Variabilité et continuité : comment «appétence» des équipes et données scientifiques peuvent avancer ensemble sans danger ?

Different factors are likely to weaken the continuity and consistency of the care of a sick newborn. Some are related to variability, that is, difference in care policy or conditions of announcement from one institution to another, and from one professional to another. Usually presented as a lack of competence by benchmarking studies, even seeking to be corrected by the recommendations established by the learned societies, this variability probably partially relates to other origins belonging to the "palatability" of the teams for a particular type of medical practice or communication. This article aims to help professionals of all disciplines to become aware of their positioning in the way of delivering care and communicating with families. It is a question of walking together to understand why it is so difficult to apply the medical recommendations while taking into account the subjectivity of each situation. Limiting the impact of what may be felt as a lack of medical coherence in the eyes of parents seems like a goal not to let go. Resuscitation situations at the threshold of viability have made us make considerable progress in the anticipatory movement carried out with antenatal parents so that they can accept and accompany the stay in intensive care of their child and the subsequent follow-up in a continuity sufficient to avoid the development of attachment disorders. It is now up to us to reflect on this continuity in less critical but everyday situations. [ABSTRACT FROM AUTHOR]