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The Effects of COVID-19 Hospital Practices on Breastfeeding Initiation and Duration Postdischarge.
Rostomian, Lara; Angelidou, Asimenia; Sullivan, Katherine; Melvin, Patrice R; Shui, Jessica E; Telefus Goldfarb, Ilona; Bartolome, Ruby; Chaudhary, Neha; Singh, Rachana; Vaidya, Ruben; Steele, Tina; Yanni, Diana; Patrizi, Silvia; Culic, Ivana; Parker, Margaret G; Belfort, Mandy B.
  • Rostomian L; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Angelidou A; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. USA.
  • Sullivan K; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
  • Melvin PR; Precision Vaccines Program, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, USA.
  • Shui JE; UMass Memorial Health Center, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Telefus Goldfarb I; Office of Health Equity and Inclusion, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, USA.
  • Bartolome R; Division of Newborn Medicine, Department of Pediatrics, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Chaudhary N; Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts.
  • Singh R; Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.
  • Vaidya R; Division of Newborn Medicine, Tufts Children's Hospital, Tufts University School of Medicine, Boston, Massachusetts, USA.
  • Steele T; Division of Newborn Medicine, Tufts Children's Hospital, Tufts University School of Medicine, Boston, Massachusetts, USA.
  • Yanni D; Department of Pediatrics, UMass Chan Medical School-Baystate, Springfield, Massachusetts, USA.
  • Patrizi S; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. USA.
  • Culic I; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
  • Parker MG; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. USA.
  • Belfort MB; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Breastfeed Med ; 17(9): 736-744, 2022 09.
Article in English | MEDLINE | ID: covidwho-1901025
ABSTRACT

Background:

Early in the COVID-19 pandemic, many birth hospitals separated SARS-CoV-2-positive mothers from their newborn infants and advised against breastfeeding to decrease postnatal SARS-CoV-2 transmission. Information on how these practices impacted breastfeeding postdischarge is limited.

Objectives:

In a statewide sample of SARS-CoV-2-positive mothers, we aimed to determine the extent to which (1) mother-infant separation and (2) a lack of breastfeeding initiation in-hospital were associated with breast milk feeding postdischarge. Design/

Methods:

From 11 birthing hospitals in Massachusetts, we identified 187 women who tested positive for SARS-CoV-2 from 14 days before to 72 hours after delivery (March 1-July 31, 2020) and their newborn infants. We abstracted chart data from the delivery hospitalization on main exposure variables (mother-infant separation, in-hospital breast milk feeding [expressed milk feeding and/or direct breastfeeding]) and from outpatient visits until 30 days postdischarge. We evaluated associations of in-hospital practices with outcomes up to 30 days postdischarge, adjusting for confounders using multivariable logistic and linear regression.

Results:

Mother-infant separation in-hospital was associated with a shorter duration of any breast milk feeding (regression coefficient estimate -5.29 days, 95% confidence intervals [CI] [-8.89 to -1.69]). Direct breastfeeding in-hospital was associated with higher odds of any breast milk feeding (adjusted odds ratios [AOR] 5.68, 95% CI [1.65-23.63]) and direct breastfeeding (AOR 8.19, 95% CI [2.99-24.91]) postdischarge; results were similar for any breast milk feeding in-hospital.

Conclusions:

Perinatal hospital care practices implemented early in the COVID-19 pandemic, specifically mother-infant separation and prevention of breast milk feeding initiation, were associated with adverse effects on breast milk feeding outcomes assessed up to 1 month postdischarge.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Feeding / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans / Infant / Infant, Newborn / Pregnancy Language: English Journal: Breastfeed Med Journal subject: Nutritional Sciences Year: 2022 Document Type: Article Affiliation country: Bfm.2022.0039

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Feeding / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans / Infant / Infant, Newborn / Pregnancy Language: English Journal: Breastfeed Med Journal subject: Nutritional Sciences Year: 2022 Document Type: Article Affiliation country: Bfm.2022.0039