Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study
Objective: Evaluate the association between breastfeeding, exclusive breastfeeding at six months and the introduction of complementary feeding during the pre-pandemic and the COVID-19 pandemic periods. Methods: Cohort study conducted with puerperal women and their newborns in the immediate postpartu...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Jornal de Pediatria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755722000043 |
| _version_ | 1797991362368372736 |
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| author | Bruna Luiza Holand Clarissa de Oliveira Agostini Marcela Caridad Medina Pacheco Dulce Montserrat Zuchini de Leon Michele Drehmer Vera Lúcia Bosa |
| author_facet | Bruna Luiza Holand Clarissa de Oliveira Agostini Marcela Caridad Medina Pacheco Dulce Montserrat Zuchini de Leon Michele Drehmer Vera Lúcia Bosa |
| author_sort | Bruna Luiza Holand |
| collection | DOAJ |
| description | Objective: Evaluate the association between breastfeeding, exclusive breastfeeding at six months and the introduction of complementary feeding during the pre-pandemic and the COVID-19 pandemic periods. Methods: Cohort study conducted with puerperal women and their newborns in the immediate postpartum period at a reference maternity hospital in Southern Brazil between 2018-2020. The COVID-19 pandemic period and the need to work outside the home during restricted circulation were the factors of exposure. The outcome evaluated was the weaning in the first six months (breastfeeding and exclusive breastfeeding) and the introduction of complementary feeding before the sixth month of life. Results: 547 puerperal women and their newborns were included. During the COVID-19 pandemic, there was a higher risk to weaning of exclusive breastfeeding up until six months (RR 1.16; 95%CI 1.03-1.31) and introducing complementary feeding early (RR 1.40; 95%CI 1.01-1.96). The need to work outside the home during the COVID-19 pandemic increased the risk of not breastfeeding exclusively at the sixth month (RR 1.27; 95%CI 1.08-1.49). Conclusions: The difficulties of the pandemic did reflect negatively on breastfeeding and complementary feeding practices. The pandemic was a risk factor for the early weaning of exclusive breastfeeding and the introduction of complementary feeding. However, not having to work outside the home during the pandemic period was a protective factor for exclusive breastfeeding at six months. |
| first_indexed | 2024-04-11T08:51:06Z |
| format | Article |
| id | doaj.art-9e5ec06bfd98427dae0866756fa223e1 |
| institution | Directory Open Access Journal |
| issn | 0021-7557 |
| language | English |
| last_indexed | 2024-04-11T08:51:06Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj.art-9e5ec06bfd98427dae0866756fa223e12022-12-22T04:33:35ZengElsevierJornal de Pediatria0021-75572022-09-01985496503Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort studyBruna Luiza Holand0Clarissa de Oliveira Agostini1Marcela Caridad Medina Pacheco2Dulce Montserrat Zuchini de Leon3Michele Drehmer4Vera Lúcia Bosa5Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Medicina Social, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Programa de Pós-Graduação em Alimentação Nutrição e Saúde, Porto Alegre, RS, Brazil; Corresponding author at: Programa de Pós-Graduação em Epidemiologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Programa de Pós-Graduação em Alimentação Nutrição e Saúde, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Programa de Pós-Graduação em Alimentação Nutrição e Saúde, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Graduação em Nutrição, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Medicina Social, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Programa de Pós-Graduação em Alimentação Nutrição e Saúde, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Graduação em Nutrição, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Programa de Pós-Graduação em Alimentação Nutrição e Saúde, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Nutrição, Graduação em Nutrição, Porto Alegre, RS, BrazilObjective: Evaluate the association between breastfeeding, exclusive breastfeeding at six months and the introduction of complementary feeding during the pre-pandemic and the COVID-19 pandemic periods. Methods: Cohort study conducted with puerperal women and their newborns in the immediate postpartum period at a reference maternity hospital in Southern Brazil between 2018-2020. The COVID-19 pandemic period and the need to work outside the home during restricted circulation were the factors of exposure. The outcome evaluated was the weaning in the first six months (breastfeeding and exclusive breastfeeding) and the introduction of complementary feeding before the sixth month of life. Results: 547 puerperal women and their newborns were included. During the COVID-19 pandemic, there was a higher risk to weaning of exclusive breastfeeding up until six months (RR 1.16; 95%CI 1.03-1.31) and introducing complementary feeding early (RR 1.40; 95%CI 1.01-1.96). The need to work outside the home during the COVID-19 pandemic increased the risk of not breastfeeding exclusively at the sixth month (RR 1.27; 95%CI 1.08-1.49). Conclusions: The difficulties of the pandemic did reflect negatively on breastfeeding and complementary feeding practices. The pandemic was a risk factor for the early weaning of exclusive breastfeeding and the introduction of complementary feeding. However, not having to work outside the home during the pandemic period was a protective factor for exclusive breastfeeding at six months.http://www.sciencedirect.com/science/article/pii/S0021755722000043COVID-19BreastfeedingComplementary feedingWeaning |
| spellingShingle | Bruna Luiza Holand Clarissa de Oliveira Agostini Marcela Caridad Medina Pacheco Dulce Montserrat Zuchini de Leon Michele Drehmer Vera Lúcia Bosa Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study Jornal de Pediatria COVID-19 Breastfeeding Complementary feeding Weaning |
| title | Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study |
| title_full | Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study |
| title_fullStr | Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study |
| title_full_unstemmed | Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study |
| title_short | Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study |
| title_sort | association between breastfeeding and complementary feeding in pre pandemic and pandemic covid 19 times maternar cohort study |
| topic | COVID-19 Breastfeeding Complementary feeding Weaning |
| url | http://www.sciencedirect.com/science/article/pii/S0021755722000043 |
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