{"id":2358,"date":"2020-10-27T15:18:00","date_gmt":"2020-10-27T14:18:00","guid":{"rendered":"https:\/\/fhu-premimpact.org\/?post_type=publication&#038;p=2358"},"modified":"2020-11-25T13:22:23","modified_gmt":"2020-11-25T12:22:23","slug":"allaitement-a-la-sortie-dhospitalisation-des-enfants-nes-prematurement-et-politiques-des-unites-neonatales-donnees-de-la-cohorte-nationale-francaise-epipage-2","status":"publish","type":"publication","link":"https:\/\/fhu-premimpact.org\/en\/publications\/allaitement-a-la-sortie-dhospitalisation-des-enfants-nes-prematurement-et-politiques-des-unites-neonatales-donnees-de-la-cohorte-nationale-francaise-epipage-2\/","title":{"rendered":"Allaitement \u00e0 la sortie d\u2019hospitalisation des enfants n\u00e9s pr\u00e9matur\u00e9ment et politiques des unit\u00e9s n\u00e9onatales : donn\u00e9es de la cohorte nationale fran\u00e7aise Epipage-2"},"content":{"rendered":"\n<p>Bull Epid\u00e9miol Hebd. 2020;(28):562-70. <a href=\"http:\/\/beh.santepubliquefrance.fr\/beh\/2020\/28\/2020_28_2.html\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/beh.santepubliquefrance.fr\/beh\/2020\/28\/2020_28_2.html<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">R\u00e9sum\u00e9<\/h4>\n\n\n\n<p><strong>Contexte <\/strong>: Malgr\u00e9 les b\u00e9n\u00e9fices reconnus du lait maternel, les taux d\u2019allaitement chez les enfants n\u00e9s pr\u00e9matur\u00e9ment sont variables selon les pays et les unit\u00e9s n\u00e9onatales. Les caract\u00e9ristiques maternelles et n\u00e9onatales associ\u00e9es \u00e0 l\u2019allaitement d\u2019un enfant n\u00e9 pr\u00e9matur\u00e9ment ont largement \u00e9t\u00e9 \u00e9tudi\u00e9es et n\u2019expliquent pas l\u2019ensemble de cette variabilit\u00e9.<\/p>\n\n\n\n<p><strong>Objectifs <\/strong>: D\u00e9crire et analyser les facteurs associ\u00e9s \u00e0 l\u2019allaitement \u00e0 la sortie d\u2019hospitalisation chez les enfants n\u00e9s pr\u00e9matur\u00e9ment, avec un int\u00e9r\u00eat particulier pour les politiques d\u2019unit\u00e9s soutenant l\u2019allaitement.<\/p>\n\n\n\n<p><strong>M\u00e9thodes<\/strong>&nbsp;: La cohorte Epipage-2 (\u00c9tude \u00e9pid\u00e9miologique sur les petits \u00e2ges gestationnels-2) est une \u00e9tude nationale prospective en population ayant inclus les naissances survenues en&nbsp;2011 entre&nbsp;22 et 34&nbsp;semaines d\u2019am\u00e9norrh\u00e9e (SA) dans toutes les unit\u00e9s n\u00e9onatales de 25&nbsp;r\u00e9gions fran\u00e7aises. Les d\u00e9terminants de l\u2019allaitement ont \u00e9t\u00e9 analys\u00e9s par r\u00e9gression logistique multivari\u00e9e dans deux populations distinctes&nbsp;: 3&nbsp;108&nbsp;enfants n\u00e9s avant 32&nbsp;SA et 883&nbsp;enfants n\u00e9s entre 32 et 34&nbsp;SA.<\/p>\n\n\n\n<p><strong>R\u00e9sultats&nbsp;: <\/strong>Au total, 47% des enfants n\u00e9s avant 32&nbsp;SA et 59% des enfants n\u00e9s entre 32 et 34&nbsp;SA recevaient du lait maternel \u00e0 la sortie d\u2019hospitalisation, avec une variabilit\u00e9 inter-unit\u00e9s respective de 21% \u00e0 84% et de 27% \u00e0 87%. Les politiques d\u2019unit\u00e9s soutenant l\u2019allaitement, en particulier le peau-\u00e0-peau pr\u00e9coce, la participation des parents \u00e0 l\u2019alimentation de leur enfant, \u00e9taient en partie associ\u00e9es \u00e0 cette variabilit\u00e9. Des taux \u00e9lev\u00e9s d\u2019initiation de l\u2019allaitement dans la population g\u00e9n\u00e9rale n\u2019\u00e9taient associ\u00e9s \u00e0 l\u2019allaitement \u00e0 la sortie que chez les enfants n\u00e9s entre&nbsp;32 et 34&nbsp;SA.<\/p>\n\n\n\n<p><strong>Conclusion&nbsp;<\/strong>: L\u2019adoption des politiques de soutien des unit\u00e9s les plus performantes pourrait permettre de r\u00e9duire la variabilit\u00e9 des taux d\u2019allaitement \u00e0 la sortie dans cette population \u00e0 risque des enfants n\u00e9s pr\u00e9matur\u00e9ment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bull Epid\u00e9miol Hebd. 2020;(28):562-70. http:\/\/beh.santepubliquefrance.fr\/beh\/2020\/28\/2020_28_2.html<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-2358","publication","type-publication","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Allaitement \u00e0 la sortie d\u2019hospitalisation des enfants n\u00e9s pr\u00e9matur\u00e9ment et politiques des unit\u00e9s n\u00e9onatales : donn\u00e9es de la cohorte nationale fran\u00e7aise Epipage-2 - 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