Publications of Patrick EMONTS
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See detailTechniques comportementales et organisationnelles pour une prise en charge efficiente de l'activité physique des parturientes et/ou des accouchées
Askour, Anissa; Cloes, Marc ULiege; EMONTS, Patrick ULiege et al

in Guinhouya, Benjamin (Ed.) L'activité physique de la femme enceinte et de l'accouchée (2021)

L'activité physique est reconnue comme un des facteurs déterminants d'un style de vie sain, y compris pour les femmes enceintes et les accouchées. Les professionnels de la santé en charge de ce public ... [more ▼]

L'activité physique est reconnue comme un des facteurs déterminants d'un style de vie sain, y compris pour les femmes enceintes et les accouchées. Les professionnels de la santé en charge de ce public devraient être au cœur de la promotion d'une activité physique qui lui est appropriée. Cette contribution fait le point sur les outils susceptibles d'être utilisés dans cette perspective et souligne la nécessité de favoriser leur exploitation sur le terrain. [less ▲]

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See detailIdentifying maternal needs following childbirth: comparison between pregnant women and recent mothers.
Slomian, Justine ULiege; Reginster, Jean-Yves ULiege; Emonts, Patrick ULiege et al

in BMC Pregnancy and Childbirth (2021), 21(1), 405

BACKGROUND: The postnatal period is associated with new needs for mothers. Four categories of needs were highlighted in a previous study: for information, for psychological support, for the sharing of ... [more ▼]

BACKGROUND: The postnatal period is associated with new needs for mothers. Four categories of needs were highlighted in a previous study: for information, for psychological support, for the sharing of experiences and for practical and material support. To ensure that these four needs are inherent to the postpartum period, the aims of this study is to examine these needs by comparing recent mothers' needs with the needs of pregnant women. METHODS: The 4 needs previously identified were cross-sectionally investigated by online self-reported questionnaires completed by women in their last trimester of pregnancy and by mothers who had a child between 0 and 6 months of age. RESULTS: The 4 needs were largely present during the postpartum period. The need for information seemed to be more present during pregnancy (92.4 %) than during the postpartum period (84.6 %, p = 0.03), but women used the Internet significantly more often to search for information after childbirth (54.8 %) than during pregnancy (41.2 %, p < 0.0001). The needs for psychological support and to share experiences seemed to be closely linked. Even if the global satisfaction with psychological support was fairly high, it weakened after childbirth (p < 0.05). Feelings of loneliness (p < 0.0001) and depression scores (p = 0.01) were also higher during the postpartum period than during pregnancy. Finally, the need for practical support was also more pronounced during the postpartum period than during pregnancy (p = 0.01). CONCLUSIONS: All mothers seem to meet the 4 identified needs during the postpartum period but at different levels of intensity. Trying to meet these needs could offer an opportunity to improve mothers' quality of life. [less ▲]

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See detailL’activité physique de la femme enceinte et de l'accouchée
GUINHOUYA, BENJAMIN C.; BARIBEAU, ANISSA; BISSON, MICHELE et al

Book published by LAVOISIER (2021)

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See detailL’induction élective du travail chez la patiente nullipare : stop ou encore ?
TREMBLAY LEMOINE, Pierre Luc ULiege; Van Linthout, Christine ULiege; Emonts, Patrick ULiege et al

in Revue medicale de Liege (2020), 75(10), 676-681

In Wallonia, almost one fourth of cesarean sections are performed on nulliparous women with vertex nonanomalous singleton gestations who underwent induction of labor. The purpose of this study is to ... [more ▼]

In Wallonia, almost one fourth of cesarean sections are performed on nulliparous women with vertex nonanomalous singleton gestations who underwent induction of labor. The purpose of this study is to compare maternal and neonatal outcomes with elective induction of labor versus spontaneous onset of labor. Data for all deliveries at CHU de Liège over a two-year period were obtained. Women with vertex nonanomalous singleton gestations who delivered from 3900 to 40+6 weeks were selected. We tested the association of elective induction and operative vaginal delivery, cesarean section, post-partum hemorrhage, episiotomy and perineal lacerations, length of labor, length of stay, 1-min and 5-min APGAR inferior to 7 and admission to neonatal intensive care unit. Length of stay was significantly longer in all induced women. In nulliparous women, there was a 45 % probability of operative vaginal delivery or cesarean section delivery in those who underwent elective induction of labor. In light of these results, it seems that our policy of elective induction of labor in nulliparous women is causing unnecessary and potentially avoidable interventions. [less ▲]

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See detailBelgian clinical guidance on anticoagulation management in hospitalised and ambulatory patients with COVID-19.
Vanassche, Thomas; Orlando, Christelle; VANDENBOSCH, Kristel ULiege et al

in Acta Clinica Belgica (2020)

OBJECTIVES: COVID-19 predisposes patients to thrombotic disease. The aim of this guidance document is to provide Belgian health-care workers with recommendations on anticoagulation management in COVID-19 ... [more ▼]

OBJECTIVES: COVID-19 predisposes patients to thrombotic disease. The aim of this guidance document is to provide Belgian health-care workers with recommendations on anticoagulation management in COVID-19 positive patients. METHODS: These recommendations were based on current knowledge and a limited level of evidence. RESULTS: We formulated recommendations for the prophylaxis and treatment of COVID-related venous thromboembolism in ambulatory and hospitalised patients, as well as recommendations for the use of antithrombotic drugs in patients with prior indication for anticoagulation who develop COVID-19. CONCLUSIONS: These recommendations represent an easy-to-use practical guidance that can be implemented in every Belgian hospital and be used by primary care physicians and gynaecologists. Of note, they are likely to evolve with increased knowledge of the disease and availability of data from ongoing clinical trials. [less ▲]

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See detailComment j’explore… le retard de croissance intra-utérin
PAQUAY, Pauline ULiege; Gérard, Marie ULiege; PIELTAIN, Catherine ULiege et al

in Revue medicale de Liege (2019), 74(10), 543-552

Intrauterine growth restriction (IUGR) is a common obstetrical condition (10 % of all pregnancies). Its origin is most often vascular, but it may also be a symptom of another fetal pathology (infectious ... [more ▼]

Intrauterine growth restriction (IUGR) is a common obstetrical condition (10 % of all pregnancies). Its origin is most often vascular, but it may also be a symptom of another fetal pathology (infectious, genetic, syndromic). Screening may be complicated due to the low sensitivity of the clinical examination as well as ultrasound. However, IUGR exposes the newborn to increased perinatal morbidity and mortality. In addition, various studies show that children born with low birth weight have a higher incidence of metabolic disorders in the long term. If an IUGR is discovered, an etiological development and management strategy must be carried out in a multidisciplinary manner.Le retard de croissance intra-utérin est une pathologie obstétricale fréquente (10 %). Le plus souvent d’étiologie vasculaire, il peut cependant être le symptôme d’une pathologie fœtale autre (infectieuse, génétique, syndromique). Le dépistage peut être compliqué en raison d’une faible sensibilité, tant clinique qu’échographique. Il expose pourtant le nouveau-né à une morbi-mortalité périnatale augmentée à court terme. Par ailleurs, différentes études montrent que les enfants nés avec un faible poids présentent, à plus long terme, une incidence majorée de pathologies métaboliques. En cas de découverte d’un retard de croissance intra-utérin, une mise au point étiologique et une stratégie de prise en charge doivent être réalisées de façon multidisciplinaire. [less ▲]

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See detailAlcool, grossesse et allaitement.
Emonts, Patrick ULiege; CAPELLE, Xavier ULiege; GRANDFILS, Sébastien ULiege et al

in Revue medicale de Liege (2019), 74(5-6), 360-364

Perinatal studies over the last ten years report that 3 % of pregnant women have alcohol consumption. The malformative and neurological consequences of prenatal exposure to alcohol have been known for ... [more ▼]

Perinatal studies over the last ten years report that 3 % of pregnant women have alcohol consumption. The malformative and neurological consequences of prenatal exposure to alcohol have been known for more than 50 years. Research has shown that the effects of alcohol during pregnancy and breast-feeding go far beyond visible abnormalities at birth. Neurological consequences, from minor psychomotor retardation to severe behavioural disorders, make all the severity of this intoxication and justify strict instructions to refrain from taking alcohol during pregnancy and breast-feeding. [less ▲]

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See detailBloc auriculoventriculaire congénital révélateur d’une pathologie maternelle systémique: Physiopathologie et approches thérapeutiques
Collée, Julie ULiege; MALAISE, Olivier ULiege; Emonts, Patrick ULiege et al

in Revue Médicale de Liège (2019), 74(2), 95-99

Summary: Immunologic congenital atrioventricular block is due to the presence of anti-SSA and anti-SSB antibodies in maternal blood. This pathology is often diagnosed when the status is irreversible and ... [more ▼]

Summary: Immunologic congenital atrioventricular block is due to the presence of anti-SSA and anti-SSB antibodies in maternal blood. This pathology is often diagnosed when the status is irreversible and is consequently associated with a high morbi-mortality. Close monitoring for high risk pregnancies can help to diagnose first and second degrees heart block and treatments can be offered when the block is still reversible. Fluorocorticoids, betamimetics and hydroxychloroquine use is not consensual. Studies are still in progress to prove their utility. We report the antenatal managing of a patient in which Goujerot-Sjögren disease was diagnosed after the revealing of an atrioventricular block in her fetus. After a brief physiopathological description, we present the current knowledge in preventive and curative treatments. © 2019 Revue Medicale de Liege. All Rights Reserved. [less ▲]

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See detailConsequences of maternal postpartum depression: a systematic review of maternal and infant outcomes.
Slomian, Justine ULiege; Honvo, Germain ULiege; EMONTS, Patrick ULiege et al

in Women's Health (2019), 15

Introduction: The postpartum period represents the time of risk for the emergence of maternal postpartum depression. There are no systematic reviews of the overall maternal outcomes of maternal postpartum ... [more ▼]

Introduction: The postpartum period represents the time of risk for the emergence of maternal postpartum depression. There are no systematic reviews of the overall maternal outcomes of maternal postpartum depression. The aim of this study was to evaluate both the infant and the maternal consequences of untreated maternal postpartum depression. Methods: We searched for studies published between 1 January 2005 and 17 August 2016, using the following databases: MEDLINE via Ovid, PsycINFO, and the Cochrane Pregnancy and Childbirth Group trials registry. Results: A total of 122 studies (out of 3712 references retrieved from bibliographic databases) were included in this systematic review. The results of the studies were synthetized into three categories: (a) the maternal consequences of postpartum depression, including physical health, psychological health, relationship, and risky behaviors; (b) the infant consequences of postpartum depression, including anthropometry, physical health, sleep, and motor, cognitive, language, emotional, social, and behavioral development; and (c) mother–child interactions, including bonding, breastfeeding, and the maternal role. Discussion: The results suggest that postpartum depression creates an environment that is not conducive to the personal development of mothers or the optimal development of a child. It therefore seems important to detect and treat depression during the postnatal period as early as possible to avoid harmful conséquences. [less ▲]

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See detailPrévalence de l’hypovitaminose D chez la femme enceinte : quelle est la situation en région liégeoise ?
VRANKEN, Laura ULiege; EMONTS, Patrick ULiege; Bruyère, Olivier ULiege et al

in Revue Médicale de Liège (2018), 73(1), 10-16

Summary : Vitamin D deficiency is a worldwide health problem, also during pregnancy. Inadequate maternal vitamin D status in pregnancy is associated with poor fetal growth, impaired bone development and ... [more ▼]

Summary : Vitamin D deficiency is a worldwide health problem, also during pregnancy. Inadequate maternal vitamin D status in pregnancy is associated with poor fetal growth, impaired bone development and rickets in infants after birth. Furthermore, higher rates of preeclampsia and gestational diabetes are associated with low maternal vitamin D status during pregnancy. Toxicity of vitamin D is rare. Most countries recommend vitamin D supplementation during pregnancy but guidelines are controversial and inadequate compared to real mother’s and child’s needs. Wath’s the best strategy to follow and supplement mother during pregnancy? In a study carried out at the maternity clinic Notre- Dame des Bruyères (CHU Liège), we studied for a year the vitamin D concentrations of young women at start of pregnancy and of others after delivery to evaluate the local situation and management of vitamin D status during pregnancy. We did not collect the cord blood samples in this study. However, this is a project we would like to achieve soon. This would allow us to compare the vitamin D results of the mother at the time of delivery, to those of the cord blood of their respective child. [less ▲]

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See detailThe "Happy Mums" website dedicated to the perinatal period: evaluation of its acceptability by parents and professionals
Slomian, Justine ULiege; Vigneron, L; EMONTS, Patrick ULiege et al

in Midwifery (2018), 66

Objective: Pregnancy and childbirth are associated with new needs for mothers, especially an eagerness for infor- mation. The aim of this study was to evaluate whether the Happy-Mums.be website meets the ... [more ▼]

Objective: Pregnancy and childbirth are associated with new needs for mothers, especially an eagerness for infor- mation. The aim of this study was to evaluate whether the Happy-Mums.be website meets the expectations and needs of its future users. Design: After the development of the Happy-Mums.be website, it was submitted to parents and professionals and evaluated by an online survey, which consisted of the third round of an ongoing Delphi survey. Setting and participants: The panel involved in the survey included parents (both mothers and fathers) and pro- fessionals (health professionals and early childhood professionals, orbiting mothers of children aged 0–2 years). Findings: Twenty-eight parents and professionals participated in the third round of the Delphi survey. The partic- ipants indicated that Happy-Mums.be was useful and easy to use. They attributed a mean score of 8 out of 10 for the content, design and quality of the information on the Happy-Mums.be website. The majority of participants said that they would recommend the website both during pregnancy and the postnatal period. Conclusions: Happy-Mums.be meets the needs and expectations of parents and professionals in terms of both content and design. More specifically, the quality of the information found on Happy-Mums.be was judged to be significantly better than the information found on other websites. [less ▲]

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See detailLe cas clinique du mois. Syndrome de Cushing au cours d'une grossesse: Difficultés diagnostiques et thérapeutiques
Gellner, K; Emonts, Patrick ULiege; HAMOIR, Etienne ULiege et al

in Revue Médicale de Liège (2018), 73

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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 ULiege; Bruyère, Olivier ULiege; Reginster, Jean-Yves ULiege 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 detailWhat should a website dedicated to the postnatal period contain? A Delphi survey among parents and professionals
Slomian, Justine ULiege; EMONTS, Patrick ULiege; Erpicum, Martin ULiege 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 ULiege; Emonts, Patrick ULiege; Vigneron, Lara ULiege 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 detailIdentifying maternal needs following childbirth: A qualitative study among mothers, fathers and professionals
Slomian, Justine ULiege; EMONTS, Patrick ULiege; 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 detailUne hypokaliémie à Liège
VALDES SOCIN, Hernan Gonzalo ULiege; EMONTS, Patrick ULiege; HAMOIR, Etienne ULiege et al

Conference (2016, October 15)

Detailed reference viewed: 78 (11 ULiège)
See detailGuide du post-partum
Emonts, Patrick ULiege

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.

Detailed reference viewed: 158 (11 ULiège)