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In-hospital breastfeeding and predictive factors during the SARS-CoV-2 pandemic: A retrospective cohort study — Aleitamento materno hospitalar e fatores preditores durante a pandemia pelo SARS-CoV-2: Coorte retrospectiva

Silva, Aline Gabriele Ribeiro Da ; Oliveira, Flávia Silva e ; Melo, Ariane Tafnes de ; Guimarães, Rafael Alves ; Guimarães, Janaína Valadares ; Vieira, Flaviana Vely Mendonça

Journal of pediatric nursing, 2024-05, Vol.76, p.30-37 [Revista revisada por pares]

United States: Elsevier Inc

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  • Título:
    In-hospital breastfeeding and predictive factors during the SARS-CoV-2 pandemic: A retrospective cohort study — Aleitamento materno hospitalar e fatores preditores durante a pandemia pelo SARS-CoV-2: Coorte retrospectiva
  • Autor: Silva, Aline Gabriele Ribeiro Da ; Oliveira, Flávia Silva e ; Melo, Ariane Tafnes de ; Guimarães, Rafael Alves ; Guimarães, Janaína Valadares ; Vieira, Flaviana Vely Mendonça
  • Materias: Adult ; Breast Feeding - statistics & numerical data ; Breastfeeding ; Cohort ; Cohort Studies ; COVID-19 ; COVID-19 - epidemiology ; Female ; Hospitalization - statistics & numerical data ; Humans ; Infant, Newborn ; Male ; Obstetric ; Pandemics ; Pregnancy ; Retrospective Studies ; SARS-CoV-2
  • Es parte de: Journal of pediatric nursing, 2024-05, Vol.76, p.30-37
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descripción: To analyze breastfeeding and the factors that positively influence the first hour of life, during hospitalization, and at discharge during the SARS-CoV-2 pandemic. This is a retrospective cohort study, with data collected from medical records. Consisting of 225 mother-newborn dyads with deliveries between 2020 and 2021. Breastfeeding in the first hour of life, during hospitalization, and at discharge was considered as the outcome variable. The independent variables were sociodemographic, obstetric, and neonatal data. The analysis was performed with bivariate and multivariate regression through a generalized linear model (Poisson family), with a 5% significance level. It was approved by the Institutional Review Board (IRB), under approval number 4,911,317. Newborns of women without COVID-19 suspicion or diagnosis and who had skin-to-skin contact with their mother at birth are twice as likely to be breastfed in the first hour of life. Absence of complications in the newborn during hospitalization and no COVID-19 suspicion or diagnosis double the exclusive breastfeeding rate during hospitalization. Newborns exclusively breastfed during hospitalization present 1.6 times more chances of being exclusively breastfeeding at hospital discharge. It was evidence that women who gave birth without COVID-19 suspicion, and newborns who had skin-to-skin contact with their mother at birth represented a predictive factor for favoring exclusive breastfeeding. This research contributes to the innovation of evaluating breastfeeding in the newborn's first hour of life, during hospitalization, and at discharge in a pandemic context. •Parturient without suspicion or diagnosis for COVID-19 are more likely to breastfeed the newborn.•The study reaffirmed the importance of skin-to-skin contact to promote breastfeeding in the first hour of life.•The impact exclusivity of breastfeeding during hospitalization for continuity at hospital discharge.•Actions to promote and encourage early breastfeeding in the postpartum period should be prioritized.
  • Editor: United States: Elsevier Inc
  • Idioma: Inglés
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