The impact of COVID-19 on breastfeeding rates: An international cross-sectional study

dc.contributor.authorGanho-Avila A.
dc.contributor.authorGuiomar R.
dc.contributor.authorSobral M.
dc.contributor.authorPacheco F.
dc.contributor.authorCaparros-Gonzalez R.A.
dc.contributor.authorDiaz-Louzao C.
dc.contributor.authorMotrico E.
dc.contributor.authorDominguez-Salas S.
dc.contributor.authorMesquita A.
dc.contributor.authorCosta R.
dc.contributor.authorVousoura E.
dc.contributor.authorHadjigeorgiou E.
dc.contributor.authorBina R.
dc.contributor.authorBuhagiar R.
dc.contributor.authorMateus V.
dc.contributor.authorContreras-Garcia Y.
dc.contributor.authorWilson C.A.
dc.contributor.authorAjaz E.
dc.contributor.authorHancheva C.
dc.contributor.authorDikmen-Yildiz P.
dc.contributor.authorde la Torre-Luque A.
dc.date.accessioned2024-03-12T19:09:39Z
dc.date.available2024-03-12T19:09:39Z
dc.date.issued2023
dc.description.abstract© 2023 Elsevier LtdBackground: Breastfeeding promotes children's health and is associated with positive effects to maternal physical and mental health. Uncertainties regarding SARS-CoV-2 transmission led to worries experienced by women and health professionals which impacted breastfeeding plans. We aimed to investigate the impact of self-reported and country-specific factors on breastfeeding rates during the COVID-19 pandemic. Methods: This study is part of a broader international prospective cohort study about the impact of the COVID-19 pandemic on perinatal mental health (Riseup-PPD-COVID-19). We analysed data from 5612 women, across 12 countries. Potential covariates of breastfeeding (sociodemographic, perinatal, physical/mental health, professional perinatal care, changes in healthcare due to the pandemic, COVID-19 related, breastfeeding support, governmental containment measures and countries’ inequality levels) were studied by Generalized Linear Mixed-Effects Models. Results: A model encompassing all covariates of interest explained 24% of the variance of breastfeeding rates across countries (first six months postpartum). Overall, first child (β = -0.27), age of the child (β = -0.29), preterm birth (β = -0.52), admission to the neonatal/pediatric care (β = -0.44), lack of breastfeeding support (β = -0.18), current psychiatric treatment (β = -0.69) and inequality (β = -0.71) were negatively associated with breastfeeding (p <.001). Access to postnatal support groups was positively associated with breastfeeding (β = 0.59; p <.001). In countries with low-inequality, governmental measures to contain virus transmission had a deleterious effect on breastfeeding (β = -0.16; p <.05) while access to maternity leave protected breastfeeding (β = 0.50; p <.001). Discussion: This study shows that mother's COVID-19 diagnosis and changes in healthcare and birth/postnatal plans did not influence breastfeeding rates. Virtual support groups help women manage breastfeeding, particularly when their experiencing a first child and for those under psychiatric treatment. The complex associations between covariates and breastfeeding vary across countries, suggesting the need to define context-specific measures to support breastfeeding.
dc.description.volume120
dc.identifier.doi10.1016/j.midw.2023.103631
dc.identifier.issn0266-6138
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/34079
dc.relation.ispartofMidwifery
dc.rightsAcesso Aberto
dc.subject.otherlanguageBreastfeeding
dc.subject.otherlanguageCOVID-19
dc.subject.otherlanguageCross-countries
dc.subject.otherlanguagePerinatal health
dc.subject.otherlanguageSARS-CoV-2
dc.titleThe impact of COVID-19 on breastfeeding rates: An international cross-sectional study
dc.typeArtigo
local.scopus.citations2
local.scopus.eid2-s2.0-85149949430
local.scopus.subjectBreast Feeding
local.scopus.subjectChild
local.scopus.subjectCOVID-19
local.scopus.subjectCOVID-19 Testing
local.scopus.subjectCross-Sectional Studies
local.scopus.subjectFemale
local.scopus.subjectHumans
local.scopus.subjectInfant, Newborn
local.scopus.subjectPandemics
local.scopus.subjectPregnancy
local.scopus.subjectPremature Birth
local.scopus.subjectProspective Studies
local.scopus.subjectSARS-CoV-2
local.scopus.updated2024-06-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85149949430&origin=inward
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