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Master Thesis

Arrêt prématuré de l’allaitement maternel exclusif chez les femmes du Médoc et du Langonais : quels en sont les déterminants ? Enquête sur la poursuite de l’allaitement maternel exclusif dans deux maternités d’Aquitaine, mise au point sur les connaissances actuelles et recherche d’amélioration dans la prise en charge par le praticien de premier recours pour une poursuite optimale

Abstract : The exclusive breast-feeding (EBF) increases gradually since a few years, but insufficient in spite of the already known profits. By making this work, we looked for factors which can favor a premature exclusive interruption of the EBF before 4 months in 2 off-centered maternity hospitals of the region Aquitaine, to find tracks of improvement of management for the practitioners of first recourse, and making the point on the current recommendations. We realized, by including 79 women a forward-looking study, observationnelle, and longitudinal realized with a population of nursing mothers in maternity hospital with 3 questionnaires in puerperium, at 6 weeks and 4 months of postpartum). The results show a rate of exclusive EBF decreasing gradually after the childbirth (-48,1 % in 4 months). Among the studied factors, the women presenting a lower level of study in bac+2 ( p<0,02 ), having a real-life experience of difficult EBF ( p=0,02 ), having decide to breast-feed after the beginning of pregnancy ( p=0,007 ) or having required the introduction of food complements for their child in maternity hospital ( p<0,001 ) seem at greater risks of a premature exclusive interruption of the EBF, in particular before 6 weeks. On the contrary, fact to have no established project of duration of exclusive BF would seem to be a protective factor( p=0,04 ). The promotion and the support of the women wishing to breast-feed are crucial factors for the continuation of the EBF, being able to be improved in a simple and not expensive way with the cooperation of all the healthcare professionals from the project of pregnancy established (in particular the general practitioner), via the development of the label HAB, the formation of the speakers, courses of preparation for the birth and the systematic distribution of a documentation and index cards in case of problem met by these women.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01263488
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Submitted on : Wednesday, January 27, 2016 - 5:32:38 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:16 PM
Long-term archiving on: : Thursday, April 28, 2016 - 11:23:40 AM

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Orianne Carrié Mismetti. Arrêt prématuré de l’allaitement maternel exclusif chez les femmes du Médoc et du Langonais : quels en sont les déterminants ? Enquête sur la poursuite de l’allaitement maternel exclusif dans deux maternités d’Aquitaine, mise au point sur les connaissances actuelles et recherche d’amélioration dans la prise en charge par le praticien de premier recours pour une poursuite optimale. Médecine humaine et pathologie. 2016. ⟨dumas-01263488⟩

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