The impact of COVID-19 on breastfeeding rates: An international cross-sectional study
dc.contributor.author | Ganho-Avila A. | |
dc.contributor.author | Guiomar R. | |
dc.contributor.author | Sobral M. | |
dc.contributor.author | Pacheco F. | |
dc.contributor.author | Caparros-Gonzalez R.A. | |
dc.contributor.author | Diaz-Louzao C. | |
dc.contributor.author | Motrico E. | |
dc.contributor.author | Dominguez-Salas S. | |
dc.contributor.author | Mesquita A. | |
dc.contributor.author | Costa R. | |
dc.contributor.author | Vousoura E. | |
dc.contributor.author | Hadjigeorgiou E. | |
dc.contributor.author | Bina R. | |
dc.contributor.author | Buhagiar R. | |
dc.contributor.author | Mateus V. | |
dc.contributor.author | Contreras-Garcia Y. | |
dc.contributor.author | Wilson C.A. | |
dc.contributor.author | Ajaz E. | |
dc.contributor.author | Hancheva C. | |
dc.contributor.author | Dikmen-Yildiz P. | |
dc.contributor.author | de la Torre-Luque A. | |
dc.date.accessioned | 2024-03-12T19:09:39Z | |
dc.date.available | 2024-03-12T19:09:39Z | |
dc.date.issued | 2023 | |
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.volume | 120 | |
dc.identifier.doi | 10.1016/j.midw.2023.103631 | |
dc.identifier.issn | 0266-6138 | |
dc.identifier.uri | https://dspace.mackenzie.br/handle/10899/34079 | |
dc.relation.ispartof | Midwifery | |
dc.rights | Acesso Restrito | |
dc.subject.otherlanguage | Breastfeeding | |
dc.subject.otherlanguage | COVID-19 | |
dc.subject.otherlanguage | Cross-countries | |
dc.subject.otherlanguage | Perinatal health | |
dc.subject.otherlanguage | SARS-CoV-2 | |
dc.title | The impact of COVID-19 on breastfeeding rates: An international cross-sectional study | |
dc.type | Artigo | |
local.scopus.citations | 3 | |
local.scopus.eid | 2-s2.0-85149949430 | |
local.scopus.subject | Breast Feeding | |
local.scopus.subject | Child | |
local.scopus.subject | COVID-19 | |
local.scopus.subject | COVID-19 Testing | |
local.scopus.subject | Cross-Sectional Studies | |
local.scopus.subject | Female | |
local.scopus.subject | Humans | |
local.scopus.subject | Infant, Newborn | |
local.scopus.subject | Pandemics | |
local.scopus.subject | Pregnancy | |
local.scopus.subject | Premature Birth | |
local.scopus.subject | Prospective Studies | |
local.scopus.subject | SARS-CoV-2 | |
local.scopus.updated | 2024-11-01 | |
local.scopus.url | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85149949430&origin=inward |