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Master Thesis

Initiation de l'allaitement maternel après une césarienne : accompagnement par les sages-femmes de suites de couches

Abstract : Background : Breastfeeding is a serious issue for public health. Benefits for both mother and child have been prouved since a while. The World Health Organization has as an objective for 2025 to achieve 50% of breastfeeding until the 6 months of the child. French rates of breastfeeding are among the lower in Europe, and even lower after a cesarean delivery. Litterature shows us that support by the midwives and all the team during the hospitalization is t he key to improve breastfeeding after a cesarean delivery.
Objective : Describe midwives pratices during the first days of post partum after a cesarean, and identify favorable or defavorable factors for breastfeeding initiation.
Methods : Semi directive in terviews of 15 midwives working in mother infant care unit have been done in 3 hospital in the Ile de France area.
Results : Midwives identify difficulties found in the litterature, but raises new points like organisation of the care unit, or importance of the opinion of the team about breastfeeding. Their practices are the following : relieve the pain and help for breastfeeding.
Discussion : The results shows us that organisation is a real difficulty for support of mother in the beginning of the breastfeed ing, particularly after a cesarean delivery. Moreover, appropriate care of pain is important but easily overcame by midwives. A real questioning of our practices seems to be really necessary to improve breastfeeding rates.
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https://dumas.ccsd.cnrs.fr/dumas-03419691
Contributor : Nadège Leray Connect in order to contact the contributor
Submitted on : Monday, November 8, 2021 - 4:16:32 PM
Last modification on : Monday, November 22, 2021 - 3:51:28 PM

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2_MEM_SF_2021_BIEGLE_Clara.pdf
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  • HAL Id : dumas-03419691, version 1

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Clara Biegle. Initiation de l'allaitement maternel après une césarienne : accompagnement par les sages-femmes de suites de couches. Gynécologie et obstétrique. 2021. ⟨dumas-03419691⟩

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