title: [Breastfeeding preterm infants at 6 months in Morocco: prevalence and associated factors].
abstract: OBJECTIVE
  Evaluate the rate of breastfeeding at hospital discharge and then at 3 and 6 months in a population of premature infants. Analyze demographic and neonatal characteristics that may influence breastfeeding.
  
  
  METHODS
  Prospective study in children born before 37 weeks of gestation from 1 June 2011 to 31 December 2011 hospitalized in the neonatology department at the Rabat children's hospital. The sociodemographic data and initial breastfeeding decision were collected from mothers. Newborns were reviewed in consultation at 1, 3, and 6 months to determine dietary habits. The association of variables with breastfeeding was analyzed by univariate and multivariate analysis using a logistic regression model.
  
  
  RESULTS
  The analysis was based on 170 mother-infant pairs. At discharge, 80% of preterm infants received partial breastfeeding and 12.4% exclusive breastfeeding. At 6 months, 8.8% of mothers breastfed exclusively, 32.4% partially, and 58.8% had stopped breastfeeding. The factors associated with breastfeeding at 6 months were the duration of hospitalization in a neonatology unit and a neonatal intensive care unit, the time to first expressing breast milk, and breastfeeding. There was an inverse link between breastfeeding rates and duration of stay in neonatology in multivariate analysis with an odds ratio (OR) of 1.3 and a 95% confidence interval (1,1; 1,7); P=0.015.
  
  
  CONCLUSIONS
  In our context, the rates of breastfeeding in premature infants remain below the recommended goals. The negative impact of the length of stay in the neonatal unit on breastfeeding is a challenge for health professionals who must adapt and strengthen the strategy of encouragement and support breastfeeding during the stay in neonatology and after discharge to ensure adequate nutrition for premature infants.
authors.affiliation: Service de néonatologie, pédiatrie V, hôpital d'enfants, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc. Electronic address: hajar.berrani@um5s.net.ma.
authors.forename: H
authors.initials: H
authors.lastname: Berrani
authors.affiliation: Service de néonatologie, pédiatrie V, hôpital d'enfants, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Mdaghri Alaoui
authors.affiliation: Laboratoire de biostatistique et de recherche clinique et épidémiologique, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc.
authors.forename: J
authors.initials: J
authors.lastname: Kasouati
authors.affiliation: Laboratoire de biostatistique et de recherche clinique et épidémiologique, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc.
authors.forename: K
authors.initials: K
authors.lastname: Alaoui
authors.affiliation: Service de néonatologie, pédiatrie V, hôpital d'enfants, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc. Electronic address: a.thimou@um5s.net.ma.
authors.forename: A
authors.initials: A
authors.lastname: Thimou Izgua
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D009018:Morocco; D011446:Prospective Studies; D012959:Socioeconomic Factors