Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study
Abstract Background Very few studies have assessed the association between COVID-19 infection and the rates of exclusive breastfeeding (EBF) upon discharge following the first waves of the pandemic and after initiation of vaccination. The primary objective of this study is to compare the rates of EB...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | International Breastfeeding Journal |
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| Online Access: | https://doi.org/10.1186/s13006-023-00590-0 |
| _version_ | 1797451317020459008 |
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| author | Miguel Ángel Marín Gabriel Sergio Martín Lozoya Susana de las Heras Ibarra Laura Domingo Comeche Ersilia González Carrasco Paula Lalaguna Mallada Natalia Villó Sirerol Lucía García Fernández José Jiménez Martínez Ana Royuela Vicente |
| author_facet | Miguel Ángel Marín Gabriel Sergio Martín Lozoya Susana de las Heras Ibarra Laura Domingo Comeche Ersilia González Carrasco Paula Lalaguna Mallada Natalia Villó Sirerol Lucía García Fernández José Jiménez Martínez Ana Royuela Vicente |
| author_sort | Miguel Ángel Marín Gabriel |
| collection | DOAJ |
| description | Abstract Background Very few studies have assessed the association between COVID-19 infection and the rates of exclusive breastfeeding (EBF) upon discharge following the first waves of the pandemic and after initiation of vaccination. The primary objective of this study is to compare the rates of EBF since birth upon discharge in mothers diagnosed with COVID-19 infection at the time of the delivery versus a group of non-infected mothers in maternity hospitals with Baby Friendly Hospital Initiative (BFHI) accreditation. The secondary objectives include determining the rates of any breastfeeding at three and six months of life in both groups, as well as determining the possible factors associated with EBF rates observed upon discharge. Methods An observational, Spanish multi-center hospital, prospective cohort study conducted from 1 to 2021 to 31 March 2022 and with follow-up during the first six months of life. Follow-up was performed via telephone contact with calls performed at three and six months. A multivariate logistic regression analysis model was used to identify the factors related to a lower probability of EBF upon discharge. Results 308 mother-infant pairs participated in the study, 111 in the cohort of women with COVID infection and 197 in the comparison group. EBF upon discharge was 62.7% in the COVID group vs. 81.2% in the comparison group (p = 0.002); at three months; 52.4% vs. 57.0% (p = 0.33) were performing EBF, with the rates of EBF at six months being 43.0% vs. 39.3% (p = 0.45), respectively. Exposure to COVID-19 at delivery (AOR 5.28; 95% CI 2.01, 13.86), not practicing BF previously (AOR 36.3; 95% CI 7.02, 187.74), birth via Cesarean section (AOR 5.06; 95% CI 1.62, 15.79) and low birth weight of the newborn (AOR 1.01; 95% CI 1.01, 1.01) were associated with a greater risk of not performing EBF upon discharge. Conclusions Mothers with a mild or asymptomatic COVID-19 infection at the time of the delivery were less likely to have exclusively breastfed during their hospital stay than other mothers in these BFHI-accredited hospitals. However, there were no differences in breastfeeding rates between the groups at three and six months postpartum. |
| first_indexed | 2024-03-09T14:52:57Z |
| format | Article |
| id | doaj.art-194753b8c773428eb30b05094dc1898b |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-03-09T14:52:57Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-194753b8c773428eb30b05094dc1898b2023-11-26T14:20:59ZengBMCInternational Breastfeeding Journal1746-43582023-10-0118111010.1186/s13006-023-00590-0Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort studyMiguel Ángel Marín Gabriel0Sergio Martín Lozoya1Susana de las Heras Ibarra2Laura Domingo Comeche3Ersilia González Carrasco4Paula Lalaguna Mallada5Natalia Villó Sirerol6Lucía García Fernández7José Jiménez Martínez8Ana Royuela Vicente9Department of Pediatrics, Puerta de Hierro-Majadahonda University HospitalDepartment of Pediatrics, Puerta de Hierro-Majadahonda University HospitalDepartment of Neonatology, Fuenlabrada University HospitalDepartment of Neonatology, Fuenlabrada University HospitalDepartment of Neonatology, Severo Ochoa University HospitalDepartment of Pediatrics, Barbastro HospitalDepartment of Pediatrics, Sanitas-La Zarzuela HospitalDepartment of Pediatrics, Sanitas-La Zarzuela HospitalDepartment of Pediatrics, Sanitas-La Moraleja HospitalBiostatistics Unit, Hospital Universitario Puerta de Hierro Majadahonda, IDIPHISA. CIBERESP, ISCIII.Abstract Background Very few studies have assessed the association between COVID-19 infection and the rates of exclusive breastfeeding (EBF) upon discharge following the first waves of the pandemic and after initiation of vaccination. The primary objective of this study is to compare the rates of EBF since birth upon discharge in mothers diagnosed with COVID-19 infection at the time of the delivery versus a group of non-infected mothers in maternity hospitals with Baby Friendly Hospital Initiative (BFHI) accreditation. The secondary objectives include determining the rates of any breastfeeding at three and six months of life in both groups, as well as determining the possible factors associated with EBF rates observed upon discharge. Methods An observational, Spanish multi-center hospital, prospective cohort study conducted from 1 to 2021 to 31 March 2022 and with follow-up during the first six months of life. Follow-up was performed via telephone contact with calls performed at three and six months. A multivariate logistic regression analysis model was used to identify the factors related to a lower probability of EBF upon discharge. Results 308 mother-infant pairs participated in the study, 111 in the cohort of women with COVID infection and 197 in the comparison group. EBF upon discharge was 62.7% in the COVID group vs. 81.2% in the comparison group (p = 0.002); at three months; 52.4% vs. 57.0% (p = 0.33) were performing EBF, with the rates of EBF at six months being 43.0% vs. 39.3% (p = 0.45), respectively. Exposure to COVID-19 at delivery (AOR 5.28; 95% CI 2.01, 13.86), not practicing BF previously (AOR 36.3; 95% CI 7.02, 187.74), birth via Cesarean section (AOR 5.06; 95% CI 1.62, 15.79) and low birth weight of the newborn (AOR 1.01; 95% CI 1.01, 1.01) were associated with a greater risk of not performing EBF upon discharge. Conclusions Mothers with a mild or asymptomatic COVID-19 infection at the time of the delivery were less likely to have exclusively breastfed during their hospital stay than other mothers in these BFHI-accredited hospitals. However, there were no differences in breastfeeding rates between the groups at three and six months postpartum.https://doi.org/10.1186/s13006-023-00590-0BreastfeedingCOVID-19Baby Friendly Hospital InitiativeCesarean |
| spellingShingle | Miguel Ángel Marín Gabriel Sergio Martín Lozoya Susana de las Heras Ibarra Laura Domingo Comeche Ersilia González Carrasco Paula Lalaguna Mallada Natalia Villó Sirerol Lucía García Fernández José Jiménez Martínez Ana Royuela Vicente Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study International Breastfeeding Journal Breastfeeding COVID-19 Baby Friendly Hospital Initiative Cesarean |
| title | Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study |
| title_full | Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study |
| title_fullStr | Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study |
| title_full_unstemmed | Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study |
| title_short | Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study |
| title_sort | association of the presence of a covid 19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in bfhi hospitals a multicenter prospective cohort study |
| topic | Breastfeeding COVID-19 Baby Friendly Hospital Initiative Cesarean |
| url | https://doi.org/10.1186/s13006-023-00590-0 |
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