Assessment of knowledge and opinion regarding breastfeeding practices during COVID-19 pandemic among paediatricians and obstetricians in India: an online survey (original) (raw)
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Indian Pediatrics
Recent research has provided evidence for lack of transmission of SARS-CoV-2 through human milk and breastfeeding. Updating the practice guidelines will help in providing appropriate advice and support regarding breastfeeding during the coronavirus 2019 (COVID-19) pandemic. Objectives: To provide evidence-based guidelines to help the healthcare professionals to advise optimal breastfeeding practices during the COVID-19 pandemic. Process: Formulation of key questions was done under the chairmanship of President of the IAP. It was followed by review of literature and the recommendations of other international and national professional bodies. Through Infant and Young child (IYCF) focused WhatsApp group opinion of all members was taken. The final document was prepared after the consensus and approval by all members of the committee. Recommendations: The IYCF Chapter of IAP strongly recommends unabated promotion, protection and support to breastfeeding during the COVID-19 pandemic with due precautions.
Indonesian Journal of Perinatology, 2021
Introduction: All human worldwide had a risk infected by a severe acute respiratory syndrome–coronavirus-2 (SARS-CoV-2), including pregnant woman. Nowadays, SARS-CoV-2 transmission is still not fully understood. Thus, this situation created anxiety particularly for mothers that planned to breast-feed their baby and did their routine hospital visit. Thus this research aimed to evaluate the impact of COVID-19 pandemic with the routine visits and breastfeeding plan. Methods: This study was carried out with cross sectional observational study at Kasih Medika Hospital. The routine visits were conducted on the 5th-10th of August 2020. This study used a questionnaire instrument with samples of pregnant and postpartum mothers. The inclusion criteria of the sample were all pregnant women and post-partum that registered in Kasih Medika Hospital, complete questionnaire data filled in. The exclusion criteria were the patient agreed to be the research sample. All of the data was analyzed descrip...
Recommendations for the practice of breastfeeding in the COVID-19 pandemic: integrative review
Research, Society and Development, 2022
Objective: to analyze the general recommendations for the practice of breastfeeding in the face of infection by the new coronavirus. Method: integrative literature review, carried out in the LILACS and Pubmed databases, from March to May 2020. The searches took place with the following combinations of descriptors “Coronavirus”, “Lactation” and “Breastfeeding”. The limitation regarding the year of publication of the articles during the searches carried out was from 2019 to 2020. Results: the search in the data sources allowed the inclusion of ten articles, two from Brazilian journals, found in the LILACS database, and eight of international origin, selected in the PubMed database. Conclusion: From this review, it became evident that most studies addressed the recommendation to maintain the practice of breastfeeding in women with COVID-19. These studies reinforce the importance of counseling, the necessary care during the act of breastfeeding, in addition to recognizing the benefits o...
The European Research Journal, 2023
Objectives: In this study, besides the factors affecting breastfeeding, such as the tendency to breastfeed, the number of children, educational status, maternal age, working style, it was investigated how the breastfeeding behavior was affected during the epidemic. Methods: At least 384 mothers were included in the study with a 95% confidence level, 0.05 margin of error, and 403 mothers were included in the study. A questionnaire form prepared by the researchers was used as a data collection tool and consent form was obtained from the participants. Results: The mean age of the mothers participating in the study was 29.2 ± 5.9 years (range:18 to 52 years). Two hundred and one (49.8%) mothers participating in the study do not find it safe for mothers with COVID-19 to breastfeed their baby. However, only 20.2% of mothers think that COVID-19 can be transmitted to the baby through breast milk. Ninety-eight (24.4%) mothers stated that they could breastfeed their babies even if they had COVID-19, and 15.5% stated that mothers with COVID-19 around them could breastfeed their babies. Conclusions: Although the COVID-19 epidemic had a negative impact on all aspects of life globally, it did not generally change the breastfeeding decisions of breastfeeding mothers. In fact, due to the closures and extended maternity leave, mothers spent more time with their babies and enabled them to breastfeed more frequently. However, it should not be neglected that misinformation is at a substantial level. In the studies conducted, wrong or incomplete information was observed in a significant part of the mothers who did not consider breastfeeding due to the epidemic, although the rates were low. For this reason, besides health professionals, media organs should be actively used for information.
Indian Journal of Child Health, 2020
ARS-CoV-2 is a single-stranded RNA virus of the betacoronavirus genus. Transmission of this virus in humans is predominantly by respiratory droplets and direct contact with no conclusive evidence of vertical transmission. In recent studies, there has been no evidence of transmission of the SARS-CoV-2 through breast milk. COVID-19 pandemic has been one of the biggest disruptions in the routine provision of perinatal health care worldwide. In the background of the SARS-COV-2 pandemic, there are many doubts and misconceptions amongst healthcare workers (HCWs) regarding advice to be given to mothers who are suspected/confirmed for COVID-19 regarding breastfeeding. Breastfeeding recommendations by the WHO during the COVID-19 pandemic [1] need to be disseminated to the public so as to allay the anxiety of mothers and ensure the good health of the newborn. HCWs are the best source of information for scientific knowledge in the current pandemic. The same doubts also exist in the minds of the mothers, which need to be addressed so that proper advice can be given to the mothers by the healthcare workers. Exclusive breastfeeding for the first 6 months of life, followed by the continuation of breastfeeding beyond 2 years of age, is recommended by the WHO [2]. Academy of Breastfeeding Medicine [3] and Royal College of Obstetricians and Gynaecologists [4] recommend exclusive breastfeeding while observing standard respiratory and hand hygiene protocols in suspected/confirmed COVID-19 mothers. Expressed breast milk is reserved for cases where mothers are too ill to breastfeed. The aim of this study was to assess the knowledge among HCWs at a service hospital regarding breastfeeding among mothers suspected/confirmed for COVID-19 during confinement or after delivery in the context of the COVID-19 pandemic in a hospital-based cross-sectional study. The lacunae found could be addressed, subsequently ensuring proper breastfeeding advice to mothers by HCWs.
Effect of Precaution Guidelines on Breast Feeding Women during COVID -19 Pandemic in Beni Suef City
Tanta Scientific Nursing Journal, 2022
Background: Considering the benefits of breastfeeding and the insignificant role of breast milk in the transmission of respiratory viruses, the mother can continue breastfeeding, while applying all the necessary precautions, subject to medical advice. Aim: This study aimed to evaluate the effect of precaution guidelines on knowledge, attitude, and practice of breastfeeding women during COVID-19. Subjects and Methods: Research design: a quasi-experimental (one-group pretest/posttest) research design was utilized to accomplish the aim of this study. Setting: The study was carried out at maternal and child healthcare center in Beni Suef City. Subjects: The study included a convenience sample of 80breastfeeding women. Tool: Three tools used for data collection including a structured interview schedule, a reported practice sheet, and attitude rating scale. Results: Out of 80 studied breastfeeding women, 18.80% had good knowledge score pre-intervention, compared with 87.50% post-intervention. Also, 23.70% of them had satisfactory practice pre-intervention, versus 90% post-intervention. Additionally, 25% had a positive attitude related to COVID-19 pre-intervention, compared with 81.30% post-intervention. Prominently, there were a statistically significant differences related to studied women knowledge, attitude, and practice at p<0.01. Conclusion: These guidelines proved its effectiveness in improving breastfeeding women knowledge, attitude, and practices in the context of COVID-19.Recommendations:Precaution guidelines on COVID-19 pandemic should conducted at breastfeeding mothers attending on Maternal and Child Health Care Centers in Egypt.
Predictors of Breastfed Mother's knowledge, Attitude and Practice during COVID-19 Pandemic
International Egyptian Journal of Nursing Sciences and Research
Background: The COVID-19 pandemic has posed several challenges to breastfeeding (BF) mothers. Aim: to assess Knowledge, attitude and practice of breast-fed mothers during pandemic of COVID 19. Method: A cross-sectional study was conducted on 208 mothers-infant dyads attended to primary health office for vaccination and outpatient department of different children's hospitals in Mansoura, Egypt. A structured questionnaire was used to collect data about COVID-19 in general as well as knowledge, attitude and practice of BF during COVID-19 pandemic. Results: The linear regression revealed that mother's education is an independent predictor of COVID-19 general knowledge and attitude scores. Mothers' work and general knowledge are independent predictors of knowledge BF during COVID-19. Mothers' education is an independent predictor of attitude score. Knowledge BF during COVID-19 and attitude are independent predictors of practice score. Conclusion: Mother's education and work are independent predictors of knowledge BF during COVID-19, their attitude and practice. Recommendation: Ongoing educational program for mothers about COVID-19 and breast feeding.
Breastfeeding During COVID-19 Pandemic in India: Challenges and Prospects
IJCRR, 2021
Breastfeeding during infancy is important for good health and wellbeing. In India, rapid response to the COVID-19 pandemic resulted in lockdowns and limited or no mobility. As a result, Anganwadies (institutions supporting infant and young child feeding practices and supplementary nutrition) were closed for long durations. Frontline grassroots health workers such as ASHA (Accredited Social Health Activists), who also is responsible for promoting breastfeeding, were stretched with additional allocated work on COVID-19 rapid response. In India, myths around the transfer of COVID-19 from mothers to infants during breastfeeding did round. It is expected that the nutrition status of newborns and infants may have further worsened during COVID-19. Researchers have established that limited or no breastfeeding impacts the growth and development of infants during the critical first 1000 days also resulting in stunting. In this review we aimed to ascertain the status of breastfeeding practices during COVID-19 pandemic times and the impact it may have on infants. The objective of this article is to review the challenges and prospects of breastfeeding in India during the COVID-19 pandemic period. Through a review of literature, case studies, experience from onground rapid response to the COVID-19 pandemic, the current status of breastfeeding practices in India was reviewed. It may be concluded that there are many challenges as well as prospects for future pandemic preparedness and planning and to reduce risks addressing under-nutrition conditions of children such as stunting. A practical way forward maybe by using the suggested prioritization of States and interventions thereof based on stunting and breastfeeding status and efforts towards doing away with myths around breastfeeding.
Assessment of Nurse's Knowledge and attitude regarding WHO breastfeeding guideline during COVID-19
Tanta Scientific Nursing Journal, 2022
Background: Nurses are the first line of defense during the current world wide pandemic. Nurses' knowledge and attitudes can directly influence their practices. Effective nurses' practices lead to achievement of the desired outcomes. The study aimed to: assess Nurse's Knowledge and attitude regarding WHO breastfeeding guideline during COVID-19. Subject & Method: A descriptive research design was used to accomplish this study. Sample: Study sample included one hundred and ten nurses who were working in obstetrics and gynecology departments and neonatal intensive care unit at Mansoura University Hospitals were involved in the study. Tools: Data was collected through three tools. Tool I: Socio-demographic data about nurses. Tool II: Nurse's Knowledge regarding WHO breastfeeding guideline during COVID-19.It included 2 parts: Part I: General knowledge about covid 19: Part II: knowledge regarding WHO breastfeeding guideline during COVID-19.Tool III: Attitude of the nurses towards breast feeding during COVID-19. Results: A total of 71 (64.5%) of nurses showed poor level of knowledge regarding World Health Organization breastfeeding guideline during COVID-19, while 12 (10.9%) of nurses had good level of knowledge. Moreover, 65.5% of nurses had a positive attitude toward breast feeding during COVID-19. Conclusion: The study provided a better understanding of prevalent knowledge of nurses regarding the recommended breastfeeding practices among suspected or confirmed cases with COVID-19. The results highlighted that there were poor knowledge score regarding WHO breastfeeding guideline during COVID-19 and a positive attitude toward breast feeding during covid. The study recommended; Promotion of optimal breastfeeding practices during the COVID-19 pandemic and creating awareness among nurses and HCWs about WHO breastfeeding guideline during COVID-19. Further researches; are needed to provide educational program to nurses about World Health Organization breastfeeding guidelines during COVID-19.
Revista espanola de salud publica, 2020
The SARS-CoV-2 pandemic has had a major impact on birth care and lactation. The lack of knowledge regarding the transmission mechanisms and the potential risks for the mother and the newborn, even when the vertical transmission of the virus has not been demonstrated, has led to the abandonment of practices such as skin-to-skin and the early initiation of breastfeeding (BF), which offer great benefits for maternal and child health. Taking into account the available scientific evidence and the protective effect of BF, the World Health Organization (WHO), and other organisms recommend, in cases of suspected or confirmed SARS-CoV-2 infection of the mother, maintaining mother-child contact and BF, adopting preventive measure procedures to minimize the risk of contagion. These measures include hand hygiene, before and after contact with the newborn and the use of a mask. If a temporary separation of mother and child is required, it is recommended to feed the newborn with expressed breast ...