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Master Thesis

Le don de lait personnalisé chez le grand prématuré : facteurs associés et accompagnement des mères à la maternité de Port Royal

Abstract : Background and aim: Personalized Breast Milk Gift (PBMG) from a mother to her premature infant, is a way to restore the link between mother and child in the technological environment of the Neonatal Intensive Care Unit. Despite the benefits of mother’s milk for premature infants, breastfeeding rate is very low in this category. In 2013, at Port-Royal Maternity, only 54% of premature newborn fewer than 32 weeks of amenorrhea received milk from their own mothers at least once during hospitalization. This unsatisfactory result compared to national and international efforts and recommendations, has challenged us to understand why we have this low rate of PBMG. Population and methods: This is a single-center prospective study combining a study of medical records and an analysis of questionnaires to mothers and midwives, which lasted from January 2014 the first to December 2014 the 31st. Our study population has grouped all newborns preterm births before 32 weeks of amenorrhea and/or with a birth weight less than 1500 g. Their mothers and 37 midwives working in different departments of Port-Royal Maternity. Results: We identified 175 mothers and 203 children. Our study has objectified a breastfeeding rate as milk personalized gift reaching 92% at birth and 85% at the exit of Intensive Care Unit. This rate is quite encouraging compared to national and international studies. We have also identified factors significantly associated with choice of milk personalized gift, namely the absence of mother’s chronic disease, type of pregnancy and mode of anesthesia used during delivery. Our study is unique by the way that it has identified a class of uncertain mothers in their project of giving personalized breast milk to their child, who deserve better care for their needs and expectations. Furthermore, we also identified some discrepancies related to our practice in supporting mothers during the hospitalization of their child. Conclusion: Despite our very good breastfeeding rates as personalized breast milk gift in the category of very premature babies less than 32 weeks of amenorrhea and/or making a weight less than 1500 g at birth, we should improve our practices to ensure a more effective and sustainable support for mothers wishing to invest in this project.
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https://dumas.ccsd.cnrs.fr/dumas-01234694
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Submitted on : Friday, November 27, 2015 - 11:55:14 AM
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  • HAL Id : dumas-01234694, version 1

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Souad Remani-Rafa. Le don de lait personnalisé chez le grand prématuré : facteurs associés et accompagnement des mères à la maternité de Port Royal. Gynécologie et obstétrique. 2015. ⟨dumas-01234694⟩

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