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https://hdl.handle.net/10316/113855
Title: | The impact of COVID-19 on breastfeeding rates: An international cross-sectional study | Authors: | Ganho-Ávila, Ana Guiomar, Raquel Sobral, Mónica Pacheco, Francisca Caparros-Gonzalez, Rafael A. Diaz-Louzao, Carla Motrico, Emma Domínguez-Salas, Sara Mesquita, Ana Costa, Raquel Vousoura, Eleni Hadjigeorgiou, Eleni Bina, Rena Buhagiar, Rachel Mateus, Vera Contreras-García, Yolanda Wilson, Claire A. Ajaz, Erilda Hancheva, Camellia Dikmen-Yildiz, Pelin de la Torre-Luque, Alejandro |
Keywords: | Breastfeeding; Perinatal health; Cross-countries; COVID-19; SARS-CoV-2 | Issue Date: | May-2023 | Publisher: | Elsevier | Project: | COST Action Riseup-PPD CA18138 | Serial title, monograph or event: | Midwifery | Volume: | 120 | Abstract: | Background: 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; | URI: | https://hdl.handle.net/10316/113855 | ISSN: | 02666138 | DOI: | 10.1016/j.midw.2023.103631 | Rights: | openAccess |
Appears in Collections: | I&D CINEICC - Artigos em Revistas Internacionais |
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