Autor(es):
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
Data: 2023
Identificador Persistente: https://hdl.handle.net/10316/113855
Origem: Estudo Geral - Universidade de Coimbra
Assunto(s): Breastfeeding; Perinatal health; Cross-countries; COVID-19; SARS-CoV-2; Infant, Newborn; Pregnancy; Humans; Child; Female; SARS-CoV-2; Breast Feeding; COVID-19 Testing; Cross-Sectional Studies; Pandemics; Prospective Studies; COVID-19; Premature Birth
Descrição
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;
