References of "Emonts, Patrick"
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See detailThe internet as a source of information used by women after childbirth to meet their need for information: A web-based survey.
Slomian, Justine ULg; Bruyère, Olivier ULg; Reginster, Jean-Yves ULg et al

in Midwifery (2017), 48

OBJECTIVE: the aims of this survey were: (a) to evaluate the need of information after childbirth and what questions do 'new' mothers ask themselves; (b) to assess why and how women use the Internet to ... [more ▼]

OBJECTIVE: the aims of this survey were: (a) to evaluate the need of information after childbirth and what questions do 'new' mothers ask themselves; (b) to assess why and how women use the Internet to meet their need of information; (c) to describe how the respondents evaluate the reliability of the information found; (d) to understand how the information found on the Internet affects women's decision-making; and (e) to appreciate how health professionals react to the information found by the women. DESIGN: this study used a large web-based survey that was widely broadcasted on various websites and social networks. SETTING AND PARTICIPANTS: belgian women who had a child under 2 years old and who agreed to participate were included in the study. FINDINGS: 349 questionnaires were valid for analyses. After childbirth, 90.5% of women admitted to using the Internet to seek information about themselves or about their baby, regardless of socioeconomic status or age. There were various reasons for seeking information on the Internet, but the most frequent reason the women expressed was to find information 'on their own' (88.1%). The most searched for topic was breastfeeding. The women believed that the information was quite useful (82.7%) but they assigned an average score of 5.3 out of 10 for the quality of the information they found on the Internet. Approximately 80% of the women felt that the Internet helped them control a decision that they made 'a little', 'often' or 'very often'. Professionals are not always willing to talk about information found on the Internet with mothers. Therefore, many women believed that health professionals should suggest reliable Internet websites for new mothers. CONCLUSIONS: the integration of the Internet and new technologies could be a useful tool during postpartum management. [less ▲]

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See detailIdentifying maternal needs following childbirth: A qualitative study among mothers, fathers and professionals
Slomian, Justine ULg; EMONTS, Patrick ULg; Vigneron, L. et al

in BMC Pregnancy and Childbirth (2017), 17(1), 213

Background: Pregnancy and childbirth are two critical stages in a woman’s life. Various studies have suggested that psychological distress is common during the year after childbirth. The objectives of ... [more ▼]

Background: Pregnancy and childbirth are two critical stages in a woman’s life. Various studies have suggested that psychological distress is common during the year after childbirth. The objectives of this exploratory study were (1) to explore the needs of mothers in the year following childbirth; (2) to compare these needs between mothers who did not have the feeling of living a psychological disorder or a depression and mothers who lived a psychological disorder or had the impression of living a depression; and (3) to compare the needs expressed by mothers with the perception of professionals and fathers about the mothers’ needs. Methods: First, we proceeded to 22 individual qualitative interviews followed by one focus group, with mothers, with and without experience of psychological distress. Then, we conducted 2 focus groups: one with professionals and one with fathers. Results: Needs of mothers after childbirth have been indexed in four categories: need of information, need of psychological support, need to share experience, and need of practical and material support. Women do not feel sufficiently informed about this difficult period of life. They do not feel sufficiently supported, not only from a psychological point of view but also from a more practical point of view, for example with household chores. They need to share their experience of life, they need to be reassured and they need to feel understood. It seems that some differences exist between mothers’ and professionals’ experiences but also between mothers’ and fathers’ experiences. Conclusion: Young mothers apparently feel a lack of support at different levels in the year following childbirth. This study provides ways to meet women’s needs and to try to prevent the risk of postpartum psychological distress during this period of time. [less ▲]

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See detailWhat should a website dedicated to the postnatal period contain? A Delphi survey among parents and professionals
Slomian, Justine ULg; EMONTS, Patrick ULg; Erpicum, Martin ULg et al

in Midwifery (2017), 53

Abstract OBJECTIVES: Mothers have a great need for information during the postnatal period. Trying to meet this need, mothers are increasingly turning to the Internet. Nevertheless, many women have stated ... [more ▼]

Abstract OBJECTIVES: Mothers have a great need for information during the postnatal period. Trying to meet this need, mothers are increasingly turning to the Internet. Nevertheless, many women have stated that they often or always found that the information that they found on the Internet was incomplete or wrong. Many women therefore believe that health professionals should suggest reliable Internet websites for new mothers. The aim of this study was therefore to find a consensus on the content of a reliable and centralized website dedicated to mothers from the end of pregnancy to 1 year after childbirth. DESIGN: Two rounds of an online Delphi survey were used in this study. SETTING AND PARTICIPANTS: The panel of participants involved in the survey included parents (both mothers and fathers) and professionals (health professionals and professionals of early childhood for mothers of children aged 0 to 2 years). FINDINGS: Ninety-six parents and professionals participated in the first round (37.7 ± 9.76 years; 84.4% of women) and 78 in the second round. The majority of participants (94.6%) thought that a centralized website could help mothers from pregnancy to one year after childbirth. The content that the experts would like to find on a website were themed into five categories: "infants' information", "parents' information", "administrative information", "professionals' information" and "type of resources". In each category, experts highlighted the key words that they found important and should be reported on the website. The most important items highlighted by participants were baby's feeding/breastfeeding (92.8%), babies' needs (84.1%), baby blues (77.9%), postpartum depression (72.1%), management of the couple's relationship (72.1%), women's right to postnatal care (83.6%), links to reliable documents (63.9%) and a list of useful contacts (52.5%). CONCLUSIONS: This study helped to understand the questions that mothers ask themselves during the postpartum period and provided priorities to respond to their questions in the process of developing a website. [less ▲]

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See detailMeeting the Needs of Mothers During the Postpartum Period: Using Co-Creation Workshops to Find Technological Solutions.
Slomian, Justine ULg; Emonts, Patrick ULg; Vigneron, Lara ULg et al

in JMIR Research Protocols (2017), 6(5), 76

BACKGROUND: The postnatal period is associated with many new needs for mothers. OBJECTIVE: The aim of this study was to find technological solutions that meet the needs of mothers during the year ... [more ▼]

BACKGROUND: The postnatal period is associated with many new needs for mothers. OBJECTIVE: The aim of this study was to find technological solutions that meet the needs of mothers during the year following childbirth. METHODS: Two co-creation workshops were undertaken with parents and professionals. The aim of the first workshop was to create a list of all the criteria the proposed solution would have to address to meet the needs of mothers after childbirth. The aim of the second workshop was to create solutions in response to the criteria selected during the first workshop. RESULTS: Parents and health professionals want solutions that include empathy (ie, to help fight against the feelings of abnormality and loneliness), that help mothers in daily life, that are personalized and adapted to different situations, that are educational, and that assures some continuity in their contact with health professionals. In practice, we found that parents and professionals think the solution should be accessible to everyone and available at all times. To address these criteria, technology experts proposed different solutions, such as a forum dedicated to the postpartum period that is supervised by professionals, a centralized website, a system of videoconferencing, an online exchange group, a "gift voucher" system, a virtual reality app, or a companion robot. CONCLUSIONS: The human component seems to be very important during the postnatal period. Nevertheless, technology could be a great ally in helping mothers during the postpartum period. Technology can help reliably inform parents and may also give them the right tools to find supportive people. However, these technologies should be tested in clinical trials. [less ▲]

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See detailUne hypokaliémie à Liège
VALDES SOCIN, Hernan Gonzalo ULg; EMONTS, Patrick ULg; HAMOIR, Etienne ULg et al

Conference (2016, October 15)

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See detailGuide du post-partum
Emonts, Patrick ULg

Book published by deboeck (2016)

Guide of the post-partum drafted for the attention of all the persons receiving benefits of care involved in the post-partum. Daily reference tool for all the professionals of French language. Guide du ... [more ▼]

Guide of the post-partum drafted for the attention of all the persons receiving benefits of care involved in the post-partum. Daily reference tool for all the professionals of French language. Guide du post-partum rédigé à l'attention de tous les prestataires de soins impliqués dans le post-partum. Outil de référence quotidien à l'usage de tous les professionnels de langue française. [less ▲]

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See detailIdentification des besoins des mères dans l’année suivant leur accouchement : une étude qualitative.
Slomian, Justine ULg; EMONTS, Patrick ULg; Vigneron, Lara et al

in 44èmes Assises Nationales des Sages-Femmes (2016, May)

Contexte de l’étude : La grossesse et l’accouchement sont deux étapes fondamentales dans la vie d’une femme. Plusieurs études ont montré que le malaise psychologique était relativement fréquent dans ... [more ▼]

Contexte de l’étude : La grossesse et l’accouchement sont deux étapes fondamentales dans la vie d’une femme. Plusieurs études ont montré que le malaise psychologique était relativement fréquent dans l’année suivant un accouchement. Objectifs : L’objectif de cette étude était de déterminé les besoins des mères dans l’année suivant leur accouchement (qu’elles aient vécu un épisode psychologique pathologique ou non). Méthode : Plusieurs étapes qualitatives ont été entreprises dans cette étude. Premièrement, nous avons conduit 22 entretiens individuels et un focus group réunissant des mères ayant vécu ou non un épisode de détresse psychologique. Nous avons ensuite mené deux autres focus : un avec des professionnels de la santé, l’autre avec des pères. Le but était de comparer les besoins maternels avec la perception des professionnels ainsi que des pères. Règles éthiques : Cette étude a reçu l’accord du comité d’éthique hospitalo-facultaire du CHU de Liège sous le numéro : 2015/48. Chaque participante a signé un formulaire de consentement éclairé quant à sa participation à l’étude ainsi qu’à l’autorisation de diffuser les résultats de façon confidentielle. Résultats : Les besoins des mères après leur accouchement ont été classés en 4 grandes catégories : le besoin d’information, le besoin de soutien psychologique, le besoin de partage d’expériences et le besoin de support matériel et pratique. Les femmes ne se sentent pas assez informées dans cette période de vie difficile. Elles ne se sentent pas non plus assez soutenues au point de vue psychologique mais également dans les tâches ménagères. Elles sont souvent fatiguées et se posent beaucoup de questions. Elles ont besoin de partager cette expérience de vie et elles ont besoin d’être rassurées et de se sentir comprises. Il semblerait qu’il y ait des différences de vécu d’expériences entre les mères et les professionnels mais également entre les mères et les pères. Conclusion : L’arrivée d’un bébé est une étape importante dans la vie d’une femme et d’un couple. Cela demande un remaniement tant sur les plans physique que psychologique et social. Les mères semblent ressentir un manque de support à différents niveaux au cours de la période postnatale. Cette étude procure des pistes pour répondre à leurs besoins et tenter de prévenir le risque de détresse psychologique dans la période postnatale. [less ▲]

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See detailQuelle est la place d’internet pour combler le besoin d’information des nouvelles mères ?
Slomian, Justine ULg; Bruyère, Olivier ULg; Reginster, Jean-Yves ULg et al

Poster (2016, May)

Contexte de l’étude : Les femmes autour de la grossesse et de la naissance expriment un besoin d’information. Internet est devenu l’un des moyens les plus importants de s’informer sur sa santé. De ... [more ▼]

Contexte de l’étude : Les femmes autour de la grossesse et de la naissance expriment un besoin d’information. Internet est devenu l’un des moyens les plus importants de s’informer sur sa santé. De nombreuses innovations dans la santé mobile révolutionnent les soins de santé actuels. Ces outils constituent une aide pour les médecins et permettent également de responsabiliser les patients par rapport à leur santé. Objectifs : Le but de cette étude est d’évaluer, chez des femmes francophones ayant des enfants de 0 à 2 ans, utilisant déjà internet, l’intérêt et le degré d’utilisation d’Internet pour des questions relatives à la période postnatale ; que cela concerne leur propre santé où celle de leur enfant. Méthode : Un sondage en ligne a été créé et diffusé largement via les réseaux sociaux. Toutes les femmes comprenant le français pouvait y répondre peu importe leur pays de résidence. Règles éthiques : L’étude a été approuvée par le comité d’éthique hospitalo-facultaire du CHU de Liège sous le numéro : 2013/254. La première page du questionnaire consistait en une explication de l’étude. La participation à l’enquête étant libre, nous avons donc considéré celle-ci comme le consentement du répondant. Résultats : 507 femmes ont répondu à ce sondage (8 femmes ont dû être éliminées de l’échantillon : 6 car le dernier enfant avait minimum 3 ans et 2 parce qu’elles étaient enceintes) : 74,5% des femmes habitaient en Belgique, 23,6% en France et 1,8% de pays divers (Canada, Luxembourg, Burkina Faso, Nouvelle Calédonie, Tunisie). Leur moyenne d’âge était de 30,5 ± 4,25 ans et 54,6% étaient des primipares. Parmi ces femmes, 90,2% ont utilisé internet pour répondre à des questions relatives à la période postnatale concernant leur enfant (82,3%) et/ou leur propre santé (71,3%). Ces femmes recherchent souvent des informations concernant l’allaitement maternel (75,2%), les aliments à introduire dans l’alimentation de l’enfant (62,1%), les dents (48,3%), les pics de croissance de l’enfant (43,4%), les petits boutons que les enfants peuvent présenter (38,2%), leur sexualité (30,7%) ou encore leur perte de poids (24,4%). Elles recherchent également des informations (23,3%) sur des questions plus « ponctuelles » de situation de la vie de tous les jours (ex : douleur de césarienne, sommeil de l’enfant, dépression postnatale, ...). Les raisons de ces recherches sont diverses mais les trois plus courantes sont le fait de vouloir trouver l’information par soi-même (87,3%), trouver des informations sur des symptômes présentés par l’enfant (79,6%) et compléter les informations fournies par un professionnels de la santé (65,2%). La majorité des femmes (90,9%) disent ne pas avoir un site unique de référence et recherche les informations sur différents sites. Beaucoup (81,1%) pensent que les professionnels de santé devraient suggérer des sites internet adaptés aux nouvelles mamans dans lesquels elles pourraient trouver des informations utiles pour leur post-partum et leur enfant. Les informations trouvées sur internet sembleraient avoir influencé la façon dont les femmes pensaient gérer leur enfant dans 51,8% des cas. Malgré qu’elles jugent que les informations qu’elles trouvent sur internet leur sont plutôt utiles (84,3%), elles n’attribuent qu’une note moyenne de 5,28 ± 1,68/10 quant à la qualité des informations qu’elles trouvent sur internet. Conclusion : Il existe un grand besoin d’information durant la période postnatale. Internet semblerait être une solution largement utilisée par les femmes pour combler ce besoin bien qu’elles ne semblent pas toujours satisfaites de la qualité des informations qu’elles y trouvent. Un site internet centralisé et contrôlé pourrait constituer une piste de solution à exploiter. [less ▲]

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See detailACCOUCHEMENT PAR VOIE BASSE SUR UTÉRUS BI-CICATRICIEL : A PROPOS DE TROIS CAS
Christiane, Yolande; Emonts, Patrick ULg

in Revue Médicale de Liège (2016), 71(9), 388-393

Despite awareness of obstetricians to the constant increase in the number of caesarean sections in recent years, certain dogmas concerning uterine scar still persist in our practices and influence ... [more ▼]

Despite awareness of obstetricians to the constant increase in the number of caesarean sections in recent years, certain dogmas concerning uterine scar still persist in our practices and influence clinical decisions. Fear of a uterine scar rupture, a major obstetric complication, is always in mind. As for bi-uterine scar, it was considered, until recently in Belgium, as a total and definitive indication against an attempted vaginal delivery. However, several previous clinical studies clearly showed that, under certain conditions, vaginal birth after two caesarean was usually successful with very good results in terms of maternal and fetal morbidities. Even if such a clinical situation is not common, this article would sensitize obstetricians to the lack of objective clinical arguments to reject a vaginal delivery in a patient having a previous history of two caesarean sections. Such a patient must be motivated and coming within a specific framework. Moreover, this type of delivery should receive optimal monitoring. [less ▲]

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See detailA reversible posterior leucoencephalopathy syndrome including blindness caused by preeclampsia.
Vandenbossche, Gautier; Maquet, J.; Vroonen, Philippe et al

in Facts, Views and Vision in Obgyn (2016), 8(3), 173-177

Complications of (pre)eclampsia may involve multiple systems and organs. Neurological symptoms may occur. Visual symptoms concern up to 25% the of patients with severe preeclampsia and 50% of the patients ... [more ▼]

Complications of (pre)eclampsia may involve multiple systems and organs. Neurological symptoms may occur. Visual symptoms concern up to 25% the of patients with severe preeclampsia and 50% of the patients with eclampsia. An uncommon effect of severe preeclampsia is sudden blindness. Blindness may be part of a clinical and radiological presentation named Posterior Reversible Encephalopathy Syndrome (PRES). PRES may lead to permanent neurological deficit, recurrences or death. We report the case of a 24-year-old Caucasian patient, gravida 5 para 2 who developed preeclampsia and PRES complicated with blindness at 32 weeks of gestation. Optimal care allowed visual symptoms to resolve within 24 hours and a favourable maternal outcome and no long- term sequelae. We describe different causes and manifestations of PRES and highlight the need for immediate care in order to optimize the chance of symptoms reversibility. [less ▲]

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See detailPrenatal diagnosis of a terminal chromosome 1 (q42-q44) deletion : original case report and review of the literature
VAN LINTHOUT, Christine ULg; EMONARD, Violaine ULg; GATOT, Jean-Stéphane ULg et al

in Facts, Views and Vision in Obgyn (2016), 8(2), 101-103

Terminal chromosome 1q deletion is rarely reported but causes typical malformations that have been well described in childhood. Clinical features include facial dysmorphy, growth and/or psychomotor ... [more ▼]

Terminal chromosome 1q deletion is rarely reported but causes typical malformations that have been well described in childhood. Clinical features include facial dysmorphy, growth and/or psychomotor retardation, brain agenesis or hypoplasia of the corpus callosum, epilepsy and occasional urogenital or cardiac malformations. The diagnosis of this condition is usually made at birth. The rare cases of antenatal diagnosis were based on microcephaly and growth retardation. In the present case, the foetus presented with an hypoplasia of the corpus callosum, a dysmorphic profile and a single umbilical artery. The foetal echocardiography suggested a noncompaction of the left ventricular myocardium. No microcephaly or growth retardation were noted. We compare our antenatal findings to those described in the literature with the aim to better define the antenatal phenotype of the terminal chromosome 1 deletion syndrome. [less ▲]

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See detailMaternal representations, social context and substance abuse
Halin, Stéphanie ULg; Combe, Samantha; Glowacz, Fabienne ULg et al

Poster (2015, May 28)

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See detailGrossesses prolongées et risques psycho-médicaux
Halin, Stéphanie; Emonts, Patrick ULg; Fohn, Bruno et al

Poster (2014, December)

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See detailPrevention of preterm birth in women at risk: selected topics
Roelens, Kristien; Roberfroid, Dominique; Ahmadzai, Nadera et al

Report (2014)

Environ 7 bébés sur 100 viennent au monde trop tôt en Belgique. Le Centre Fédéral d’Expertise des Soins de Santé (KCE) a examiné, en collaboration avec le Collège pour la mère et le nouveau-né quelques ... [more ▼]

Environ 7 bébés sur 100 viennent au monde trop tôt en Belgique. Le Centre Fédéral d’Expertise des Soins de Santé (KCE) a examiné, en collaboration avec le Collège pour la mère et le nouveau-né quelques mesures courantes de prévention de l’accouchement prématuré. Une menace spontanée d’accouchement prématuré n’aboutit pas systématiquement à un accouchement dans les jours qui suivent. Pour éviter les angoisses inutiles et les effets secondaires des traitements, il est donc intéressant d’affiner l’évaluation du risque, ce qui est possible grâce à certains tests fiables et sûrs. De cette manière, des hospitalisations et des traitements superflus sont évités. Le KCE recommande donc de rembourser ces tests. Si le risque d’accouchement prématuré est confirmé, l’administration de corticoïdes et de sulfate de magnésium à la mère permet de protéger les poumons et le cerveau du bébé. Chez les femmes avec des antécédents d’accouchement prématuré, la progestérone administrée par voie vaginale à partir du deuxième trimestre permet de diminuer le risque de prématurité et de complications chez le bébé. [less ▲]

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See detailNeurochirurgie et grossesse
EMONTS, Patrick ULg; HENROTEAUX, Adrienne ULg; Martin, Didier ULg

Scientific conference (2014, January 15)

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See detailLa menace d'accouchement premature. Prise en charge dans un service universitaire de grossesses a risque : evaluation de la pratique clinique comparee aux recommandations internationals.
Johnson, S.; Kridelka, Frédéric ULg; Nisolle, Michelle ULg et al

in Revue medicale de Liege (2014), 69(12), 658-62

Premature birth poses a real problem of public health. As the principal cause of foetal ill-health and perinatal mortality, it generates high healthcare costs. By seeking to prevent early labour and to ... [more ▼]

Premature birth poses a real problem of public health. As the principal cause of foetal ill-health and perinatal mortality, it generates high healthcare costs. By seeking to prevent early labour and to deal with its causes, a good obstetrical practice can reduce its negative impact, both medical and financial, on society. This article describes the results of a study of threatened preterm delivery admissions at the Citadelle hospital in Liege during the year 2012. The findings are compared to international guidelines with a view to identify aspects that could be improved. [less ▲]

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