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  • Chertok, Ilana AzulayOhio State University (author)

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

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-12-02
  • Springer Science and Business Media LLC,2022

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/321328
  • https://gup.ub.gu.se/publication/321328URI
  • https://doi.org/10.1186/s13006-022-00517-1DOI
  • https://lup.lub.lu.se/record/84e4f6fa-817b-434d-b061-c6467b573a07URI

Supplementary language notes

  • Language:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Artzi-Medvedik, RadaOhio State University (author)
  • Arendt, MaryseBLL - Beruffsverband vun de Laktatiounsberoderinnen zu Lëtzebuerg asbl (author)
  • Sacks, EmmaJohns Hopkins University (author)
  • Otelea, Marina RuxandraCarol Davila University of Medicine and Pharmacy (author)
  • Rodrigues, CarinaUniversity of Porto (author)
  • Costa, RaquelUniversity of Porto (author)
  • Linden, Karolina,1982University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xlinkx (author)
  • Zaigham, MehreenLund 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(Swepub:lu)med-ma13 (author)
  • Elden, Helen,1959University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xeldhe (author)
  • Drandic, DanielaReproductive Rights Advocacy Program (RODA)- Parents in Action (author)
  • Grylka-Baeschlin, SusanneZurich University of Applied Sciences (ZHAW) (author)
  • Miani, CélineBielefeld University (author)
  • Valente, Emanuelle PessaBurlo Garofolo Pediatric Institute (author)
  • Covi, BenedettaBurlo Garofolo Pediatric Institute (author)
  • Lazzerini, MarziaBurlo Garofolo Pediatric Institute (author)
  • Mariani, IlariaBurlo Garofolo Pediatric Institute (author)
  • Ohio State UniversityBLL - Beruffsverband vun de Laktatiounsberoderinnen zu Lëtzebuerg asbl (creator_code:org_t)

Related titles

  • In:International breastfeeding journal: Springer Science and Business Media LLC17:11746-4358

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