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Diversification is the transition phase between exclusive breastfeeding and adult-style feeding, taken independently by the child. Breast milk covers the nutritional needs of infants during the first months of life. With a view to prevention, in particular allergy and optimization of nutritional intake, food diversification is ideally undertaken between the 4th and 6th month. The age at which food is introduced can naturally vary depending on family cultural traditions. The objective of this work is to research the factors associated with the conduct of food diversification. Methods A cross-sectional study was conducted in the governorate of Monastir, including mothers consulting 6 dispensaries for the monitoring of their children. the collected data concerned their medical history, the course of pregnancy, breastfeeding and the age of food diversification. The relationships between the various diversification risk factors were analyzed using SPSS software. Results In total,1906 infants were included in our study. The delivery method was vaginal in 81.1% of cases, cesarean section in 17.7% and forceps in 1.1% of cases. The average of birth weight was 3338 ± 522.7 grams. The duration of breastfeeding was in average 3.65 months with extremes ranging from zero days to 24 months. The mean age of food diversification was 4.31 months with extremes ranging from 0 days to 24 months. The first food introduced was fruits, then vegetables. The family dish was introduced on average at the age of 10.28 months. There was no significant difference between mode of delivery, birth weight and age of food diversification. Conclusions Information efforts on infant feeding are necessary by focusing on simple messages must be used. This advice must be adapted to the child's family (place in the siblings, eating habits and resources) and to the child himself (taste, appetite). Key messages Information efforts on infant feeding are necessary by focusing on simple messages must be used The first food introduced was fruits, then vegetables.

Food diversification: a retrospective survey over fifteen years in Monastir Tunisia