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Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries.

Chertok, Ilana Azulay (författare)
Ohio State University
Artzi-Medvedik, Rada (författare)
Ohio State University
Arendt, Maryse (författare)
BLL - Beruffsverband vun de Laktatiounsberoderinnen zu Lëtzebuerg asbl
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Sacks, Emma (författare)
Johns Hopkins University
Otelea, Marina Ruxandra (författare)
Carol Davila University of Medicine and Pharmacy
Rodrigues, Carina (författare)
University of Porto
Costa, Raquel (författare)
University of Porto
Linden, Karolina, 1982 (författare)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
Zaigham, Mehreen (författare)
Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
Elden, Helen, 1959 (författare)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
Drandic, Daniela (författare)
Reproductive Rights Advocacy Program (RODA)- Parents in Action
Grylka-Baeschlin, Susanne (författare)
Zurich University of Applied Sciences (ZHAW)
Miani, Céline (författare)
Bielefeld University
Valente, Emanuelle Pessa (författare)
Burlo Garofolo Pediatric Institute
Covi, Benedetta (författare)
Burlo Garofolo Pediatric Institute
Lazzerini, Marzia (författare)
Burlo Garofolo Pediatric Institute
Mariani, Ilaria (författare)
Burlo Garofolo Pediatric Institute
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 (creator_code:org_t)
2022-12-02
2022
Engelska.
Ingår i: International breastfeeding journal. - : Springer Science and Business Media LLC. - 1746-4358. ; 17:1
Relaterad länk:
http://dx.doi.org/10... (free)
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https://gup.ub.gu.se...
https://doi.org/10.1...
https://lup.lub.lu.s...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Exclusive breastfeeding is the optimal infant nutrition, providing infants immunoprotection against many diseases including SARS-CoV-2 infection. Restrictions during the COVID-19 pandemic may have negatively affected breastfeeding practices inmaternity care facilities. The aims of the study were to examine exclusive breastfeeding rates at discharge over time and to identify factors associated with exclusive breastfeeding during the pandemic.A cross-sectional survey was conducted among mothers who gave birth in a maternity care facility in the World Health Organization (WHO) European Region countries during the COVID-19 pandemic. The socio-ecological model was employed to examine intrapersonal, interpersonal, organizational, and community/society factors associated with maternal report of exclusive breastfeeding at the time of discharge.There were 26,709 participating mothers from 17 European Region countries who were included in the analysis. Among the mothers, 72.4% (n=19,350) exclusively breastfed and 27.6% (n=7,359) did not exclusively breastfeed at discharge. There was an overall decline in exclusive breastfeeding rates over time (p=0.015) with a significantly lower rate following the publication of the WHO breastfeeding guidelines on 23 June 2020 (AOR 0.88; 95% CI 0.82, 0.94). Factors significantly associated with exclusive breastfeeding outcomes in the logistic regression analysis included maternal age, parity, education, health insurance, mode of birth, inadequate breastfeeding support, lack of early breastfeeding initiation, lack of full rooming-in, birth attendant, perceived healthcare professionalism and attention, facility room cleanliness, timing of birth, and location of birth.Results from the study indicate the decline in exclusive breastfeeding rates in the WHO European Region during the COVID-19 pandemic. Using the socio-ecological model to identify factors associated with breastfeeding outcomes facilitates an integrated and holistic approach to address breastfeeding needs among women across the region. These findings demonstrate the need to augment breastfeeding support and to protect exclusive breastfeeding among mother-infant dyads, in an effort to reverse the declining exclusive breastfeeding rates. The study highlights the need to educate mothers and their families about the importance of exclusive breastfeeding, reduce maternal-infant separation, increase professional breastfeeding support, and follow evidence-based practice guidelines to promote breastfeeding in a comprehensive and multi-level manner.Clinical Trials NCT04847336.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Other Medical and Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Pregnancy
Infant
Female
Humans
Breast Feeding
Patient Discharge
COVID-19
epidemiology
Pandemics
Cross-Sectional Studies
Maternal Health Services
SARS-CoV-2
World Health Organization
Mothers
COVID-19/epidemiology

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