvant relever de l’hospitalisation à domicile au cours de l’ante et du post-partum. Avril 2011.

2. Guide méthodologique de production des recueils d’informations standardisés de l’hospitalisation à domicile. Bulletin Officiel ATIH, fascicule spécial n° 2018/7bis.

VII – ANNEXES

Annexe 1 Carte : état des lieux de l’offre HAD en Lorraine (été 2018)

Annexe 2 Liste des communes lorraines couvertes par une structure d’HAD en obstétrique

Annexe 3 Contrat d’admission

Annexe 4 Fiche de demande d’admission en HAD ante-natale

Annexe 4 bis Fiche de demande d’admission en HAD post-natale

Annexe 5 Coordonnées de contact pour une demande d’HAD

Annexe 6 Référent GO HAD des maternités lorraines Tableau des gradations de prises en charge néonatales par type de Annexe 7 maternité, critères et par département.

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Annexe 1

CH Mont-St-Martin OFFRE HAD obstétrique en LORRAINE (juin 2019)

CHR (B)

CH Briey

CH (B) CH Verdun (A) Claude Bernard (B) CH CHR (B) Clinique St-Nabor

Pont-à-Mousson

Bar-le-Duc MATERNITES Commercy - Type 1 CH Toul Majorelle (B) CH - Type 2 - Type 3 CHRU Nancy CH Lunéville - CPP

Activité d’obstétrique déjà en place : • HAD Freyming-Merlebach • HAD Joeuf CH Neufchâteau • HAD Lunéville (HADALU) CH Saint-Dié • HAD hôpitaux privés de Metz (HADAM) • HAD Nancy (HADAN) • HAD Saint-Dié/Gérardmer (EV’HAD) La ligne bleue • HAD Sarreguemines • HAD CHR Thionville CH Epinal (B) Gérardmer • HAD Verdun

CH Remiremont (A) Pas d’activité d’obstétrique en place : • HAD Bar-le-Duc • HAD Epinal • HAD Mont-Saint-Martin • HAD Neufchâteau (HADOV) • HAD Sarrebourg

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Annexe 2 Liste des communes lorraines couvertes par une structure d’HAD en obstétrique

Pour HAD Nancy (HADAN) : communes du 54 dans un périmètre de 30 kms autour de Nancy

Abaucourt 55 HAD VERDUN 57 HAD METZ - HADAM Abbeville les conflans 54800 HAD JOEUF Arrancy sur Crusnes 55 HAD VERDUN HAD THIONVILLE Arrentes de Corcieux 88 HAD - GERARDMER/St-DIE Aboncourt 57 HAD METZ - HADAM 57 HAD METZ - HADAM Achen 57 HAD SARREGUEMINES Arry 57 HAD METZ - HADAM 57 HAD METZ - HADAM Ars- 57 HAD METZ - HADAM Affléville 54800 HAD JOEUF Ars- sur- 57 HAD METZ - HADAM Aidling 57 HAD METZ - HADAM Athienville 54 HAD LUNEVILLE Aincreville 55 HAD VERDUN Aube 57 HAD METZ - HADAM HAD SARREGUEMINES Auboué 54580 HAD JOEUF 57670 HAD FREYMING Aubreville 55 HAD VERDUN 57 HAD THIONVILLE Aucourt 55400 HAD JOEUF Allamont 54 HAD METZ - HADAM Audun le roman 54560 HAD JOEUF Allarmont 88 HAD - GERARDMER/St-DIE Audun-le-Tiche 57 HAD THIONVILLE 57 HAD SARREGUEMINES 57 HAD METZ - HADAM Alsting 57515 HAD FREYMING 57 HAD THIONVILLE 57660 HAD FREYMING Aumontzey 88 HAD - GERARDMER/St-DIE 57730 HAD FREYMING Autrecourt sur Aire 55 HAD VERDUN 57 HAD METZ - HADAM Autrepierre 54 HAD LUNEVILLE 57 HAD METZ - HADAM Auzeville en Argonne 55 HAD VERDUN Ambly sur Meuse 55 HAD VERDUN Avancy 57 HAD METZ - HADAM Amel sur l’étang 55 HAD VERDUN Avillers 54490 HAD JOEUF Amenoncourt 54 HAD LUNEVILLE Avillers Sainte Croix 55 HAD VERDUN Amneville 57 HAD METZ - HADAM Avocourt 55 HAD VERDUN Amnéville 57360 HAD JOEUF Avricourt 54 HAD LUNEVILLE Ancemont 55 HAD VERDUN Avril 54150 HAD JOEUF Ancerville 57 HAD METZ - HADAM Ay- sur- Moselle 57 HAD METZ - HADAM Azannes et Ancerviller 54 HAD LUNEVILLE 55 HAD VERDUN Soumazannes Ancy- sur- Moselle 57 HAD METZ - HADAM Azelot 54 HAD LUNEVILLE Anderny 54560 HAD JOEUF Azerailles 54 HAD LUNEVILLE 57 HAD THIONVILLE Baalon 55 HAD VERDUN Angomont 54 HAD LUNEVILLE Baccarat 54 HAD LUNEVILLE Anould 88 HAD - GERARDMER/St-DIE Badonviller 54 HAD LUNEVILLE Anoux 54150 HAD JOEUF Ban de Laveline 88 HAD - GERARDMER/St-DIE Anthelupt 54 HAD LUNEVILLE Ban de Sapt 88 HAD - GERARDMER/St-DIE Antilly 57 HAD METZ - HADAM Ban sur Meurthe Clefcy 88 HAD - GERARDMER/St-DIE 57 HAD METZ - HADAM Bannay 57 HAD METZ - HADAM 57 HAD THIONVILLE Bannoncourt 55 HAD VERDUN 57 HAD METZ - HADAM Bantheville 55 HAD VERDUN Arnaville 54 HAD METZ - HADAM Barbas 54 HAD LUNEVILLE Arracourt 54 HAD LUNEVILLE Barbey Seroux 88 HAD - GERARDMER/St-DIE

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Barboville 54 HAD LUNEVILLE Bezange-la-Grande 54 HAD LUNEVILLE HAD SARREGUEMINES Bezonvaux 55 HAD VERDUN 57450 HAD FREYMING 57 HAD METZ - HADAM Basseham 57 HAD THIONVILLE 57660 HAD FREYMING Basse-Rentgen 57 HAD THIONVILLE Bienville-la-Petite 54 HAD LUNEVILLE Bathelémont-les- Billy sous les côtes 55 HAD VERDUN 54 HAD LUNEVILLE Bauzemont Billy sous Mangiennes 55 HAD VERDUN Batilly 54980 HAD JOEUF 57 HAD SARREGUEMINES Baudrecourt 57 HAD METZ - HADAM Bionville sur Nied 57 HAD METZ - HADAM Baulny 55 HAD VERDUN Bisten en Lorraine 57 HAD METZ - HADAM Bauzemont 54 HAD LUNEVILLE Blainville-sur-l'eau 54 HAD LUNEVILLE Bayon 54 HAD LUNEVILLE Blâmont 54 HAD LUNEVILLE Bayonville sur Mad 54 HAD METZ - HADAM Blanzee 55 HAD VERDUN 57 HAD METZ - HADAM Blemerey 54 HAD LUNEVILLE Beauclair 55 HAD VERDUN Blercourt 55 HAD VERDUN Béchamps 54800 HAD JOEUF 57 HAD SARREGUEMINES Bechy 57 HAD METZ - HADAM Blies-Ebersing 57 HAD SARREGUEMINES Beckerholz 57 HAD METZ - HADAM Blies-Guersviller 57 HAD SARREGUEMINES Behren les Forbach 57 HAD SARREGUEMINES Boinville en Woevre 55 HAD VERDUN Behren-lès-Forbach 57460 HAD FREYMING Boiville en woevre 55400 HAD JOEUF Belleray 55 HAD VERDUN Boncourt 54800 HAD JOEUF Belleville sur Meuse 55 HAD VERDUN Bonviller 54 HAD LUNEVILLE Belrupt en verdunois 55 HAD VERDUN Bonzee 55 HAD VERDUN Belval 88 HAD - GERARDMER/St-DIE Borville 54 HAD LUNEVILLE Bénaménil 54 HAD LUNEVILLE HAD METZ - HADAM Beney en Woevre 55 HAD METZ - HADAM 57 HAD SARREGUEMINES Béning les saint Avold 57 HAD SARREGUEMINES Boucheporn 57220 HAD FREYMING Béning-lès-St-Avold 57800 HAD FREYMING 57 HAD THIONVILLE Benoite Vaux 55 HAD VERDUN HAD METZ - HADAM Berg-sur-Moselle 57 HAD THIONVILLE Boulay 57 HAD SARREGUEMINES Bertichamps 54 HAD LUNEVILLE HAD JOEUF Bertrameix 54490 HAD JOEUF Bouligny 55240 HAD VERDUN Bertrange 57 HAD THIONVILLE Bouquemont 55 HAD VERDUN Bertranmbois 54 HAD LUNEVILLE Boureuilles 55 HAD VERDUN Bertrimoutier 88 HAD - GERARDMER/St-DIE 57 HAD SARREGUEMINES Berviller en Moselle 57 HAD METZ - HADAM Bousbach 57460 HAD FREYMING Bethelainville 55 HAD VERDUN Boussange 57175 HAD JOEUF Bethincourt 55 HAD VERDUN Bousse 57 HAD THIONVILLE Bettainvillers 54800 HAD JOEUF 57 HAD THIONVILLE 57 HAD METZ - HADAM Bouxieres sous 54 HAD METZ - HADAM 57 HAD THIONVILLE Froimont Betting 57 HAD SARREGUEMINES 57 HAD METZ - HADAM Betting 57800 HAD FREYMING Brabant en Argonne 55 HAD VERDUN 57 HAD SARREGUEMINES Brabant sur Meuse 55 HAD VERDUN Beuviller 54560 HAD JOEUF Brainville 54 HAD METZ - HADAM 57 HAD METZ - HADAM Brandeville 55 HAD VERDUN Beyren-les-Sierck 57 HAD THIONVILLE Braquis 55 HAD VERDUN

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Bras sur Meuse 55 HAD VERDUN Charpentry 55 HAD VERDUN Breheville 55 HAD VERDUN Château rouge 57 HAD METZ - HADAM Breidenbach 57 HAD SARREGUEMINES Chatel-Saint-Germain 57 HAD METZ - HADAM

Breistroff-la-Grande 57 HAD THIONVILLE Chatillon sous les Côtes 55 HAD VERDUN Bréménil 54 HAD LUNEVILLE Chattancourt 55 HAD VERDUN Brémoncourt 54 HAD LUNEVILLE Chaumont devant 55 HAD VERDUN 57 HAD METZ - HADAM Damvillers Brieulles sur Meuse 55 HAD VERDUN Chauvoncourt 55 HAD VERDUN Briey 54150 HAD JOEUF Chazelle-sur-Albe 54 HAD LUNEVILLE Brocourt en Argonne 55 HAD VERDUN Chemery les deux 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD METZ - HADAM Chenevières 54 HAD LUNEVILLE Brouville 54 HAD LUNEVILLE 57 HAD METZ - HADAM 57 HAD METZ - HADAM Cheppy 55 HAD VERDUN Bruville 54 HAD METZ - HADAM Cherisey 57 HAD METZ - HADAM Buchy 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD THIONVILLE Chevillon 57 HAD METZ - HADAM 57 HAD THIONVILLE 57 HAD METZ - HADAM Bures 54 HAD LUNEVILLE Cierges sous 55 HAD VERDUN Buriville 54 HAD LUNEVILLE Montfaucon Burthécourt-aux- Cirey-sur-Vezouze 54 HAD LUNEVILLE 54 HAD LUNEVILLE Chênes Clayeures 54 HAD LUNEVILLE 57 HAD METZ - HADAM Clermont en Argonne 55 HAD VERDUN Butten 57 HAD SARREGUEMINES Clery grand 55 HAD VERDUN Buxerulles 55 HAD VERDUN Clery petit 55 HAD VERDUN Buxières sous les Côtes 55 HAD VERDUN 57120 HAD JOEUF 57 HAD SARREGUEMINES Buzy Darmont 55400 HAD JOEUF Cocheren 57800 HAD FREYMING Cappel 57 HAD SARREGUEMINES Coinches 88 HAD - GERARDMER/St-DIE Cappel 57450 HAD FREYMING Coincourt 54 HAD LUNEVILLE HAD SARREGUEMINES Carling 57490 Coincy 57 HAD METZ - HADAM HAD FREYMING Coin-les- 57 HAD METZ - HADAM 57 HAD THIONVILLE Coin-sur-seille 57 HAD METZ - HADAM Celles/Plaine 88 HAD - GERARDMER/St-DIE Colligny 57 HAD METZ - HADAM Chaillon 55 HAD VERDUN 57 HAD METZ - HADAM Chailly-les-Ennery 57 HAD METZ - HADAM Colroy la Grande 88 HAD - GERARDMER/St-DIE Chambley Bussieres 54 HAD METZ - HADAM Champdray 88 HAD - GERARDMER/St-DIE Combres sous les Côtes 55 HAD VERDUN Champey sur Moselle 54 HAD METZ - HADAM Combrimont 88 HAD - GERARDMER/St-DIE Champneuville 55 HAD VERDUN Conde Northen 57 HAD METZ - HADAM Chanteheux 54 HAD LUNEVILLE Conflans en Jarnisy 54800 HAD JOEUF 57 HAD METZ - HADAM Consenvoye 55 HAD VERDUN Charey 54 HAD METZ - HADAM Constantine 55 HAD VERDUN Charleville-sous-bois 57 HAD METZ - HADAM Contz-les-Bains 57 HAD THIONVILLE Charly-Oradour 57 HAD METZ - HADAM Corcieux 88 HAD - GERARDMER/St-DIE Charmois 54 HAD LUNEVILLE Corny-sur-Moselle 57 HAD METZ - HADAM Charny sur Meuse 55 HAD VERDUN 57 HAD METZ - HADAM

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Courbesseaux 54 HAD LUNEVILLE HAD JOEUF Dommary Baroncourt 55240 Courcelles-Chaussy 57 HAD METZ - HADAM HAD VERDUN Courcelles-sur-Nied 57 HAD METZ - HADAM Dompcevrin 55 HAD VERDUN Coyviller 54 HAD LUNEVILLE Dompierre aux bois 55 HAD VERDUN Créhange 57 HAD SARREGUEMINES Domprix 54490 HAD JOEUF Crepion 55 HAD VERDUN Domptail en l'Air 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Domremy la canne 55 HAD VERDUN

Creutzwald 57150 HAD FREYMING Doncourt aux Templiers 55 HAD METZ - HADAM Crevechamps 54 HAD LUNEVILLE Doncourt les Conflans 54800 HAD JOEUF Crévic 54 HAD LUNEVILLE Dornot 57 HAD METZ - HADAM Crion 54 HAD LUNEVILLE Doulcon 55 HAD VERDUN Croismare 54 HAD LUNEVILLE Drouvlle 54 HAD LUNEVILLE Cuisy 55 HAD VERDUN Dugny sur Meuse 55 HAD VERDUN Cunel 55 HAD VERDUN Dun sur Meuse 55 HAD VERDUN Cuvry 57 HAD METZ - HADAM Duzey 55 HAD VERDUN Dalem 57 HAD METZ - HADAM Ebersviller 57 HAD METZ - HADAM 57 HAD METZ - HADAM Eblange 57 HAD METZ - HADAM Damelevières 54 HAD LUNEVILLE Ecurey en verdunois 55 HAD VERDUN Damloup 55 HAD VERDUN Einvaux 54 HAD LUNEVILLE Damvillers 55 HAD VERDUN Einville au Jard 54 HAD LUNEVILLE Dannevoux 55 HAD VERDUN Eix 55 HAD VERDUN Dehlingen 57 HAD SARREGUEMINES 57 HAD THIONVILLE Delut 55 HAD VERDUN Emberménil 54 HAD LUNEVILLE Deneuvre 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Denipaire 88 HAD - GERARDMER/St-DIE Ennery 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD THIONVILLE Deunouds aux bois 55 HAD VERDUN Entre deux eaux 88 HAD - GERARDMER/St-DIE Deuxville 54 HAD LUNEVILLE Epinonville 55 HAD VERDUN Diding 57 HAD METZ - HADAM Epping 57 HAD SARREGUEMINES 57 HAD SARREGUEMINES 57 HAD SARREGUEMINES Diebling 57980 HAD FREYMING HAD SARREGUEMINES Diemeringen 57 HAD SARREGUEMINES 57510 HAD FREYMING Dieppe ss Douaumont 55 HAD VERDUN 57 HAD THIONVILLE 57980 HAD FREYMING Esnes en Argonne 55 HAD VERDUN Dieue sur Meuse 55 HAD VERDUN Essey la Côte 54 HAD LUNEVILLE Diffembach-lès- HAD SARREGUEMINES 57660 HAD JOEUF HAD FREYMING Etain 55400 HAD VERDUN 57 HAD THIONVILLE Etival Clairefontaine 88 HAD - GERARDMER/St-DIE Dombasle en Argonne 55 HAD VERDUN HAD JOEUF Eton 55240 Dombasle-sur-Meurthe 54 HAD LUNEVILLE HAD VERDUN Etraye 55 HAD VERDUN Dombras 55 HAD VERDUN 57 HAD SARREGUEMINES Domevre-sur-Vezouze 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Domfessel 57 HAD SARREGUEMINES Domjevin 54 HAD LUNEVILLE Etzling 57460 HAD FREYMING Dommartin la Evrange 57 HAD THIONVILLE 55 HAD VERDUN montagne 57 HAD METZ - HADAM

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Fameck 57 HAD THIONVILLE Friauville 54 HAD METZ - HADAM Farébersviller 57 HAD SARREGUEMINES Froidos 55 HAD VERDUN

Farébersviller 57450 HAD FREYMING Fromereville les vallons 55 HAD VERDUN 57450 HAD FREYMING Fromezey 55 HAD VERDUN Farschwiller 57 HAD SARREGUEMINES Froville 54 HAD LUNEVILLE 57 HAD SARREGUEMINES 57175 HAD JOEUF Fenneviller 54 HAD LUNEVILLE Gaubiving 57600 HAD FREYMING Ferrières 54 HAD LUNEVILLE 57 HAD THIONVILLE Feves 57 HAD METZ - HADAM Gelacourt 54 HAD LUNEVILLE Fey 57 HAD METZ - HADAM Gemaingoutte 88 HAD - GERARDMER/St-DIE 57 HAD METZ - HADAM Genicourt sur Meuse 55 HAD VERDUN 57 HAD THIONVILLE Gerardmer 88 HAD - GERARDMER/St-DIE Flabas 55 HAD VERDUN Gerbepal 88 HAD - GERARDMER/St-DIE Flainval 54 HAD LUNEVILLE Gerbéviller 54 HAD LUNEVILLE Flassigny 55 HAD VERDUN 57 HAD THIONVILLE Gercourt et Drillancourt 55 HAD VERDUN Fleury 57 HAD METZ - HADAM Gesnes en Argonne 55 HAD VERDUN Fleury sur Aire 55 HAD VERDUN Gibercy 55 HAD VERDUN Fléville Lixières 54150 HAD JOEUF Gincrey 55 HAD VERDUN Flevy 57 HAD METZ - HADAM Giraumont 54780 HAD JOEUF Flin 54 HAD LUNEVILLE Giriviller 54 HAD LUNEVILLE 57 HAD METZ - HADAM Glatigny 57 HAD METZ - HADAM 57 HAD THIONVILLE Glonville 54 HAD LUNEVILLE Foamex Ornel 55 HAD VERDUN Gogney 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Goin 57 HAD METZ - HADAM Folkling 57600 HAD FREYMING 57 HAD METZ - HADAM 57730 HAD FREYMING Gondrecourt aix 54800 HAD JOEUF Fontenoy la joute 54 HAD LUNEVILLE Gondreville 57 HAD METZ - HADAM 57 HAD THIONVILLE Gondrexon 54 HAD LUNEVILLE Forbach 57 HAD SARREGUEMINES 57 HAD METZ - HADAM Forbach 57600 HAD FREYMING HAD JOEUF Gouraincourt 55230 Forges sur Meuse 55 HAD VERDUN HAD VERDUN 57 HAD METZ - HADAM Grandrupt 88 HAD - GERARDMER/St-DIE 57 HAD METZ - HADAM Grange le comte 55 HAD VERDUN Fraimbois 54 HAD LUNEVILLE Granges sur Vologne 88 HAD - GERARDMER/St-DIE Fraize 88 HAD - GERARDMER/St-DIE 57 HAD METZ - HADAM Franconville 54 HAD LUNEVILLE Gremilly 55 HAD VERDUN Frapelle 88 HAD - GERARDMER/St-DIE Grimaucourt en 55 HAD VERDUN Frauenberg 57 HAD SARREGUEMINES Woevre 57 HAD METZ - HADAM Grindorff-Bizing 57 HAD THIONVILLE Fréménil 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Fremery 57 HAD METZ - HADAM Grosbliederstroff 57520 HAD FREYMING Frémonville 54 HAD LUNEVILLE Gros-Rederching 57 HAD SARREGUEMINES HAD METZ - HADAM HAD SARREGUEMINES Fresnes en Woevre 55 57660 HAD VERDUN HAD FREYMING Freyming-Merlebach 57 HAD SARREGUEMINES 57 HAD SARREGUEMINES Freyming-Merlebach 57800 HAD FREYMING Grundviller 57510 HAD FREYMING

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Guebenhouse 57 HAD SARREGUEMINES 57 HAD THIONVILLE Guébenhouse 57510 HAD FREYMING Hayes 57 HAD METZ - HADAM Guenange 57 HAD THIONVILLE 57 HAD SARREGUEMINES 57 HAD SARREGUEMINES Heckling 57 HAD METZ - HADAM Guenviller 57470 HAD FREYMING Heinning les 57 HAD METZ - HADAM Guerstling 57 HAD METZ - HADAM Bouzonville 57 HAD METZ - HADAM Heippes 55 HAD VERDUN 57 HAD METZ - HADAM 57 HAD METZ - HADAM Guirlange 57 HAD METZ - HADAM Hemilly 57 HAD METZ - HADAM Gussainville 55 HAD VERDUN Hénaménil 54 HAD LUNEVILLE Hablainville 54 HAD LUNEVILLE Hennemont 55 HAD VERDUN Hagen 57 HAD THIONVILLE 57 HAD SARREGUEMINES HAD JOEUF Henriville 57450 HAD FREYMING 57300 HAD METZ - HADAM Herbeuville 55 HAD VERDUN Haigneville 54 HAD LUNEVILLE Herbéviller 54 HAD LUNEVILLE 57 HAD METZ - HADAM Herbitzheim 57 HAD SARREGUEMINES Halles sous les Côtes 55 HAD VERDUN Hériménil 54 HAD LUNEVILLE Halling les Boulay 57 HAD METZ - HADAM Hermeville en Woevre 55 HAD VERDUN Halloville 54 HAD LUNEVILLE 57 HAD METZ - HADAM Halloy 54800 HAD JOEUF 57 HAD METZ - HADAM 57 HAD THIONVILLE Hettange-Grande 57 HAD THIONVILLE Heudicourt sous les Hambach 57 HAD SARREGUEMINES 55 HAD VERDUN Côtes Ham-sous- 57880 HAD FREYMING 57 HAD SARREGUEMINES Han devant pierrepont 55 HAD VERDUN Hilsprich 57510 HAD FREYMING Han les juvigny 55 HAD VERDUN 57 HAD METZ - HADAM Han sur nied 57 HAD METZ - HADAM Hinsingen 57 HAD SARREGUEMINES Hannonville sous les 55 HAD VERDUN Hoeville 54 HAD LUNEVILLE Côtes Hannonville Suzemont 54 HAD METZ - HADAM 57 HAD METZ - HADAM Haraucourt 54 HAD LUNEVILLE Holling 57 HAD METZ - HADAM Harbouey 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Hargaten aux mines 57 HAD METZ - HADAM Holving 57510 HAD FREYMING Harville 55 HAD METZ - HADAM Hombourg Haut 57 HAD SARREGUEMINES Hatrize 54800 HAD JOEUF Hombourg-Budange 57 HAD THIONVILLE Hattonchatel 55 HAD VERDUN Hombourg-Haut 57470 HAD FREYMING Hattonville 55 HAD VERDUN Homécourt 54310 HAD JOEUF 57 HAD METZ - HADAM L'Hôpital 57490 HAD FREYMING Haudainville 55 HAD VERDUN Hoste 57 HAD SARREGUEMINES Haudiomont 55 HAD VERDUN Hoste 57510 HAD FREYMING Haudonville 54 HAD LUNEVILLE Hoste-Haut 57 HAD SARREGUEMINES Haumont les 57 HAD SARREGUEMINES 55 HAD METZ - HADAM Lachaussee Houdelaincourt 55 HAD VERDUN Haumont 55 HAD VERDUN Hudiviller 54 HAD LUNEVILLE Haussonville 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Hautecourt les Broville 55 HAD VERDUN Hundling 57990 HAD FREYMING Haute-Kontz 57 HAD THIONVILLE Hunting 57 HAD THIONVILLE 57 HAD THIONVILLE Hurbache 88 HAD - GERARDMER/St-DIE

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Igney 54 HAD LUNEVILLE La Grande Fosse 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE La Houssiere 88 HAD - GERARDMER/St-DIE Immonville 54150 HAD JOEUF La lobe 57 HAD METZ - HADAM 57 HAD THIONVILLE 57 HAD METZ - HADAM Ippecourt 55 HAD VERDUN La Petite Fosse 88 HAD - GERARDMER/St-DIE 57 HAD SARREGUEMINES La petite Raon 88 HAD - GERARDMER/St-DIE Ippling 57990 HAD FREYMING La Salle 88 HAD - GERARDMER/St-DIE Ire le sec 55 HAD VERDUN La Voivre 88 HAD - GERARDMER/St-DIE Ivoiry 55 HAD VERDUN Labeuville 55 HAD METZ - HADAM Jametz 55 HAD VERDUN Labry 54800 HAD JOEUF Jarny 54800 HAD JOEUF Lachalade 55 HAD VERDUN Jaulny 54 HAD METZ - HADAM 57730 HAD FREYMING HAD JOEUF Lachapelle 54 HAD LUNEVILLE Jeandelize 54800 HAD METZ - HADAM Lachaussee 55 HAD METZ - HADAM Joeuf 54240 HAD JOEUF Lacroix sur Meuse 55 HAD VERDUN Jolivet 54 HAD LUNEVILLE Lamath 54 HAD LUNEVILLE Jonville en woevre 55 HAD METZ - HADAM Lambach 57 HAD SARREGUEMINES Joppecourt 54640 HAD JOEUF Lamorville 55 HAD VERDUN Jouaville 54800 HAD JOEUF Landécourt 54 HAD LUNEVILLE Joudreville 54490 HAD JOEUF Landonvillers 57 HAD METZ - HADAM Jouy aux arches 57 HAD METZ - HADAM Landrecourt lempire 55 HAD VERDUN Jouy en Argonne 55 HAD VERDUN Landres 54970 HAD JOEUF Jubecourt 55 HAD VERDUN Laneuveville aux Bois 54 HAD LUNEVILLE Julvecourt 55 HAD VERDUN Laneuville sur Meuse 55 HAD VERDUN Jury 57 HAD METZ - HADAM 57660 HAD FREYMING Jussy 57 HAD METZ - HADAM Lantéfontaine 54150 HAD JOEUF Juvigny sur Loison 55 HAD VERDUN Laquenexy 57 HAD METZ - HADAM Juvrécourt 54 HAD LUNEVILLE Laronxe 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Latour en Woevre 55 HAD METZ - HADAM 57 HAD THIONVILLE 57385 HAD FREYMING 57 HAD SARREGUEMINES 57 HAD THIONVILLE Kedange-sur-Canner 57 HAD THIONVILLE 57 HAD THIONVILLE 57 HAD THIONVILLE Lavigneville 55 HAD VERDUN 57 HAD SARREGUEMINES Lavoye 55 HAD VERDUN Kerbach 57460 HAD FREYMING Le Ban Saint-Martin 57 HAD METZ - HADAM Kerling-les-sierck 57 HAD THIONVILLE Le Beulay 88 HAD - GERARDMER/St-DIE Keskastel 57 HAD SARREGUEMINES Le claon 55 HAD VERDUN Kirsch-les-sierck 57 HAD THIONVILLE Le Mont 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE Le neufour 55 HAD VERDUN 57 HAD SARREGUEMINES Le Puid 88 HAD - GERARDMER/St-DIE Klang 57 HAD THIONVILLE Le saulcy 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE Le Tholy 88 HAD - GERARDMER/St-DIE Koenigsmacker 57 HAD THIONVILLE Le Valtin 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE Le vermont 88 HAD - GERARDMER/St-DIE L’Hôpital 57 HAD SARREGUEMINES Leintrey 54 HAD LUNEVILLE La bourgonce 88 HAD - GERARDMER/St-DIE 57660 HAD FREYMING La Croix aux Mines 88 HAD - GERARDMER/St-DIE Lemmes 55 HAD VERDUN

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Lempire aux bois 55 HAD VERDUN 57 HAD THIONVILLE 57 HAD METZ - HADAM Luttange 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Luvigny 88 HAD - GERARDMER/St-DIE Les Baroches 54150 HAD JOEUF 57730 HAD FREYMING Les Eparges 55 HAD VERDUN Macker 57 HAD METZ - HADAM Les Etangs 57 HAD METZ - HADAM Magnières 54 HAD LUNEVILLE Les Eurantes 55 HAD VERDUN HAD METZ - HADAM 57 Les Monthairons 55 HAD VERDUN HAD SARREGUEMINES Les Paroches 55 HAD VERDUN Mairy Mainville 54150 HAD JOEUF Les Souhesmes 55 HAD VERDUN Maixe 54 HAD LUNEVILLE Lesmenil 54 HAD METZ - HADAM Maizeray 55 HAD METZ - HADAM Lesse 57 HAD METZ - HADAM 57 HAD METZ - HADAM Lesseux 88 HAD - GERARDMER/St-DIE Maizery 57 HAD METZ - HADAM 57 HAD METZ - HADAM Maizey 55 HAD VERDUN 57660 HAD FREYMING Maizieres les Metz 57 HAD METZ - HADAM Liehon 57 HAD METZ - HADAM Malancourt 55 HAD VERDUN Malancourt la Liezey 88 HAD - GERARDMER/St-DIE 57860 HAD JOEUF Montagne Liny devant Dun 55 HAD VERDUN Malavillers 54560 HAD JOEUF Lion devant Dun 55 HAD VERDUN Malling 57 HAD THIONVILLE Liseral 55 HAD VERDUN 57 HAD METZ - HADAM Lissey 55 HAD VERDUN Mance 54150 HAD JOEUF Lixing-les- 57 HAD SARREGUEMINES Mancieulles 54790 HAD JOEUF Lixing-lès-Rouhling 57520 HAD FREYMING Manderen 57 HAD THIONVILLE Lixing-lès-St-Avold 57660 HAD FREYMING Mandray 88 HAD - GERARDMER/St-DIE Locheres 55 HAD VERDUN Mangiennes 55 HAD VERDUN Loison 55 HAD VERDUN Manheulles 55 HAD VERDUN HAD JOEUF 57650 57 HAD THIONVILLE HAD THIONVILLE Manoncourt en 54 HAD LUNEVILLE Longeville-lès-st-Avold 57740 HAD FREYMING Vermois Longevilles les Metz 57 HAD METZ - HADAM Manonviller 54 HAD LUNEVILLE Lorentzen 57 HAD SARREGUEMINES Many 57 HAD METZ - HADAM Lorey 54 HAD LUNEVILLE Marainviller 54 HAD LUNEVILLE Loromontzey 54 HAD LUNEVILLE HAD JOEUF Marange Silvange 57735 Lorry les Metz 57 HAD METZ - HADAM HAD METZ - HADAM Lorry Mardigny 57 HAD METZ - HADAM Marange Zondrange 57 HAD METZ - HADAM 57 HAD SARREGUEMINES HAD METZ - HADAM Loupershouse 57510 HAD FREYMING Marcheville en Woevre 55 Louppy sur Loison 55 HAD VERDUN HAD VERDUN

Loutremange 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Marly 57 HAD METZ - HADAM Louvigny 57 HAD METZ - HADAM Marre 55 HAD VERDUN Lubey 54150 HAD JOEUF Mars la tour 54 HAD METZ - HADAM Lubine 88 HAD - GERARDMER/St-DIE Marsilly 57 HAD METZ - HADAM Lucy 57 HAD METZ - HADAM Marville 55 HAD VERDUN Lunéville 54 HAD LUNEVILLE Mattexey 54 HAD LUNEVILLE 57 HAD METZ - HADAM Maucourt sur Orne 55 HAD VERDUN Lusse 88 HAD - GERARDMER/St-DIE

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Maxstadt 57660 HAD FREYMING Montzeville 55 HAD VERDUN Mecleuves 57 HAD METZ - HADAM Moranville 55 HAD VERDUN Megange 57 HAD METZ - HADAM Morgemoulin 55 HAD VERDUN Méhoncourt 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Menil de Senones 88 HAD - GERARDMER/St-DIE Moriviller 54 HAD LUNEVILLE Menonville 55 HAD VERDUN Morsbach 57 HAD SARREGUEMINES 57 HAD METZ - HADAM Morsbach 57600 HAD FREYMING Mercy le Bas 54960 HAD JOEUF Morville sur Nied 57 HAD METZ - HADAM Mercy le Haut 54960 HAD JOEUF Morville sur Seille 57 HAD METZ - HADAM Merles sur Loison 55 HAD VERDUN Mouacourt 54 HAD LUNEVILLE 57 HAD THIONVILLE Mouaville 54800 HAD JOEUF HAD METZ - HADAM Mouilly 55 HAD VERDUN 57 HAD SARREGUEMINES Moulainville 55 HAD VERDUN Merviller 54 HAD LUNEVILLE Moulins les Metz 57 HAD METZ - HADAM Metz 57 HAD METZ - HADAM Moulotte 55 HAD METZ - HADAM 57 HAD THIONVILLE Moussey 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE Moutiers 54660 HAD JOEUF 57 HAD SARREGUEMINES Mouzay 55 HAD VERDUN Metzing 57980 HAD FREYMING Moyen 54 HAD LUNEVILLE Mey 57 HAD METZ - HADAM Moyenmoutier 88 HAD - GERARDMER/St-DIE Mignéville 54 HAD LUNEVILLE Moyeuvre Grande 57250 HAD JOEUF Milly sur Bradon 55 HAD VERDUN Moyeuvre Petite 57250 HAD JOEUF Mogeville 55 HAD VERDUN Murvaux 55 HAD VERDUN Mohrange 57340 HAD FREYMING Murville 54490 HAD JOEUF Moirey 55 HAD VERDUN Mussy l'Eveque 57 HAD METZ - HADAM 57 HAD METZ - HADAM Muzeray 55 HAD VERDUN Moncel les Lunéville 54 HAD LUNEVILLE Nantillois 55 HAD VERDUN 57 HAD METZ - HADAM Narbefontaine 57 HAD METZ - HADAM HAD JOEUF Naumoncel 55 HAD VERDUN 57300 HAD METZ - HADAM Nayemont les fosses 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE 57 HAD SARREGUEMINES 57 HAD THIONVILLE HAD JOEUF 57700 Mont devant Sassey 55 HAD VERDUN HAD THIONVILLE Mont sur Meurthe 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Montblainville 55 HAD VERDUN Neufmaisons 54 HAD LUNEVILLE Mont-Bonvillers 54111 HAD JOEUF Neunkirchen/ 57 HAD METZ - HADAM 57 HAD THIONVILLE Bouzonville Montfaucon d’Argonne 55 HAD VERDUN Neuviller les Badonviller 54 HAD LUNEVILLE Montigny 54 HAD LUNEVILLE Neuvillers sur Fave 88 HAD - GERARDMER/St-DIE Montigny devant 55 HAD VERDUN Neuvilly en Argonne 55 HAD VERDUN Sassey Montigny les Metz 57 HAD METZ - HADAM 57 HAD METZ - HADAM Montois FLanville 57 HAD METZ - HADAM 57 HAD THIONVILLE Montois la montagne 57 HAD METZ - HADAM Nixeville blercourt 55 HAD VERDUN Montois- la- Montagne 57860 HAD JOEUF 57 HAD METZ - HADAM Montreux 54 HAD LUNEVILLE Nompatelize 88 HAD - GERARDMER/St-DIE Montvillers 55 HAD VERDUN Nonhigny 54 HAD LUNEVILLE

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Nonsard 55 HAD VERDUN Petite Rosselle 57 HAD SARREGUEMINES Norroy- le -Sec 54150 HAD JOEUF Petite-Rosselle 57540 HAD FREYMING Norroy le Veneur 57 HAD METZ - HADAM Petitmont 54 HAD LUNEVILLE Norroy les Pont à 54 HAD METZ - HADAM Petit-Rederching 57 HAD SARREGUEMINES Mousson Pettonville 54 HAD LUNEVILLE Noue Saint Vanne 55 HAD VERDUN Peuvillers 55 HAD VERDUN Nouillonpont 55 HAD VERDUN Pexonne 54 HAD LUNEVILLE 57 HAD METZ - HADAM 57 HAD METZ - HADAM Nousseviller Saint 57 HAD SARREGUEMINES Nabor Piennes 54490 HAD JOEUF HAD JOEUF Nousseviller-les-Bitche 57 HAD SARREGUEMINES 57120 HAD METZ - HADAM HAD SARREGUEMINES Pillon 55 HAD VERDUN Nousseviller-St-Nabor 57990 HAD FREYMING HAD METZ - HADAM Pintheville 55 Noveant sur Moselle 57 HAD METZ - HADAM HAD VERDUN 57 HAD METZ - HADAM Plainfaing 88 HAD - GERARDMER/St-DIE 57 HAD SARREGUEMINES 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD METZ - HADAM Odenhoven (Oberdorff) 57 HAD METZ - HADAM Pommerieux 57 HAD METZ - HADAM Oermingen 57 HAD SARREGUEMINES Pont à Mousson 54 HAD METZ - HADAM Oeting 57 HAD SARREGUEMINES 57 HAD METZ - HADAM Oeting 57600 HAD FREYMING Pontpierre 57380 HAD FREYMING Ogéviller 54 HAD LUNEVILLE 57890 HAD FREYMING Ogy 57 HAD METZ - HADAM Pouilly 57 HAD METZ - HADAM HAD JOEUF Pournoy la Chetive 57 HAD METZ - HADAM Olley 54800 HAD METZ - HADAM Pournoy la Grasse 57 HAD METZ - HADAM HAD JOEUF Preny 54 HAD METZ - HADAM Ollieres 55230 HAD VERDUN Preutin-Higny 54490 HAD JOEUF Onville 54 HAD METZ - HADAM Provenchere sur Fave 88 HAD - GERARDMER/St-DIE 57 HAD SARREGUEMINES Puttelange-aux-Lacs 57 HAD SARREGUEMINES Ornel 55 HAD VERDUN Puttelange-Aux-Lacs 57510 HAD FREYMING Puttelange-les- Ornes 55 HAD VERDUN 57 HAD THIONVILLE thionville Orny 57 HAD METZ - HADAM HAD JOEUF Osches 55 HAD VERDUN Puxe 54800 HAD METZ - HADAM 57 HAD THIONVILLE Puxieux 54 HAD METZ - HADAM 57 HAD METZ - HADAM Quincy Landzecourt 55 HAD VERDUN 57 HAD THIONVILLE 57 HAD SARREGUEMINES Ozerailles 54150 HAD JOEUF Ramblusin 55 HAD VERDUN Pagny les Goin 57 HAD METZ - HADAM Rampont 55 HAD VERDUN Pagny sur Moselle 54 HAD METZ - HADAM Rangevaux 57 HAD THIONVILLE Pair et Grandrupt 88 HAD - GERARDMER/St-DIE Ranzieres 55 HAD VERDUN 57 HAD METZ - HADAM Raon les Leau 54 HAD LUNEVILLE Pareid 55 HAD METZ - HADAM Raon l'Etape 88 HAD - GERARDMER/St-DIE Parois 55 HAD VERDUN Raon sur Plaine 88 HAD - GERARDMER/St-DIE Parroy 54 HAD LUNEVILLE Rarecourt 55 HAD VERDUN Parux 54 HAD LUNEVILLE Raves 88 HAD - GERARDMER/St-DIE 57 HAD METZ - HADAM 57 HAD METZ - HADAM

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Raville sur Sanon 54 HAD LUNEVILLE Romagne sous 55 HAD VERDUN Montfaucon HAD JOEUF Rechicourt 55230 Romain 54 HAD LUNEVILLE HAD VERDUN HAD JOEUF Réchicourt la Petite 54 HAD LUNEVILLE 57120 HAD METZ - HADAM Recicourt 55 HAD VERDUN HAD JOEUF Reclonville 54 HAD LUNEVILLE 57860 HAD METZ - HADAM Recourt le Creux 55 HAD VERDUN Ronvaux 55 HAD VERDUN Redange 57 HAD THIONVILLE 57 HAD SARREGUEMINES Regneville sur Meuse 55 HAD VERDUN Rosbruck 57800 HAD FREYMING Rehainviller 54 HAD LUNEVILLE Rosières aus Salines 54 HAD LUNEVILLE Rehaupal 88 HAD - GERARDMER/St-DIE 57780 HAD JOEUF Reherrey 54 HAD LUNEVILLE Rouhling 57 HAD SARREGUEMINES Reillon 54 HAD LUNEVILLE Rouhling 57520 HAD FREYMING Rembercourt sur Mad 54 HAD METZ - HADAM 57 HAD METZ - HADAM Remelfang 57 HAD METZ - HADAM Roussy-le-village 57 HAD THIONVILLE Rémelfing 57 HAD SARREGUEMINES Rouvres en Woevre 55400 HAD JOEUF Remeling 57 HAD THIONVILLE Rouvrois sur Meuse 55 HAD VERDUN Remenoville 54 HAD LUNEVILLE Rouvrois sur othain 55 HAD VERDUN Réméréville 54 HAD LUNEVILLE Rozelieures 54 HAD LUNEVILLE Remering les Hargarten 57 HAD METZ - HADAM Rozerieulles 57 HAD METZ - HADAM Remering-les- Rupt en Woevre 55 HAD VERDUN 57 HAD SARREGUEMINES Puttelange Rupt sur Othain 55 HAD VERDUN Rémering-Lès- 57510 HAD FREYMING Rurange les Thionville 57 HAD METZ - HADAM Puttelange Rurange-les-thionville 57 HAD THIONVILLE Remilly 57 HAD METZ - HADAM 57 HAD THIONVILLE Remoiville 55 HAD VERDUN 57 HAD THIONVILLE Remomeix 88 HAD - GERARDMER/St-DIE Saffais 54 HAD LUNEVILLE Remoncourt 54 HAD LUNEVILLE Sailly Achatel 57 HAD METZ - HADAM Repaix 54 HAD LUNEVILLE Saint Ail 57 HAD METZ - HADAM 57 HAD METZ - HADAM Saint André en barrois 55 HAD VERDUN 57 HAD THIONVILLE Saint Bernard 57 HAD METZ - HADAM Reville aux bois 55 HAD VERDUN Saint Boingt 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Saint Clément 54 HAD LUNEVILLE Rezonville 57 HAD METZ - HADAM Saint Dié 88 HAD - GERARDMER/St-DIE Riaville 55 HAD VERDUN Saint Epvre 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Saint Francois Lacroix 57 HAD METZ - HADAM Richeling 57510 HAD FREYMING Saint Germain 54 HAD LUNEVILLE HAD JOEUF Richemont 57270 HAD JOEUF Saint Hilaire en Woevre 55 HAD METZ - HADAM

Ricrange 57 HAD METZ - HADAM Saint Hubert 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Saint Jean d’Ormont 88 HAD - GERARDMER/St-DIE Ritzing 57 HAD THIONVILLE Saint Jean-les-Buzy 55400 HAD JOEUF 57 HAD THIONVILLE Saint Julien les Gorze 54 HAD METZ - HADAM 57 HAD THIONVILLE Saint Julien les Metz 57 HAD METZ - HADAM Rohrbach-les-Bitche 57 HAD SARREGUEMINES Saint Jure 57 HAD METZ - HADAM Saint Laurent sur Romagne sous les Côtes 55 HAD VERDUN 55 HAD VERDUN Othain

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Saint Leonard 88 HAD - GERARDMER/St-DIE Schoeneck 57 HAD SARREGUEMINES Saint Marcel 54 HAD METZ - HADAM Schoeneck 57350 HAD FREYMING Saint Mard 54 HAD LUNEVILLE Schopperten 57 HAD SARREGUEMINES Saint Martin 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Saint Maurice aux 54 HAD LUNEVILLE Schreckling 57 HAD METZ - HADAM Forges 57 HAD METZ - HADAM Saint Maurice sous les 55 HAD VERDUN Côtes 57 HAD SARREGUEMINES Saint Michel sur 88 HAD - GERARDMER/St-DIE Scy Chazelle 57 HAD METZ - HADAM Meurthe 57 HAD METZ - HADAM Saint Mihiel 55 HAD VERDUN 57 HAD SARREGUEMINES Saint Nicolas de Port 54 HAD LUNEVILLE Seingbouse 57455 HAD FREYMING Saint Pierrevillers 55 HAD VERDUN Semecourt 57 HAD METZ - HADAM HAD JOEUF Saint Privat la Sennoncourt les 57124 55 HAD VERDUN Montagne HAD METZ - HADAM Maujouy Saint Remy 88 HAD - GERARDMER/St-DIE Senon 55 HAD VERDUN Saint Rémy aux Bois 54 HAD LUNEVILLE Senones 88 HAD - GERARDMER/St-DIE Saint Remy la Calonne 55 HAD VERDUN Senonville 55 HAD VERDUN Saint Sauveur 54 HAD LUNEVILLE Septsarges 55 HAD VERDUN Saint Stail 88 HAD - GERARDMER/St-DIE Seranville 54 HAD LUNEVILLE Saint-Ail 54580 HAD JOEUF Seremange-erzange 57 HAD THIONVILLE Saint-Avold 57 HAD SARREGUEMINES Serres 54 HAD LUNEVILLE Saint-Avold 57500 HAD FREYMING Servigny les Raville 57 HAD METZ - HADAM Sainte Barbe 57 HAD METZ - HADAM Servigny les Ste-Barbe 57 HAD METZ - HADAM Sainte Marguerite 88 HAD - GERARDMER/St-DIE Seusey 55 HAD VERDUN Sierck-les-bains 57 HAD THIONVILLE Sainte Marie aux 57118 HAD JOEUF Chenes 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Sainte Pôle 54 HAD LUNEVILLE 57 HAD METZ - HADAM Sainte Ruffine 57 HAD METZ - HADAM Silly en Saulnois 57 HAD METZ - HADAM Saint-Jean-Rohrbach 57 HAD SARREGUEMINES Silly sur Nied 57 HAD METZ - HADAM Saint-Jean-Rohrbach 57510 HAD FREYMING Siltzheim 57 HAD SARREGUEMINES Samogneux 55 HAD VERDUN Sionviller 54 HAD LUNEVILLE Sancy 54560 HAD JOEUF Sivry la perche 55 HAD VERDUN Sanry les 57 HAD METZ - HADAM Sivry sur Meuse 55 HAD VERDUN Sanry sur Nied 57 HAD METZ - HADAM 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Sommedieue 55 HAD VERDUN Sarralbe 57430 HAD FREYMING Sommerviller 54 HAD LUNEVILLE Sarreguemines 57 HAD SARREGUEMINES Sorbey 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Sorbey 55 HAD VERDUN Sarre-Union 57 HAD SARREGUEMINES Souilly 55 HAD VERDUN Sassey sur Meuse 55 HAD VERDUN Spada 55 HAD VERDUN Saulcy sur meurthe 88 HAD - GERARDMER/St-DIE 57 HAD SARREGUEMINES Saulmory et Spicheren 57350 HAD FREYMING 55 HAD VERDUN Villefranche Spincourt 55230 HAD JOEUF 57 HAD METZ - HADAM Sponville 54 HAD METZ - HADAM Saulx les Champlon 55 HAD VERDUN Stenay 55 HAD VERDUN Savonnieres en Woevre 55 HAD VERDUN Stiring Wendel 57 HAD SARREGUEMINES

Schmittviller 57 HAD SARREGUEMINES Stiring-Wendel 57350 HAD FREYMING

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Stuckange 57 HAD THIONVILLE Varangéville 54 HAD LUNEVILLE Taintrux 88 HAD - GERARDMER/St-DIE Varennes en Argonne 55 HAD VERDUN 57 HAD METZ - HADAM Varize 57 HAD METZ - HADAM Tanconville 54 HAD LUNEVILLE Varsberg 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Varsberg 57880 HAD FREYMING Tenteling 57980 HAD FREYMING Vathiménil 54 HAD LUNEVILLE 57 HAD THIONVILLE 57 HAD METZ - HADAM Teterchen 57 HAD METZ - HADAM Vaucourt 54 HAD LUNEVILLE Téting-sur-Nied 57385 HAD FREYMING 57 HAD METZ - HADAM Vaudoncourt Théding 57 HAD SARREGUEMINES 55 HAD VERDUN Théding 57450 HAD FREYMING 57 HAD METZ - HADAM Thiaucourt Regniéville 54 HAD METZ - HADAM Vauquois 55 HAD VERDUN Thiaville sur Meurthe 54 HAD LUNEVILLE Vaux 57 HAD METZ - HADAM Thiébauménil 54 HAD LUNEVILLE Vaux devant Damloup 55 HAD VERDUN Thierville sur Meuse 55 HAD VERDUN Vaux les Palameix 55 HAD VERDUN Thillot 55 HAD VERDUN Vaxainville 54 HAD LUNEVILLE 57 HAD METZ - HADAM 57 HAD THIONVILLE Thionville 57 HAD THIONVILLE Vého 54 HAD LUNEVILLE Thuméréville 54800 HAD JOEUF Velle sur Moselle 54 HAD LUNEVILLE Tilly sur Meuse 55 HAD VERDUN 57 HAD METZ - HADAM 57 HAD METZ - HADAM Veney 54 HAD LUNEVILLE Tremery 57 HAD METZ - HADAM Vennezey 54 HAD LUNEVILLE Tresauvaux 55 HAD VERDUN Verdenal 54 HAD LUNEVILLE 57 HAD THIONVILLE Verdun 55 HAD VERDUN Trieux 54750 HAD JOEUF HAD JOEUF Verneville 57130 57 HAD METZ - HADAM HAD METZ - HADAM Tronville 54 HAD METZ - HADAM Verny 57 HAD METZ - HADAM Troyon 55 HAD VERDUN Very 55 HAD VERDUN Tucquegnieux 54640 HAD JOEUF Vexaincourt 88 HAD - GERARDMER/St-DIE 57 HAD THIONVILLE Vieux Moulin 88 HAD - GERARDMER/St-DIE Vacherauville 55 HAD VERDUN Vieville sous les Côtes 55 HAD VERDUN Vacqueville 54 HAD LUNEVILLE Vigneulles 54 HAD LUNEVILLE Vigneulles les Vadelaincourt 55 HAD VERDUN 55 HAD VERDUN Hattonchatel Vahl-Ebersing 57660 HAD FREYMING Vigny 57 HAD METZ - HADAM Val et Châtillon 54 HAD LUNEVILLE Vigy 57 HAD METZ - HADAM Valbois 55 HAD VERDUN Villacourt 54 HAD LUNEVILLE Val-de-Gueblange (le ) 57 HAD SARREGUEMINES Ville devant Chaumont 55 HAD VERDUN Valhey 54 HAD LUNEVILLE Ville en Woevre 55 HAD VERDUN Valleroy 54910 HAD JOEUF Ville sur Cousances 55 HAD VERDUN Vallois 54 HAD LUNEVILLE Ville sur Yron 54 HAD METZ - HADAM 57 HAD THIONVILLE Villecey sur Mad 54 HAD METZ - HADAM Valmont 57730 HAD FREYMING Villers Brettnach 57 HAD METZ - HADAM 57 HAD METZ - HADAM Villers les mangiennes 55 HAD VERDUN Vandelainville 54 HAD METZ - HADAM Villers sous Pareid 55 HAD VERDUN Vandieres 54 HAD METZ - HADAM Villers sous Pareid 55 HAD METZ - HADAM 57 HAD METZ - HADAM Villers sous Preny 54 HAD METZ - HADAM Vany 57 HAD METZ - HADAM

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Villers Stoncourt 57 HAD METZ - HADAM Wiseppe 55 HAD VERDUN Villers sur Meuse 55 HAD VERDUN Wissembach 88 HAD - GERARDMER/St-DIE 57 HAD METZ - HADAM 57 HAD SARREGUEMINES Vilosnes Haraumont 55 HAD VERDUN Woel 55 HAD METZ - HADAM Vionville 57 HAD METZ - HADAM Woel 55 HAD VERDUN Woelfling-les- Virecourt 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Sarreguemines Vitrimont 54 HAD LUNEVILLE Woimbey 55 HAD VERDUN Vitry sur Orne 57120 HAD JOEUF 57 HAD METZ - HADAM Vittarville 55 HAD VERDUN HAD SARREGUEMINES 57 HAD METZ - HADAM 57915 HAD FREYMING Vittonville 54 HAD METZ - HADAM Xammes 54 HAD METZ - HADAM Voefling / Bouzonville 57 HAD METZ - HADAM Xermaménil 54 HAD LUNEVILLE Voellerdingen 57 HAD SARREGUEMINES Xivry Circourt 54490 HAD JOEUF 57 HAD METZ - HADAM Xonrupt Longemer 88 HAD - GERARDMER/St-DIE Volmerange les Boulay 57 HAD METZ - HADAM Xonville 54 HAD METZ - HADAM Volmerange-les-mines 57 HAD THIONVILLE Xousse 54 HAD LUNEVILLE 57 HAD SARREGUEMINES Xures 54 HAD LUNEVILLE 57 HAD THIONVILLE 57 HAD THIONVILLE 57 HAD METZ - HADAM 57 HAD SARREGUEMINES 57 HAD METZ - HADAM HAD METZ - HADAM 57690 Wadonville en Woevre 55 HAD VERDUN HAD FREYMING 57 HAD THIONVILLE Zouftgen 57 HAD THIONVILLE 57 HAD THIONVILLE

Warcq 55400 HAD JOEUF Warcq 55 HAD VERDUN Watronville 55 HAD VERDUN Waville 54 HAD METZ - HADAM Wavrille 55 HAD VERDUN 57 HAD SARREGUEMINES 57 HAD SARREGUEMINES

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Annexe 3 - Contrat d’admission en HAD

Accord de la patiente Logo établissement prescripteur HAD obstétrique

Je soussignée,

NOM : ______

Nom de jeune fille : ______ou coller étiquette Prénom : ______

Date de naissance : _____/______/______

Adresse complète (code/escalier/porte) :

Accord de la patiente, désignation du médecin traitant et de la personne à prévenir :

Dans le cadre de l’Hospitalisation à Domicile (HAD) et selon les dispositions de la circulaire DH/E02/2000/295 du 30/05/2000, «Le médecin traitant est choisi librement par le malade. Qu’il soit ou non prescripteur de l’HAD, il est pivot de la prise en charge du patient à domicile […]. L’HAD ne peut se réaliser qu’avec son accord, au vu du projet thérapeutique. »

Selon l’article L.111-4 du Code de la Santé Publique « Toute personne prend, avec le professionnel de santé et compte tenu des informations et préconisations qu’il lui fournit, les décisions concernant sa santé. Le médecin doit respecter la volonté de la personne après l’avoir informée des conséquences de ses choix. […]. Celle-ci est inscrite dans le dossier médical. […] Aucun acte médical ni aucun traitement ne peut être pratiqué sans le consentement libre et éclairé de la personne et ce consentement peut être retiré à tout moment. »

- Accepte mon entrée en HAD et les soins qui me sont proposés, après en avoir été informée librement, et déclare avoir pris connaissance des textes ci-dessus. - Mon médecin traitant est le docteur : ______- Je choisis comme personne à prévenir (Nom, prénom, adresse, n° de téléphone) : Mr , Mme ______

Lien avec la patiente (conjoint, parent, ...) : ______

Désignation de la personne de confiance :

 Déclare ne pas souhaiter désigner une personne de confiance.  Désigne, comme personne de confiance :  La même personne que la personne à prévenir citée ci-dessus, OU  Mr, Mme, Mlle (Nom, prénom, adresse, n° téléphone) : ______

Lien avec la patiente (conjoint, parent, ..) : ______

Fait à ______, le ___/___/______Signature de la personne de confiance : Signature :

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Annexe 4

FICHE D’ADMISSION EN HAD ANTE-PARTUM

A faxer à la structure HAD Logo établissement prescripteur et l’établissement de proximité concerné

Médecin prescripteur : Identification Patiente : ou coller étiquette

NOM : ______NOM : Nom de Jeune Fille : ______

Prénom : ______

Fonction : Date de naissance : ______/______/______

Adresse complète (code/escalier/porte) :

Téléphone : ______Médecin traitant désigné : ______

Date de la demande : ______/______/______

Structure d’HAD sollicitée : Autre établissement concerné (type III ou type II ou type I de territoire) : ______Fiche transmise : oui  non  Accord donné : oui  non 

Par : NOM : ______

Fonction : ______Le : ____/____/____

Critère médicaux HAS : Motif d’hospitalisation :  RCIU

 ATCD de MFIU A partir du : ____/____/____  Cholestase gravidique modérée ou sévère  Lupus et SAPL  Manque d’investissement envers l’enfant à naître Age gestationnel en SA : ______ HTA mal équilibrée sans protéinurie  HTA associée à un RCIU ou un ATCD de MFIU/HRP/éclampsie  Thrombophilie génétique associée à un ATCD HRP ou MFIU ou d’une Date de début de grossesse : complication en cours (RCIU)  Diabète gestationnel ou préexistant à la grossesse avec objectifs ____/_____/______glycémiques non atteints

Critère médico-territoriaux HAS :

Indisponibilité sur le territoire d’autre recours/offre de soins (SF libérale, PMI, …) pour assurer le suivi à domicile d’une patiente présentant :  une MAP  un placenta prævia.

Critères RPL hors HAS :  RPM  Grossesse cerclée avec ATCD de FCT

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Antécédents :

- Taille : - Médicaux :

- Poids avant grossesse : - Chirurgicaux :

- Obstétricaux : - Poids à l’admission :

- Addictions :

- Allergies :

Eléments cliniques notables :

Joindre les derniers bilans, copie du dossier d’anesthésie et CR d’échographie ou autre imagerie.

Dernier examen : Hu : Présentation : Date : ____/____/____ Col : Terme : SA TA :

Traitement en cours :

(joindre les ordonnances)

Surveillance HAD : Surveillance obstétricale par SF : tous les ______ou _____ fois/semaine

RCF : tous les ______ou _____ fois/semaine

Prélèvements sanguins (préciser type et fréquence) :

Prélèvements bactériologiques (préciser type et fréquence) :

Date et signature du prescripteur : Accord patiente : Oui  Non  Date et signature du médecin Date et signature de la patiente : traitant désigné par la patiente :

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Annexe 4 bis

FICHE D’ADMISSION EN HAD POST-PARTUM A faxer à la structure HAD Logo établissement prescripteur et l’établissement de proximité concerné

Identification Patiente ou coller étiquette : Médecin prescripteur : NOM : ______Nom de Jeune Fille : ______NOM : Prénom : ______

Date de naissance : ______/______/______

Fonction : Adresse complète (code/escalier/porte) :

Téléphone : ______

Médecin traitant désigné : ______

Date de la demande : ______/______/______

Autre établissement concerné (type III, type II ou Structure d’HAD sollicitée : type I de territoire) : ______Fiche transmise : oui  non  Accord donné : oui  non 

Par : NOM : ______

Fonction : ______Le : ____/____/____

 Cicatrisation difficile d’une plaie périnéale ou post-césarienne Motif d’hospitalisation :  Surveillance et soins locaux en cas d’abcès ou collection pariétale  Désunion de cicatrice après abcès ou hématome A partir du : ____/____/____  Thrombus vaginal traité  Périnée complet  Difficultés sphinctériennes (autosondage vésical)  Dépression du post-partum  Pathologie thrombo-embolique récente  Diabète insulinodépendant mal équilibré  Pathologie infectieuse après la phase aiguë  Anémie avec un taux d’Hb entre 7 et 9 g/dl  HTA persistante après l’accouchement mais non préexistante à la grossesse en cours d’équilibration médicamenteuse

- Taille : Antécédents :

- Médicaux :

- Poids : - Chirurgicaux :

- Gestité : - Obstétricaux :

- Parité : - Addictions :

- Allergies :

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Accouchement :  VB non instrumentale

Date : ___/____/____  VB instrumentale Motif :

 Césarienne programmée Terme :  Césarienne en urgence

Eléments notables (déchirure, hémorragie,….) :

Joindre les derniers bilans et CR d’imagerie le cas échéant.

Contraception :

Sortie maternité : Prise en charge spécifique : Date : ____/____/____

Traitement en cours :

(joindre les ordonnances)

Nouveau-né(s) : Nom/prénom : sexe :  M F PN : ____g Nom/prénom : sexe :  M F PN : ____g

Allaitement :  sein  mixte  artificiel

Eléments notables :

Surveillance HAD :

Date et signature du prescripteur : Accord patiente : Oui  Non  Date et signature du médecin traitant Date et signature de la patiente : désigné par la patiente :

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Annexe 5

COORDONNEES DE CONTACT POUR UNE DEMANDE D'HAD

Structure Contact Téléphone Mail Fax IDE coordinatrice Mme Cécile BRACK HAD Freyming 03 87 81 84 42 [email protected] 03 87 81 84 43 du lundi au vendredi de 9h à 16h30 03 29 52 84 12 ev'HAD Gérardmer/St-Dié Sage-femme en poste de 8h15 à 15h45 7/7 06 89 95 73 01 [email protected] (pas vu le we) [email protected] HAD Joeuf Sages-femmes coordinatrices 03 82 47 52 91 03 82 47 53 41 [email protected]

HADALU Lunéville Sage-femme coordinatrice 03 83 76 14 13 [email protected] 03 83 76 13 55

Sage-femme coordinatrice 07 60 72 33 84 [email protected] HADAM Metz [email protected] 03 87 66 77 51 Médecins coordinateurs 03 87 66 83 03 [email protected]

[email protected] SF de liaison : entre 8h00 et 16h00 en semaine 07 89 24 49 72 [email protected] SF coordinatrice : en-dehors des horaires ci-dessus 06 28 59 77 10 HADAN Nancy

[email protected] Médecin coordinateur 03 83 44 43 42

[email protected] Coordinatrice de l’HADO pour les indications prénatales 03 87 27 34 20 = SF bloc obstétrical Coordinatrice de l’HADO pour les indications HAD Sarreguemines 03 87 27 37 21 postnatales = SF suites de couches

A contacter si SF coordinatrices non joignables 03 87 27 34 51 [email protected]

HAD Thionville Sage-femme en poste de 8h30 à 16h00, 7/7 06 76 45 73 90 [email protected] 03 82 57 74 72 HAD Verdun Secrétariat 03 29 87 48 82 03 29 87 48 83

COORDONNEES DE CONTACT POUR UNE DEMANDE D'HAD

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Structure Contact Téléphone Mail Fax IDE coordinatrice Mme Cécile BRACK HAD Freyming 03 87 81 84 42 [email protected] 03 87 81 84 43 du lundi au vendredi de 9h à 16h30 03 29 52 84 12 ev'HAD Gérardmer/St-Dié Sage-femme en poste de 8h15 à 15h45 7/7 06 89 95 73 01 [email protected] (pas vu le we) [email protected] HAD Joeuf Sages-femmes coordinatrices 03 82 47 52 91 03 82 47 53 41 [email protected]

HADALU Lunéville Sage-femme coordinatrice 03 83 76 14 13 [email protected] 03 83 76 13 55

Sage-femme coordinatrice 07 60 72 33 84 [email protected] HADAM Metz [email protected] 03 87 66 77 51 Médecins coordinateurs 03 87 66 83 03 [email protected]

[email protected] SF de liaison : entre 8h00 et 16h00 en semaine 07 89 24 49 72 [email protected] SF coordinatrice : en-dehors des horaires ci-dessus 06 28 59 77 10 HADAN Nancy

[email protected] Médecin coordinateur 03 83 44 43 42

[email protected] Coordinatrice de l’HADO pour les indications prénatales 03 87 27 34 20 = SF bloc obstétrical Coordinatrice de l’HADO pour les indications HAD Sarreguemines 03 87 27 37 21 postnatales = SF suites de couches

A contacter si SF coordinatrices non joignables 03 87 27 34 51 [email protected]

HAD Thionville Sage-femme en poste de 8h30 à 16h00, 7/7 06 76 45 73 90 [email protected] 03 82 57 74 72 HAD Verdun Secrétariat 03 29 87 48 82 03 29 87 48 83

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Annexe 6 : A COMPLETER : mail sécurisé ou fax

Chaque maternité désigne un gynécologue obstétricien référent HAD. Ce professionnel a pour mission de : - Faire le lien entre l’équipe d’obstétrique de sa maternité et le ou les HAD partenaires et notamment, en informant les membres du staff de toutes les nouvelles admissions en HAD. - Réceptionner les fiches d’admission et les résumés cliniques hebdomadaires de :  toutes les patientes hospitalisées en HAD sur le territoire de sa maternité  et pour les établissements de type II ou III, des patientes hospitalisées sur un autre territoire mais dont l’âge gestationnel et/ou l’estimation du poids fœtal correspondent au niveau de soin de sa maternité - Transmettre une copie de ces deux documents (fiche d’admission et résumé clinique hebdomadaire) à la salle de naissance (cahier/classeur dédié) pour toutes les patientes en HAD - Assurer la continuité de ces missions en cas d’absence (binôme ou remplaçant désigné).

REFERENTS GYNECO-OBSTETRICIENS pour l’HAD

Coordonnées contact Maternité G.O. référent Téléphone Fax ou mail sécurisé 03.82.47.51.20 BRIEY TRAORE Amadou Fax : 03.82.47.50.45 (DECT 6031) EPINAL CH En 1er lieu, GO de la patiente EPINAL La Ligne Cadre de Santé : Viviane Bleue 03 29 68 33 27 [email protected] VAXELAIRE FORBACH GO senior de garde 03 87 88 80 45 Fax : 03 87 88 85 41 03.83.76.14.43 LUNEVILLE Laura LEGALL [email protected] mercredi/jeudi/vendredi METZ CHR SECONDE Aude [email protected] METZ Claude

Bernard MONT-SAINT- STAMER Alain 03 82 44 75 88 FAX UGO SDN : 03 82 44 73 10 MARTIN GO de la patiente Fax : 03 83 94 43 11 NANCY Majorelle CSF référente : Céline MOUGIN 03 83 94 42 36 [email protected] Gynéco. Med. : Dr Julien [email protected] ROUCHE NANCY MRU 03 83 34 44 00 Gynéco. Obst. : Dr Lucile [email protected] ANDRE [email protected] NEUFCHATEAU OSINS Eduards 03 29 94 80 00 (standard) [email protected] REMIREMONT SAINT-AVOLD SAINT-DIE HEID Chantal 03.29.52.68.18 [email protected] SARREBOURG SOUJOD Imad 03 87 23 24 68 Fax : 03 87 23 24 70 SARREGUEMINES HAFEZ Sofian [email protected] THIONVILLE ROESCH Marion 03 82 55 84 81 [email protected] TOUL MAATOUK Alexis 03.83.62.21.62 [email protected] GO de la patiente VERDUN 03.29.83.85.65 [email protected] sinon SFC Claire VIVENOT (SFC)

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Annexe 7

Tableau des gradations de prises en charge néonatales par type de maternité, critères et département

GRADE MATERNITE Age gestationnel/EPF Liste des maternités du grade par département

54 Meurthe et Moselle - CH Briey - CH Lunéville - CH Mont-Saint-Martin - CH Toul

55 Meuse

Maternité de type I ≥ 36SA et EPF ≥ 2000 g 57 Moselle - Clinique Saint-Avold - CH Sarrebourg - CH Sarreguemines

88 Vosges - Clinique Epinal - CH Neufchâteau - CH Saint-Dié

54 Meurthe et Moselle

55 Meuse Maternité de type IIA - CH Verdun ≥ 34SA et EPF ≥ 1800 g + néonatologie 57 Moselle

88 Vosges - CH Remiremont

54 Meurthe et Moselle - Clinique Majorelle

55 Meuse

Maternité de type IIB 57 Moselle

+ néonatalogie - CH Forbach ≥ 31SA et EPF ≥ 1200 g - Clinique Metz + soins intensifs néonataux - CHR site Metz - CHR site Thionville

88 Vosges - CH Epinal

Maternité de type III < 31 SA et /ou EPF < 1200 g + néonatalogie 54 Meurthe et Moselle Autres AG et pds de naissance avec - CHRU Nancy + soins intensifs néonataux pathologie associée + réanimation néonatale)

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