Background: Breastfeeding is viewed as the optimal method of infant feeding that provides many benefits to both the infant and the mother. The health risks associated with formula feeding and early weaning from breastfeeding. Infants who are not breastfed experience more episodes of diarrhea, ear infections, and lower respiratory tract infections and are at higher risk of sudden infant death syndrome, diabetes,

and obesity. Breastfeeding also helps protect mothers from breast and ovarian cancer. Aims were: Study the reasons of decline exclusive breastfeeding practice among Saudi adolescent mothers at Jouf region. Study the impact of decline exclusive breastfeeding practice on Mothers’ and Infants’ Health at Jouf region.

Research questions: 1- What are the reasons behind spreading the phenomena of decline exclusive breastfeeding practice at Jouf region? 2- Is decline exclusive Breastfeeding Practice among Saudi adolescent mothers has impact on mothers’ and infants’ health? Design was: A cross sectional descriptive survey.

Setting was: Five family medical health care centers in Al Jouf region: Shalhoub Health Center, Almokhatat health center. Qara health Center,

Sawyer Health Center and Zallum Health Center.

Sample: A Convenience sample of 200 mothers and their 200 infants.

Data collection tools: Likert scale data collection that answers the first objective study. An interview sheet that answers the second goal of the study and guiding brochures to show the importance and benefits of breastfeeding.

Results: The highest percent cause of feeding delay the next pregnancy which agree, non-availability of milk in nursing mother’s breast and work mother, was 57.0%, 56.5%, 56.0%,then the cause of affecting breastfeeding sagging breasts (47.5%), breastfeeding mother limit freedom share in social events (47%)

Conclusion : The result showed presence of significant statics (P< 0.05) in the causes of breastfeeding sagging strength of the mother’s body and affect, non-availability of milk in nursing mother’s breast, feeding delay the next pregnancy, work mother, breastfeeding mother limit freedom share in social events and breastfeeding retard a child’s growth (high significant p< 0.001)Recommendations : It is recommended

that breastfeeding patterns and practices in the KSA be re-assessed using a more appropriate research design .This is necessary to inform the breastfeeding promotion programs in this country. It is hoped that this review will serve as baseline information for any upcoming longitudinal studies on breastfeeding in Saudi Arabia or a part of it

Objective: The objective of this work was to describe the epidemiological, clinical and evolutionary aspects of ischemic stroke (DALY) in children.Patients and Methods: This is a-year descriptive retrospective study (January 1,2013 to December 31, 2017) at the paediatric emergency unit of the paediatric department of the Teaching Hospital of Treichville were included the children of under 15 years admitted for ischemic stroke.

Results: A total of 14 cases of DALYs included (eight boys and six girls). The average age was 6.2 years with extremes 2 to 14 years old. The mode of onset was brutal in 71.4% of cases and revealing hemiplegia in 100%.cases.Associated signs were disturbances of consciousness (35.7%,), aphasia (28.6%), convulsive condition (71.4%).Brain imaging in this case CT and / or MRI made it possible to make the positive and topographical diagnosis in all our patients and reveal an attack of the average cerebral artery in 64% of the cases.The underlying pathology was dominated by sickle cell disease and heart disease. The evolution was marked by seven complete recoveries, two disabling sequelae, one death and four were lost of view.

Conclusion: DALY is a rare pathology in paediatrics and the etiology dominated by sickle cell disease, so it should be thought before any sign of neurological call and ask for investigations, even if the recovery seems fast