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Background: The worldwide pandemic imposed by SRAS-CoV-2 affected all aspects of daily life including those of pregnant and breastfeeding women. This work aims to explore the impact of socio-economic determinants and mental health on breastfeeding practices among a group of Moroccan women during this pandemic. Methods: This is a descriptive and observational study carried out over 6 months in a maternity hospital. Data relating to the practices and the state of stress of women were collected via an interview and a questionnaire on post-traumatic stress disorder (PTSD). Results: Early breastfeeding and skin-to-skin practice were significantly elevated among educated women (p <0.001) and housewives (p = 0.028). Compliance with respiratory and body hygiene rules was significantly higher among women: of urban origin, educated, housewives, and those with medium or high socioeconomic levels. The study of the impact of stress on breastfeeding practices revealed a statistically significant difference in early breastfeeding (p = 0.004), compliance with respiratory and body hygiene rules (p <0.001), and skin-to-skin practice (p <0.001) between the group of normal women and the group of stressed women.Our results showed the impact of socio-economic determinants and mental health on breastfeeding practice during this pandemic. Conclusion: This represents a great challenge for the health system to promote breastfeeding and reduce the consequences of psychological disorders for mothers and unborn children in Morocco. [ABSTRACT FROM AUTHOR]

Background. The concept of Near Miss, has been used in the field of obstetrics as a tool for assessing and improving the quality of care. However, there is no standardized definition or international criteria for identifying neonatal near misses. The current review aims to investigate the development of the neonatal near miss concept based on the results of studies conducted so far on neonatal near misses and their identification criteria. Results. Sixty-two articles were retrieved by the electronic search, and after examination of different abstracts and reading of full texts, 17 articles were considered eligible meeting our inclusion criteria. All selected articles varied in terms of concept definition and criteria used. Neonatal Near Miss was defined as any newborn with pragmatic and/or management criteria who survived the first 27 days of life. All studies reviewed showed a Neonatal Near Miss rate that was 2.6 to 10 times higher than the neonatal mortality rate. Conclusions. Neonatal Near Miss is a new concept that is currently being debated. There is a need for universal consensus on the definition and its identification criteria. Further efforts are needed to standardize the definition of this concept, including the development of criteria that can be assessed in a neonatal care setting. This is to improve the quality of neonatal care in every setting, regardless of the local level. [ABSTRACT FROM AUTHOR]

Background: The short interpregnancy interval is a frequent clinical situation with adverse fetal, neonatal, and infantile outcomes. The present study aimed to assess the fetal and neonatal consequences of closely spaced pregnancies. Methods: This retrospective study was conducted on 162 mothers, 81 of whom had an inter-pregnancy interval of fewer than 18 months, and 81 cases had an inter-pregnancy interval of more than 18 months. These participants had given birth at the Souissi Maternity Hospital in Rabat during the last 12 months. The socio-economic data, obstetrical history, as well as fetal and neonatal data, were extracted from medical records via a pre-established questionnaire. Statistical analysis was performed in SPSS software (version 20.0). Results: The mean scores of the inter-pregnancy interval were reported as 11.83±3.08 and 29.83±9.83 in the groups of closely spaced pregnancies and inter-pregnancy intervals of more than 18 months (P=0.03). The number of illiterate women was significantly higher in the group with a short interpregnancy interval, compared to that in the group with an interpregnancy interval over 18 months (46.9% versus 9.9; P<0.001). Almost one-third of women with a short interpregnancy interval had a premature birth. Other adverse fetal outcomes, including low birth weight and respiratory distress, were detected with prevalence rates of 21% (p<0.001) and 9.9%, respectively (P=0.04). Conclusion: As evidenced by the results of this study, it is essential to inform families and mothers about the fact that a reasonable delay (> 18 months) between pregnancies reduces the risks for both mother and child. [ABSTRACT FROM AUTHOR]

Introduction Awake brain surgery (ABS) is a groundbreaking technique that not only enhances tumor resection but also preserves vital neurocognitive functions, particularly through advanced brain mapping. Despite its success in adults, ABS in pediatric patients remains significantly underexplored, especially concerning the role of speech-language pathology (SLP) in these procedures. This study addresses this gap by providing a thorough examination of SLP interventions in pediatric ABS across various university hospitals, including those in Morocco and internationally. Methods We utilized a web-based survey, translated into French, English, and Spanish, to capture the clinical practices of 10 pediatric ABS teams globally, including one team at Rabat University Hospital in Morocco. The survey included questionnaires tailored for neurosurgeons, speech therapists, and other professionals involved in ABS. Additionally, a detailed review of medical records for three pediatric patients who underwent ABS in Morocco between 2017 and 2022 was conducted. Data were analyzed using SPSS (IBM Corp., Armonk, NY, USA) for quantitative results and qualitative content analysis for case study evaluations. Results The study found a global consensus on the essential role of SLP in pediatric ABS, with 62.5% of neurosurgeons stressing the need for specialized SLP training. A significant correlation was observed between postoperative speech therapy and reduced neurolinguistic disorders (Pearson correlation=0.340, p=0.007). Challenges in assessing written language components were identified due to a lack of suitable tools, highlighting the need for improved resources. Additionally, most speech assessments during brain mapping were conducted in the patient's mother tongue (60.7%), and assessments were most commonly performed during all three stages of surgery (25%). Conclusion This study emphasizes the importance of speech therapy in pediatric ABS, highlighting the need for specialized tools and training. Findings suggest a positive impact of postoperative speech therapy on neurolinguistic outcomes, but further research with larger cohorts and long-term follow-up is needed to confirm these benefits., Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. The Ethics Committee for Biomedical Research of the Faculty of Medicine and Pharmacy of Rabat, Mohammed V University issued approval N°C64/20. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2025, Benabbou et al.)

Background: The concept of Near Miss, has been used in the field of obstetrics as a tool for assessing and improving the quality of care. However, there is no standardized definition or international criteria for identifying neonatal near misses. The current review aims to investigate the development of the neonatal near miss concept based on the results of studies conducted so far on neonatal near misses and their identification criteria., Results: Sixty-two articles were retrieved by the electronic search, and after examination of different abstracts and reading of full texts, 17 articles were considered eligible meeting our inclusion criteria. All selected articles varied in terms of concept definition and criteria used. Neonatal Near Miss was defined as any newborn with pragmatic and/or management criteria who survived the first 27 days of life. All studies reviewed showed a Neonatal Near Miss rate that was 2.6 to 10 times higher than the neonatal mortality rate., Conclusions: Neonatal Near Miss is a new concept that is currently being debated. There is a need for universal consensus on the definition and its identification criteria. Further efforts are needed to standardize the definition of this concept, including the development of criteria that can be assessed in a neonatal care setting. This is to improve the quality of neonatal care in every setting, regardless of the local level.