Les facteurs associés à un allaitement maternel prolongé au-delà de trois mois : une revue de la littérature

Summary: The World Health Organization (WHO) recommends exclusive breastfeeding for the first 6 months and partial breastfeeding until 2 years and beyond. Nowadays, there are important disparities in breastfeeding prevalence among European countries. The authors of this article review the literature on factors associated to breastfeeding duration of more than 3 months. The literature enables them to highlight four interdependent levels in an ecosystemic framework: the mother and her baby (microsystem), the social support and relationships (mesosystem), the health system (exosystem) and the health policies (macrosystem). In order to reach the WHO recommendations, one must act at each level. Work can be done to increase mothers’ information, to get the father more involved, or to improve the formation of health care providers on breastfeeding. After discharge from the hospital, mothers with risk factors must get support in order to improve breastfeeding duration. [Copyright &y& Elsevier]