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H. Autorité-de-santé, Sortie de maternité après accouchement : conditions et organisation du retour à domicile des mères et de leurs nouveau-nés, 2014.

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K. Bechtel, K. Le, and K. D. Martin, Impact of an educational intervention on caregivers' beliefs about infant crying and knowledge of shaken baby syndrome, Acad Pediatr, vol.11, pp.481-486, 2011.

E. Ben-isaac, S. M. Schrager, M. Keefer, and A. Y. Chen, National profile of nonemergent pediatric emergency department visits, Pediatrics, vol.125, issue.3, pp.454-459, 2010.

H. C. Lee, N. S. Bardach, J. H. Maselli, and R. Gonzales, Emergency department visits in the neonatal period in the United States, Pediatr Emerg Care, vol.30, issue.5, pp.315-318, 2014.

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W. J. Pomerantz, C. J. Schubert, H. D. Atherton, and U. R. Kotagal, Characteristics of nonurgent emergency department use in the first 3 months of life, Pediatr Emerg Care, vol.18, issue.6, pp.403-408, 2002.

M. R. Sills, D. Fairclough, D. Ranade, and M. G. Kahn, Emergency department crowding is associated with decreased quality of care for children, Pediatr Emerg Care, vol.27, issue.9, pp.837-845, 2011.

I. Claudet, D. Montis, P. Debuisson, C. Maréchal, C. Honorat et al., Analysis of neonate admissions to the pediatric emergency department, Arch Pediatr, vol.19, issue.9, pp.900-906, 2012.

J. Harrold, M. Langevin, and N. Barrowman, Parental characteristics and perspectives pertaining to neonatal visits to the emergency department: a multicentre survey, CMAJ Open, vol.6, issue.3, pp.423-429, 2018.

D. C. Brousseau, R. G. Hoffmann, A. B. Nattinger, G. Flores, Y. Zhang et al., Quality of primary care and subsequent pediatric emergency department utilization, Pediatrics, vol.119, issue.6, pp.1131-1138, 2007.

H. Autorité-de-santé, Recommandations professionnelles, Préparation à la naissance et à la parentalité, 2005.

S. Shrestha, K. Adachi, M. A. Petrini, S. Shrestha, R. Khagi et al., Development and evaluation of a newborn care education programme in primiparous mothers in Nepal, Midwifery, vol.42, pp.21-28, 2016.

A. Goto, Q. V. Nguyen, and T. Nguyen, Associations of Psychosocial Factors with Maternal Confidence Among Japanese and Vietnamese Mothers, J Child Fam Stud, vol.19, issue.1, pp.118-127, 2010.

?. Ö. Çinar and A. Öztürk, The effect of planned baby care education given to primiparous mothers on maternal attachment and self-confidence levels, Health Care Women Int, vol.35, issue.3, pp.320-333, 2014.

N. Mamelle, V. Cochet, and C. O. , Definition of fetal growth restriction according to constitutional growth potential, Biol Neonate, vol.80, issue.4, pp.277-285, 2001.

C. D. Spielberger, R. L. Gorsuch, R. E. Lushene, P. R. Vagg, and G. A. Jacobs, Manual for the StateTrait Anxiety Inventory STAI (Form Y), 1983.

C. Deangelis, P. Fosarelli, and A. K. Duggan, Use of the emergency department by children enrolled in a primary care clinic, Pediatr Emerg Care, vol.1, issue.2, pp.61-65, 1985.

H. A. Paradis, K. M. Conn, J. R. Gewirtz, and J. S. Halterman, Innovative delivery of newborn anticipatory guidance: a randomized, controlled trial incorporating media-based learning into primary care, Acad Pediatr, vol.11, issue.1, pp.27-33, 2011.

H. Hiscock, F. Cook, and J. Bayer, Preventing early infant sleep and crying problems and postnatal depression: a randomized trial, Pediatrics, vol.133, issue.2, pp.346-354, 2014.

G. Lindsay and V. Totsika, The effectiveness of universal parenting programmes: the CANparent trial, BMC Psychol, vol.5, issue.1, p.35, 2017.

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J. Bryanton, C. T. Beck, and W. Montelpare, Postnatal parental education for optimizing infant general health and parent-infant relationships, Cochrane Database Syst Rev, issue.11, p.4068, 2013.

B. G. Symon, J. E. Marley, A. J. Martin, and E. R. Norman, Effect of a consultation teaching behaviour modification on sleep performance in infants: a randomised controlled trial, Med J Aust, vol.182, issue.5, pp.215-218, 2005.

H. Autorité-de-santé, Sortie de maternité après accouchement : conditions et organisation du retour à domicile des mères et de leurs nouveau-nés, 2014.

E. Giugliani, B. L. Horta, L. De-mola, C. Lisboa, B. O. Victora et al., Effect of breastfeeding promotion interventions on child growth: a systematic review and metaanalysis, Acta Paediatr, vol.104, issue.467, pp.20-29, 2015.

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K. Bechtel, K. Le, K. D. Martin, N. Shah, J. M. Leventhal et al., Impact of an educational intervention on caregivers' beliefs about infant crying and knowledge of shaken baby syndrome, Acad Pediatr, vol.11, issue.6, pp.481-486, 2011.

, RÉSUMÉ Objectifs Evaluer l'efficacité d'un programme d'éducation parentale précoce (PEPP) en maternité sur les connaissances parentales, l'anxiété maternelle et le recours aux soins

, Sujets Cent mères de nouveau-né à terme, eutrophe (poids de naissance > 5 ème percentile) et en bonne santé

, Intervention PEPP d'une heure délivré à l'aide d'un support numérique audio-visuel (groupe interventionnel, n = 50), comparé aux conseils habituels prodigués en maternité à propos des soins des nouveau-nés

, Critères d'évaluation Le critère d'évaluation principal était l'évaluation des connaissances maternelles à l'aide d'un questionnaire, noté sur 20, avant (Pré-test) et après (Post-test) le PEPP

, Les critères d'évaluation secondaires étaient l'évaluation des connaissances à 1 mois (Recalltest), de l'anxiété maternelle mesurée par le questionnaire STAI (avant et après le PEPP et à 1 mois) et de la pertinence du recours

, La moyenne des scores totaux entre les Pré-et Post-test a augmenté de façon significative dans le groupe intervention (13,2 vs. 15,8 ; p<0,0001), ce qui n, Résultats Le score Post-test était plus élevé dans le groupe intervention comparé au groupe contrôle mais cette différence n'était pas significative (15,4 vs

, Conclusion Notre PEPP en maternité permet d'améliorer les connaissances parentales et

, Mots-clés : programme d'éducation parentale, soins des nouveau-nés, anxiété maternelle, essai clinique randomisé, recours aux soins