Fatima zahra Laamiri - ۱.Higher Institute of Health Sciences of Settat, Health Sciences and Technology Laboratory, Hassan First University, Settat, Morocco ۲. Health and Nutrition Research Team of the Mother-child Couple, Faculty of Medicine, Mohammed V University,
Fatima Barich - ۳.Higher Institutes of Nursing Professions and Health Techniques, Rabat, Morocco ۴.Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition, Ibn Tofaïl University, Kenitra, Morocco
Latifa Mouchhoury - Higher Institute of Health Sciences of Settat, Health Sciences and Technology Laboratory, Hassan First University, Settat, Morocco
Milouda Chebabe - Higher Institute of Health Sciences of Settat, Health Sciences and Technology Laboratory, Hassan First University, Settat, Morocco
Kawtar Chafik - Health and Nutrition Research Team of the Mother-child Couple, Faculty of Medicine, Mohammed V University, Rabat, Morocco
Abdelmounaim Manoussi - ۵. Laboratory of Pharmacology, Neurobiology, Anthropology, Environment and Behaviorm, Faculty of Science of Semlalia, Cadi Ayad University, Marrakesh, Morrocco
Ikram Marc - Higher Institute of Health Sciences of Settat, Health Sciences and Technology Laboratory, Hassan First University, Settat, Morocco
Aicha Kharbach - Health and Nutrition Research Team of the Mother-child Couple, Faculty of Medicine, Mohammed V University, Rabat, Morocco
Amina Barkat - Health and Nutrition Research Team of the Mother-child Couple, Faculty of Medicine, Mohammed V University, Rabat, Morocco

Background: The worldwide pandemic imposed by SRAS-CoV-۲ 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 ۶ 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 <۰.۰۰۱) and housewives (p = ۰.۰۲۸). 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 = ۰.۰۰۴), compliance with respiratory and body hygiene rules (p <۰.۰۰۱), and skin-to-skin practice (p <۰.۰۰۱) 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.

Breastfeeding, COVID ۱۹, Practices, Post-Traumatic Stress, socio-economic determinants