Document Type : original article

Authors

• SYLLA Abdou el Karim ¹
• Mouna Lehlim ²
• Aamal Badre ²
• Salima Hajjaji ²
• Soukaina Lyazidi ³
• Sanaa Ameayou ³
• Mounir Chemsi ²
• Abdourahman Habzi, ⁴
• Said Benomar ²
• Samira Nani ⁵
• Samira Hassoune ⁵

¹ Laboratory of epidemiology, Hassan II university, Casablanca

² Neonatal medicine and resuscitation service of Ibn Rochd teaching hospital, Hassan II university of Casablanca, Morocco

³ Laboratory of Epidemiology, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University of Casablanca, Morocco

⁴ Neonatal medicine and resuscitation service, university hospital center Ibn Rochd, Hassan II university Casablanca Morocco

⁵ Laboratory of Epidemiology, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University of Casablanca, Morocco Laboratory of Cellular and Molecular Pathology/ Epidemiology and Histology of Chronic and Cancerous Diseases,

Abstract

Background: In Morocco, the breastfeeding (exclusive) prevalence has decreased from 51% in 1992 to 35% in 2018. This prevalence was lower in neonatal intensive care units (NICU) with 12.4% in 2014. This study aimed to estimate the prevalence and identify the associated factors of breastfeeding (BF) practice in the NICU.

Method: A cross-sectional study was performed between 04 January and 26 June 2021 in NICU. Moroccan couples' mother/newborn were consecutively recruited after meeting the study inclusion criteria. We used face-to-face interviews using a pretested questionnaire. Our income variable was the proportion of mothers who exclusively or partially breastfed at least one time after admission, categorized by yes and no. Multiple binary logistic regression was used to test the association of income variable with predictors.

Results: We included 170 couple mother/newborn. Around 74% of mothers practiced partial breastfeeding. The mother factors associated with BF practice were: education level (OR=0,10; 95%CI : 0,01-0,87 ;p=0,037781), family monthly income (OR=4,3 ; 95%CI: 1,12-16 ,56 ; p=0,033606) and marital status (OR=14,3 ; 95%CI:1,37-148,43 ; p=0,025853). The newborns' factors associated to BF practice were: hospital stay length (OR= 1,12 95%CI: 1,00-1,25 ; p=0,047726) and

Hospitalization motif (OR=0,27 ; 95%CI: 0,076-0,95 ; p=0,042085). And healthcare facility factors associated to BF practice was: healthcare staff support: (OR=6,7 ; 95%CI:2,2-20,54 ; p=0,000891).



Conclusion: The newborns hospitalized for respiratory distress from single mothers with lower education levels and social standards who did not have enough (or any) support from healthcare staff were the ones who received less breast milk in the NICU of Casablanca Ibn Rochd teaching hospital.



Keywords: breastfeeding, practice, neonatal intensive care unit, low birth weight

Keywords

• breastfeeding
• practice
• neonatal intensive care unit
• low birth weight