Article
The kangaroo method in the spotlight
The neonatology department was featured in a TV report by RTL It explains the kangaroo method or "zero separation": a practice that consists of placing the premature infant skin-to-skin against the mother and thus maintaining the bond for as long as possible. This reduces stress for the newborn, helps to reduce mortality by 25% and promotes the baby's healthy development. Report
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The Obstetrics Clinic
Image Are you a physician and would like to obtain your patients’ medical results?SecMed [dot] Gyn-Obs [dot] erasme [at] hubruxelles [dot] be (Please contact the Obstetrics Clinic directly.)  By your side throughout pregnancy, during childbirth, and after delivery Image Image Image Respect for the individual needs of each patient Our mission is to be by your side, supporting you and your baby throughout the unique journey of motherhood. From the very first months of your pregnancy to the precious moments after birth, we do everything possible to provide attentive, personalized, and safe care.We understand that every pregnancy and every birth are different, and we are committed to respecting your choices and listening to your needs, while answering all your questions with care and compassion. A multidisciplinary approach Thanks to our expertise and our intra- and inter-hospital collaborations, we are able to tailor our care to your specific needs, whether you are experiencing a high-risk pregnancy, complications arise, or you require enhanced medical monitoring.Together, we create a safe and supportive birth environment, where every member of the team works collaboratively to ensure your comfort and that of your baby.This allows you to move forward with peace of mind at every stage, feeling confident and fully supported, so you can experience this exceptional moment in the best possible conditions. Image Giving birth in motion with epidural: a new childbirth experience at H.U.B.! Since 2026, expectant mothers have been able to give birth vaginally at H.U.B. with a walking epidural. This innovation provides effective pain relief while allowing mothers to remain mobile during labour. Mobility supports the natural progression of childbirth and improves maternal comfort, while maintaining a high level of safety for both mother and baby.For more information, please contact our medical secretariat by email at: Contact us Our care services Support before birthConsultations for pregnancy follow-up.Emergency consultations for conditions and bleeding during the first trimester of pregnancy.Hospitalization of pregnant women with high-risk pregnancies.Preparation for vaginal birth without medical intervention.Preparation for the delivery of a breech baby.Specific care pathways for pregnant women with gestational diabetes, sickle cell disease, heart disease, obesity (or who have undergone bariatric surgery), or cancer. Support after birthStay in the maternity ward.Stay in the Maternal Intensive Care Unit.Postpartum follow-up.Stay in the Neonatology Department as part of our “zero separation” policy.  Births at H.U.B. in 2024 Source : Rapport CEPIP 2024 1.891 Childbirths 16,4% Cesarean deliveries 8,3% Instrumental vaginal deliveries 2,9% Episiotomies Our brand-new maternity ward Visiting hours at the maternity ward of Erasmus Hospital – H.U.B. To ensure maximum rest for the newborn and their parents, we recommend prioritizing visits once you have returned home.However, visits are allowed under the following conditions, with a maximum of four people in the room at the same time:The maternity ward is located on the 2nd floor, route 328.Co-parent of the newborn (or a designated support person in the absence of the co-parent): 24 hours a day, 7 days a week.Please note that additional fees will be charged for the co-parent.Newborn’s family members (siblings, grandparents, uncles/aunts): from 5:00 PM to 7:00 PM, 7 days a week.  A clinic accredited since 2008 Erasme Hospital promotes an obstetric approach that is as minimally invasive as possible. This is reflected in the 2024 rates of episiotomies (2.9%), cesarean deliveries (16.4%), and instrumental deliveries (8.3%), which are among the lowest in the Wallonia-Brussels Federation. In fact, half of all births take place without medical intervention. Respect for the mother–child bond is at the heart of our approach, including in the case of cesarean delivery. The Obstetrics Clinic has held the “Baby-Friendly Hospital” (BFHI) label since 2008. The practice of gentle cesarean delivery at Erasmus Hospital – H.U.B. Image Le Cocon – Your birth suite Within the Obstetrics Clinic, Le Cocon offers a prenatal care program with a specially designed birth space managed by our midwives. It allows expectant mothers to experience a natural birth in a reassuring environment similar to that of home.This concept, known as a “birth lodge,” is the first of its kind in Belgium to be integrated within a hospital. In this space, which is both safe and free from medical intervention (except in the case of complications), women can experience their pregnancy differently and give birth naturally. Contact Le Cocon Prof. Clotilde Lamy, Directrice de la Clinique de l'Obstétrique Prof. Clotilde Lamy, Director of the Obstetrics Clinic Schedule an appointment with Dr. Lamy Isaline Gonze, Head Midwife, Mother and Child Department Our team of specialists DoctorsProf. Clotilde LAMYDr. Stéphanie ROMNEEDr Caroline DE CONINCKDr Sara DERISBOURGDr Giulia GAROFALODr Mathilde VALCARENGHIDr An VERCOUTEREDr Siham ZAYTOUNIConsultantsDr Sophie MENARDDr Cristina ROTEA  Would you like to schedule an appointment with one of our obstetrician-gynecologists? SecMed [dot] Gyn-Obs [dot] erasme [at] hubruxelles [dot] be (Please contact our medical secretariat) The birth of your baby: a wonderful adventure to prepare for! To welcome your baby and prepare as best as possible for your new life as parents, we invite you to take part in birth and parenting preparation sessions, either in small groups or individually.These sessions aim to provide well-being, attentive support, and practical advice, all in a calm and friendly atmosphere. They are led by midwives and take place several times a week, allowing you to choose the time that suits you best. We offer a comprehensive birth preparation program as well as more specialized preparation sessions. Would you like to learn more about:Group prenatal physiotherapy sessionsIndividual prenatal physiotherapy consultations“Return to the Nest” physiotherapy sessionsGroup postnatal physiotherapy sessionsYou can find all the practical details in our brochure “Tailor-made Birth Preparation”, available for download in the Resources for Expectant Parents section below.You may also contact us directly by phone (prenatal/postnatal physiotherapy only): +32 2 555 52 54.The “9 Months” brochure will guide you throughout your pregnancy, step by step. Resources for Expectant Parents BROCHURE – 9 Months BROCHURE – Personalized Birth Preparation BROCHURE – My Baby Is in Breech Position VIDEO – Gentle Cesarean: Gentle Cesarean Delivery at Erasmus Hospital LEAFLET – Breastfeeding Is Ideal for Your Baby LEAFLET – Breastfeeding Your Baby DEPLIANT - Exprimer son lait, le conserver, le donner LEAFLET – Expressing, Storing, and Feeding Breast Milk
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The Patient Partnership
The Erasmus Hospital, and by extension the Brussels University Hospital (H.U.B), awards particular importance to developing the Patient Partnership. What does the approach cover? We encourage and support patients in acting as a partner in their own care:  By ensuring they receive a maximum of information throughout the care pathway;  By listening to what the patient has to say about their situation and experience with the illness; By taking into account the patient’s priorities and goals; By encouraging shared decision-making; By taking account of the patient’s suggestions regarding the care pathway. We want to enable patients who so wish to be involved at the institutional level This can take a number of forms: Cooperating in training professionals; Being involved in research; Supporting patients who are experiencing similar health problems to their own; Participating in the institutional reflection on how to improve quality, safety and patient satisfaction. How is the Patient Partnership organised? The Patient Partnership project revolves around four main lines of approach that impact at various levels of care and that include the patients as:  Actors in their own care project; Resources within teams of professionals to improve the patient’s experience (testimonies, discussion groups, patient coach, etc.);  Interlocutors with whom the professionals work to improve the various processes (patients committee, etc.);  Active members in reflections on the pertinence and coherence of research and training projects within the Erasmus Hospital and the H.U.B.  Discover the testimony of Mme AnhThi Nguyen, oncology patient-expert, who is a member of the Quality, Security and Patient Partnership team and contributes her experience as peer-accompanier. The Committee of Partner Patients (CPP) To put this patient institutional involvement into practice, a Committee of Partner Patients (CPP) has been set up at the Erasmus Hospital as well as in each of the H.U.B institutions.  Why become a member of the Committee of Partner Patients (CPP)? If you have had experiences of care at the Erasmus Hospital and would like to share them, you can join the committee.  As member of the CPP you are a genuine partner of the institution and contribute actively not only to   improving the quality and safety of care for yourself and other patients, but also to the continuous training of carers. You attend regular meetings where focus groups consider questions concerning the patient experience at the hospital. You are of course free to refuse or agree to participate in what is proposed.  You are invited, for example: To give your opinion on documents addressed to all patients; To put forward suggestions on how to improve the care pathway;  To propose measures or changes concerning the quality and safety of care (prevention of infections or falls, checking patient identity, etc.)  To suggest possible approaches concerning certain aspects of care.  What conditions must you meet? Aged over 18; Attend the Erasmus Hospital on a regular basis; The desire to input ideas or constrictive opinions; The desire to help other people and to help work towards a goal that transcends your own health situation;  Fluency in French and/or Dutch; The ability to listen and empathy; The demonstrated desire to be involved in regard to other patients, other clinical teams or the institution;  Be available and motivated to commit during the required time; at least five two-hour meetings are held each year.  How to become a member of the Committee of Partner Patients (CPP)?  Simply send an email to Partenariat-patients [dot] qualite [at] hubruxelles [dot] be (Partenariat-patients[dot]qualite[at]hubruxelles[dot]be)  briefly describing (the equivalent to one A4 page maximum) your reasons to participating in the Committee of Partner Patients. Remember to give your full details (first name, last name, address and telephone number).  If you are unable to send us an email you can also contact us by post at:  Direction Qualité, Sécurité et Partenariat Patient H.U.B – Campus Anderlecht 808 Route de Lennik 1070 Bruxelles Your application will be carefully considered and we will get back to you within 30 days.  What are you committing to? Actively participating in at least 3 the 5 CPP meetings held every year; During a period of 2 years; Strictly respecting the confidentiality of exchanges.  Information shared within the CPP is subject to the rules of confidentiality comparable to professional secrecy. To ensure compliance each member receives training on the subject. Each committee member signs a charter of confidentiality ; Listening to others and adopting a constructive approach; This is a voluntary commitment with no remuneration; You are covered by insurance when present at the hospital; Your travel and parking expenses are borne by the hospital. How are the meetings organised? The committee meets physically at least 5 times a year (October, December, February, April and June); The dates and times are set in cooperation with the participants; The committee meets on the Anderlecht campus; Additional meetings are possible depending on the projects; Each meeting is chaired by a coordinator representing the institution and a patient committee member; An agenda is drawn up and communicated at least one week before the meeting; Minutes are drawn up  no later than 1 month after the meeting and sent out to participants for validation ; The minutes are approved at the start of each meeting. Can I resign from my commitment? You are free to resign from the committee at any time. You must notify us of this by email to Partenariat-patients [dot] qualite [at] hubruxelles [dot] be   Contact Service Qualité, Sécurité et Partenariat Patient  Partenariat-patients [dot] qualite [at] hubruxelles [dot] be (Partenariat-patients[dot]qualite[at]hubruxelles[dot]be) 
Article
The role of dietetics in the multidisciplinary management of obesity
On the occasion of World Obesity Day, Ingrid Hanson, a dietitian accredited by the Federal Public Service for Public Health at the Integrated Obesity Center of H.U.B., explains the delicate issue of nutrition for patients who wish or need to lose weight. A personalized and Sustainable Care What is the role of a dietitian in the management of a patient with obesity? How does this differ from that of a nutritionist?The Integrated Obesity Center supports patients who are overweight or living with obesity in their weight loss journey, whether through lifestyle modifications alone or with the help of medication or surgical techniques.My role within the team is to support patients in these three approaches throughout the entire proposed program, aiming for comprehensive and sustainable care.This includes assessing their eating habits, implementing personalized nutritional follow-up adapted to their treatment, providing therapeutic education, and offering motivational support. I work closely with the multidisciplinary team (surgeons, endocrinologists, gastroenterologists, internist, physician nutritionist, and psychologists) to offer a complete and situation-specific approach.To answer your question regarding the approach of nutritionists, it is important to clarify that the term “nutritionist” is not legally protected in Belgium.At the CIO, we are 4 dietitians and we also collaborate with a general practitioner who is a nutritionist. This is important to specify because the term “nutritionist” does not carry much meaning, as it is not protected in Belgium, unlike the title “dietitian.” The title of Dietitian is legally protected and defined by the Royal Decree of February 19, 1997. In addition, accreditation granted by the Federal Public Service for Public Health is mandatory to demonstrate that dietitians meet the required standards to practice (education, internships, continuing professional development, compliance with professional regulations) and to guarantee patients a professional, high-quality service.The physician nutritionist (or holder of the interuniversity certificate in clinical nutrition) has a complementary approach to that of dietitians.At the Integrated Obesity Center, the physician nutritionist mainly addresses the medical and metabolic aspects: making diagnoses and prescribing tests and medical treatments.As a dietitian, I specialize in daily nutritional and micronutritional support. The era of rigid meal plans is over! Our support is designed to be practical, personalized, and applicable to everyday life. This is even more relevant with the arrival of new drug treatments, which require regular monitoring of muscle mass, protein intake, and vitamin and mineral intake.Our goal is to support all patients engaged in weight loss over the long term, help them gradually modify their eating behaviors through concrete and realistic objectives, limit the risk of nutritional deficiencies, overcome barriers, and build a more peaceful relationship with food.How do you adapt dietary advice to different patient profiles?Each patient is unique, which is why adaptation is central to our work. Our patients follow different care pathways and may benefit from medication, an intragastric balloon, or surgery to support weight loss. Management is progressively tailored on a case-by-case basis, including possible texture adaptations, adjustments in portion sizes, and advice to relieve treatment side effects.To personalize care, I consider age, sex, family and social context, eating habits and preferences, level of physical activity, and any associated medical conditions.For adults followed at the CIO, support focuses on daily organization (meal timing, help with menu planning, portion sizes, incorporating moments of physical activity), managing meals at work, understanding hunger and satiety signals, and ensuring long-term sustainability of changes.Advice may also vary according to sex, particularly to account for hormonal differences, life stages such as menopause, and specific individual issues.For patients with comorbidities such as diabetes, hypertension, or metabolic disorders, I work closely with the medical team to provide targeted, safe, and personalized nutritional recommendations.The objective always remains the same: within the framework of a chronic disease, where the risk of relapse is real regardless of the treatment implemented, to propose adapted, realistic nutrition compatible with daily life in order to promote sustainable changes and improve quality of life.What are the most common dietary obstacles you observe among your patients and how do you help them overcome them?Obesity is recognized as a multifactorial disease linked to overall lifestyle. Dietary obstacles are often multiple and intertwined.On an emotional level, many patients exhibit eating behaviors influenced by stress, fatigue, anxiety, or negative emotions. Collaboration with psychologists is essential here. Our role is to help patients better identify their emotional triggers, for example through a food diary, and to develop alternative strategies.On a social level, professional constraints, irregular schedules, meals eaten on the go, lack of time to cook, and social pressure play a significant role. I support patients by working with them to find practical, realistic solutions adapted to their lifestyle to facilitate daily meal organization.Economic factors are also decisive. Some patients have limited food budgets, which may hinder access to food perceived as healthier. I analyze with them the products they commonly purchase and the stores they frequent to identify healthier yet equally affordable alternatives. I also adapt menus and meal preparation techniques accordingly.Regarding differences between men and women, women seem more often confronted with mental load, emotional management, and guilt related to food, whereas men more frequently face barriers related to large portions, alcohol consumption, or eating out. Due to family organization, many women also appear to have more difficulty establishing regular physical activity.These are, of course, general trends, and each situation remains unique. In all cases, the support aims to identify and gradually overcome these obstacles through a compassionate approach, building concrete, personalized, and sustainable solutions with each patient.Why is weight stabilization often more difficult than initial weight loss?We must never forget that obesity is a chronic disease of adipose tissue. Losing weight is often easier than maintaining it, because the body naturally resists weight loss and seeks to return to its initial balance. This applies to all treatments: lifestyle changes, intragastric balloon placement, medication, and surgery.Stabilization therefore requires long-term support and continuous adaptation. Above all, what matters is preventing health problems related to excess weight, even if many patients will have to grieve the idea of their ideal weight.What misconceptions about nutrition and obesity would you like to dispel among the general public?One only has to read the many malicious comments on social media: obesity is still perceived as a weakness, a lack of willpower. With the arrival of new drug treatments for obesity, I have the impression that this hostility is increasing: people are made to feel guilty, led to believe they are “stealing” medication from diabetics, or that they are seeking an easy solution.In reality, obesity is a chronic, complex, and multifactorial disease influenced by genetic, hormonal, psychological, social, and environmental factors. Reducing it to a statement such as “you just need to move more and eat less” is not only degrading but also medically incorrect.Another misconception is that following a strict diet, receiving injectable treatments, or undergoing surgery would be enough to solve the problem permanently. Since it is a chronic disease, one never truly recovers from it, and any weight loss induced by restrictive techniques will lead to yo-yo effects, frustration, guilt, and, in the long term, weight regain.For this reason, we always prioritize establishing the most balanced and sustainable daily eating habits possible, even if the theoretical ideal weight is not reached. The primary goal is to achieve an overall improvement in health, well-being, and quality of life. Contactez le Centre Intégré de l'Obésité Also read: Treating Obesity in 2026Professor Jean-Charles Preiser, from the Department of Internal Medicine and expert within the team of the Integrated Obesity Centre at H.U.B, explains the new approaches to managing this chronic disease. Read more Ingrid Hantson Dietitian accredited by the Federal Public Service for Public Health at the Integrated Obesity Center of H.U.B.
Health issues
Thoracic Oncology Clinic
Clinic Mission: Management of Thoracic Cancers The Thoracic Oncology Clinic at H.U.B specializes in the multidisciplinary management of patients with lung, pleural, and mediastinal cancers, including:Bronchopulmonary cancers (non-small cell and small cell)Pleural tumors (mesotheliomas and others)Mediastinal tumors (thymomas and others)Pleuro-pulmonary metastasesDiagnostic management is provided through an advanced pulmonary endoscopy unit (bronchoscopic fiberoscopy, GPS navigation, endobronchial ultrasound [EBUS], cryobiopsies, etc.) and close collaboration with a highly skilled team of pathologists and the molecular biology laboratory.The weekly multidisciplinary thoracic oncology meeting (CUB Erasme Hospital and Jules Bordet Institute) brings together top specialists in radiology, nuclear medicine, pneumology, thoracic oncology, thoracic surgery, radiotherapy, pathology, ISO, and other fields. This collaboration is the foundation for evidence-based therapeutic decisions aligned with the latest scientific research and best practice guidelines.Surgical management is provided by the Thoracic Surgery Department, in line with our institution’s long-standing integrated medical-surgical model.Radiotherapy management is provided by the Institut Jules Bordet team.Collaboration with the Gamma Knife Center of the Neurosurgery Department at Erasme Hospital and the Radiotherapy Department at Institut Jules Bordet ensures optimal management of brain metastases. Learn more about lung cancer care at the Jules Bordet Institute Academic Mission Training of medical residents in Pneumology and Internal MedicineTraining in Thoracic OncologySupervisor: CUB Erasme Hospital – J. Bordet Institute (ULB): Dr Mekinda Ngono Zita LéaOthers Research Mission Les activités de recherche clinique et fondamentale sont réalisées en collaboration avec l’Institut Jules Bordet et la faculté de médecine de l’ULB.Depuis la Création de l’Hôpital Universitaire de Bruxelles (HUB) en 2021, la prise en charge des pathologies oncologiques thoraciques se fait dans le cadre d’un projet de soins inter-inhospitalier CUB Hôpital Erasme et l’Institut Jules Bordet. Clinical and fundamental research activities are conducted in collaboration with the Jules Bordet Institute and the ULB Faculty of Medicine.Since the creation of the Brussels University Hospital (HUB) in 2021, the management of thoracic oncological diseases has been organized within an inter-hospital care project between CUB Erasme Hospital and the Jules Bordet Institute. Multidisciplinary Thoracic Oncology Team Dr Mekinda Ngono Zita: Pulmonologist, Thoracic OncologistProf. Thierry Berghmans: Medical OncologistProf. Dimitri Leduc: PulmonologistProf. Benjamin Bondue: PulmonologistDr Blandine Jelli: Pulmonologist, Thoracic OncologistDr Olivier Taton: Pulmonologist, Thoracic OncologistProf. Mariana Brandao: Medical OncologistDr Anouk Goudsmit: Medical OncologistDr Alice Carrette: Pulmonologist, Thoracic OncologistDr Bogdan Grigoriu: PulmonologistDr Youri Sokolow: Thoracic SurgeonDr Maria Ruiz: Thoracic SurgeonDr Maarten Vander Kuylen: Thoracic SurgeonDr Elena Prisciandaro: Thoracic SurgeonProf. Pia Di Campli: Thoracic SurgeonProf. Myriam Remmelink: AnatomopathologistProf. Luigi Moretti: RadiotherapistProf. Caroline Keyzer: Radiologist
Thoracic Oncology Clinic
Health issues
Thrombotic Thrombocytopenic Purpura (TTP)
What is Thrombotic Thrombocytopenic Purpura? TTP or Thrombotic Thrombocytopenic Purpura is a rare disease of the group known as thrombotic  microangiopathies. These are diseases  in which the platelets or thrombocytes (involved in coagulation) clog together in an abnormal manner leading to the formation of blood clots.  This phenomenon causes three problems:A reduction in the number of available platelets = Thrombocytopenia.The red blood cells collide with these clots and break up leading to a reduction in number = Anaemia.The clots can block the blood vessels and reduce the oxygenation of tissues with possible serious consequences for the heart, brain, kidneys, etc.  A number of causes can be responsible for the occurrence of these thrombotic microangiopathies. The TTP is caused by the deficiency of a protein known as   "Adamts 13". This deficiency is most frequently due to the presence of an antibody (= immune TTP) or otherwise it may be a genetic anomaly (congenital TTP).   Treatment TTP must be treated as a vital emergency. Without treatment the mortality rate is 90%. A rapid diagnosis is essential followed by optimal treatment at an expert centre.  Initial treatment of immune TTP consists of two action plans:1.Acute treatmentIncreasing the level of Adamts 13 proteins by means of plasma exchanges: The plasma (the liquid component of the blood that contains cells) is replaced with healthy plasma that serves to increase Adamts 13 levels and remove antibodies.    Since 2019 an innovative medicine specific to TTP has made it possible to prevent the platelets from attaching themselves to each other, thereby resolving the three problems indicated above. This has permitted a clear improvement in the treatment of acute stage patients. Our centre always has this medicine on hand for rapid administration.    2.Fundamental treatmentStopping the production of antibodies that act against Adamts 13. First line treatment consists of the administration of corticoids and a monoclonal antibody that targets the cells that produce the antibodies  Treatment of congenital TTP is based on the administration of plasma. The administration of  synthetic Adamts 13 is not yet reimbursed but is accessible.  All persons suffering from TTP require lifelong monitoring by a haematologist specialising in this type of pathology.    Our specialists Advice TTP can present various and variable symptoms as it can affect a number of organs. The primary clinical manifestation is abnormal bleeding, major hematomas or petechiae (multiple small red/violet marks on the skin).  More severe symptoms can be the signs of a heart attack or stroke.  A blood test showing anaemia and a thrombocytopenia can quickly suggest the diagnosis .Useful links:   Thrombotic Microangiopathies - MaRIH – Rare Immuno-Haematological Diseases Health Network National Reference Centre Microangiopathies TTP Community - Home (Dutch language site)  Make an appointment Focus Our hematology team has gained extensive experience in managing this condition and regularly receives requests for the care of patients from external centers.We regularly collaborate with expert centers from various European countries (France, United Kingdom, Italy).We participate in multidisciplinary consultation meetings with French expert centers. Discover our Hematology Department
Thrombotic Thrombocytopenic Purpura (TTP)