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Master Thesis

Déterminants des difficultés d’allaitement maternel à six mois : analyse post-hoc d’une étude de cohorte prospective multicentrique

Abstract : Objectives : It has been shown that breastfeeding difficulties are associated with a significantly higher risk of weaning. However, no study has investigated the prognostic factors associated with the emergence of these difficulties. The purpose of this study was to identify possible factors associated with the occurrence of breastfeeding difficulties during the first six months of life of the child, and to describe the distribution of breastfeeding difficulties within one month. and between one and six months. Methods : We performed a post-hoc analysis of a multicenter prospective cohort study of 993 mothers who were breastfeeding at discharge of eight French maternity wards in 2005 and 2006 and followed-up by telephone interviews. Results : A total of 509 women (51.3%) presented breastfeeding difficulties during the first six months of life of the child. Two factors were statistically significantly associated with those difficulties. Having ever breastfed a child was a protective factor (OR = 0.61 ; 95% CI [0.45-0.82]). The presence of breastfeeding difficulties in maternity was, on the contrary, a risk factor (OR = 3.18 ; 95% CI [2.34-4.31]). The main difficulty of breastfeeding found before one month and between one and six months was nipple cracks. Nipple pain and engorgement were more common within a month. Abscesses and mastitis and lack of milk were more common between one and six months. Conclusion : Although the causal nature of the relationship remains to be established, this study supports the importance of health professionals support to reduce the occurrence of breastfeeding difficulties within six months after the birth of the child. Several women's sensitization to breastfeeding difficulties could take place pre- and post-nataly.
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https://dumas.ccsd.cnrs.fr/dumas-02281540
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Submitted on : Monday, September 9, 2019 - 12:14:43 PM
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Camille Aubert. Déterminants des difficultés d’allaitement maternel à six mois : analyse post-hoc d’une étude de cohorte prospective multicentrique. Gynécologie et obstétrique. 2019. ⟨dumas-02281540⟩

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