Effects of COVID-19 pandemic on breastfeeding rates in a neonatal intensive care unit.
Adult
Breast Feeding
/ psychology
COVID-19
/ epidemiology
Clinical Protocols
Cross-Sectional Studies
Female
Health Promotion
Hospitalization
Humans
Infant, Newborn
Intensive Care Units, Neonatal
/ standards
Intensive Care, Neonatal
/ methods
Male
Pandemics
Professional-Family Relations
Retrospective Studies
Turkey
/ epidemiology
COVID-19
breastfeeding
neonatal intensive care
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
26 May 2021
26 May 2021
Historique:
received:
01
10
2020
accepted:
16
12
2020
pubmed:
9
2
2021
medline:
5
5
2021
entrez:
8
2
2021
Statut:
epublish
Résumé
To find out if the expressed breast milk delivery rate to neonatal intensive care unit (NICU) for babies who were hospitalized for any reason other than COVID-19, and exclusive breastfeeding (EB) rates between discharge date and 30th day of life of those babies were affected by COVID-19 pandemic. Babies who were hospitalized before the date first coronavirus case was detected in our country were included as control group (CG). The study group was divided into two groups; study group 1 (SG1): the mothers whose babies were hospitalized in the period when mother were asked not to bring breast milk to NICU, study group 2 (SG2): the mothers whose babies were hospitalized after the date we started to use the informed consent form for feeding options. The breast milk delivery rates to NICU during hospitalization and EB rates between discharge and 30th day of life were compared between groups. Among 154 mother-baby dyads (CG, n=50; SG1, n=46; SG2, n=58), the percentage of breast milk delivery to NICU was 100%, 79% for CG, SG2, respectively (p<0.001). The EB rate between discharge and 30th day of life did not change between groups (CG:90%, SG1:89%, SG2:75.9; p=0.075). If the mothers are informed about the importance of breast milk, the EB rates are not affected by the COVID-19 pandemic in short term, even if the mothers are obligatorily separated from their babies. The breast milk intake rate of the babies was lowest while our NICU protocol was uncertain, and after we prepared a protocol this rate increased.
Identifiants
pubmed: 33554582
doi: 10.1515/jpm-2020-0462
pii: jpm-2020-0462
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
500-505Informations de copyright
© 2020 Walter de Gruyter GmbH, Berlin/Boston.
Références
Wang, SS, Zhou, X, Lin, XG, Liu, YY, Wu, JL, Sharifu, LM, et al.. Experience of clinical management for pregnant women and newborns with novel coronavirus pneumonia in Tongji hospital, China. Curr Med Sci 2020;40:285–9. https://doi.org/10.1007/s11596-020-2174-4.
Mullins, E, Evans, D, Viner, RM, O’Brien, P, Morris, E. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol 2020;55:586–92. https://doi.org/10.1002/uog.22014.
Davanzo, R, Moro, G, Sandri, F, Agosti, M, Moretti, C, Mosca, F. Breastfeeding and coronavirus disease-2019. Ad interim indications of the Italian society of neonatology endorsed by the union of European neonatal & perinatal societies. Matern Child Nutr 2020;16:e13010. https://doi.org/10.1111/mcn.13010.
Anderson, PO. Breastfeeding and respiratory antivirals: coronavirus and influenza. Breastfeed Med 2020;15:128. https://doi.org/10.1089/bfm.2020.29149.poa.
Chandrasekharan, P, Vento, M, Trevisanuto, D, Partridge, E, Underwood, MA, Wiedeman, J, et al.. Neonatal resuscitation and postresuscitation care of infants born to mothers with suspected or confirmed SARS-CoV-2 infection. Am J Perinatol 2020;37:813–24. https://doi.org/10.1055/s-0040-1709688.
Marinelli, KA. International perspectives concerning donor milk banking during the SARS-CoV-2 (COVID-19) pandemic. J Hum Lactation 2020;36:492–7. https://doi.org/10.1177/0890334420917661.
Wang, L, Shi, Y, Xiao, T, Fu, J, Feng, X, Mu, D, et al.. Working committee on perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection. Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection (First edition). Ann Transl Med 2020;8:47. https://doi.org/10.21037/atm.2020.02.20.
Tam, PCK, Ly, KM, Kernich, ML, Spurrier, N, Lawrence, D, Gordon, DL, et al.. Detectable severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in human breast milk of a mildly symptomatic patient with coronavirus disease 2019 (COVID-19). Clin Infect Dis 2020:ciaa673. https://doi.org/10.1093/cid/ciaa673.
Lackey, KA, Pace, RM, Williams, JE, Bode, L, Donovan, SM, Järvinen, KM, et al.. SARS-CoV-2 and human milk: what is the evidence? Matern Child Nutr 2020:e13032. https://doi.org/10.1111/mcn.13032.
Bastug, A, Hanifehnezhad, A, Tayman, C, Ozkul, A, Ozbay, O, Kazancioglu, S, et al.. Virolactia in an asymptomatic mother with COVID-19. Breastfeed Med 2020;15:488–91. https://doi.org/10.1089/bfm.2020.0161.
Zhu, C, Liu, W, Su, H, Li, S, Shereen, MA, Lv, Z, et al.. Breastfeeding risk from detectable severe acute respiratory syndrome coronavirus 2 in breastmilk. J Infect 2020;81:452–82. https://doi.org/10.1016/j.jinf.2020.06.001.
Cheema, R, Partridge, E, Kair, LR, Kuhn-Riordon, KM, Silva, AI, Bettinelli, ME, et al.. Protecting Breastfeeding during the COVID-19 Pandemic. Am J Perinatol 2020. https://doi.org/10.1055/s-0040-1714277.
World Health Organization. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services - the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO. 2018, 17–28 p.
Centers for Disease Control and Prevention. Proper storage and preparation of breast milk. Avaliable from: https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm [Accessed 1 Oct 2020].
Erdeve, Ö, Çetinkaya, M, Baş, AY, Narlı, N, Duman, N, Vural, M, et al.. The Turkish Neonatal Society proposal for the management of COVID-19 in the neonatal intensive care unit. Turk Pediatri Ars 2020;55:86–92. https://doi.org/10.14744/TurkPediatriArs.2020.43788.
World Health Organization. Infant and young child feeding. Fact sheets. Updated at August 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding [Accessed 18 Sep 2020].
World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected. Interim guidance V 1.2. Available from: https://www. who. int/ publications- detail/ clinical- management- ofsevere-acute- respiratory- infection- when- novel- coronavirus-(ncov)- infection- is- suspected [Accessed 18 Sep 2020].
Salvatore, CM, Han, JY, Acker, KP, Tiwari, P, Jin, J, Brandler, M, et al.. Neonatal management and outcomes during the COVID-19 pandemic: an observation cohort study. Lancet Child Adolesc Health 2020;4:721–7. https://doi.org/10.1016/s2352-4642(20)30235-2.
Sullivan, SE, Thompson, LA. Best practices for COVID-19-positive or exposed mothers-breastfeeding and pumping milk. JAMA Pediatr 2020;26. https://doi.org/10.1001/jamapediatrics.2020.3341.
Stuebe, A. Should infants be separated from mothers with COVID-19? First, do No Harm. Breastfeed Med 2020;15:351–2. https://doi.org/10.1089/bfm.2020.29153.ams.
Dong, Y, Chi, X, Hai, H, Sun, L, Zhang, M, Xieet, WF, et al.. Antibodies in the breast milk of a maternal woman with COVID-19. Emerg Microb Infect 2020;9:1467–9. https://doi.org/10.1080/22221751.2020.1780952.