[Breastfeeding preterm infants at 6 months in Morocco: prevalence and associated factors]

H Berrani1, A Mdaghri Alaoui1, J Kasouati2

  • 1Service de néonatologie, pédiatrie V, hôpital d'enfants, faculté de médecine et pharmacie, université Mohammed V-Souissi, avenue Belarbi El Alaoui, BP 6203, Rabat, Maroc.

Insights

Breastfeeding rates for premature infants at 6 months are low, with over half of mothers stopping. Longer neonatal unit stays negatively impact breastfeeding success, highlighting the need for enhanced support strategies.

Area of Science:

  • Neonatalogy
  • Pediatrics
  • Public Health

Context:

  • Premature infants face unique challenges in achieving optimal nutrition.
  • Breastfeeding provides significant benefits for infant health and development.
  • Hospital discharge and follow-up consultations are critical junctures for assessing infant feeding practices.

Purpose:

  • To evaluate breastfeeding rates at hospital discharge and at 3 and 6 months postpartum in premature infants.
  • To identify demographic and neonatal factors influencing breastfeeding duration and exclusivity in this population.
  • To analyze the association between neonatal intensive care unit (NICU) stay duration and breastfeeding outcomes.

Summary:

  • A prospective study followed 170 mother-infant pairs of premature infants. At discharge, 80% received partial and 12.4% exclusive breastfeeding.
  • By 6 months postpartum, only 8.8% were exclusively breastfeeding, 32.4% partially, and 58.8% had ceased breastfeeding.
  • Factors associated with continued breastfeeding at 6 months included shorter hospitalization duration in neonatology and NICU, and earlier initiation of breast milk expression.

Impact:

  • Breastfeeding rates in premature infants remain below recommended targets.
  • Extended stays in neonatal units present a significant barrier to sustained breastfeeding.
  • Health professionals must strengthen breastfeeding support during and after neonatal hospitalization to improve infant nutrition.
Abstract

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