4.6 Article

Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

期刊

JOURNAL OF HUMAN LACTATION
卷 39, 期 4, 页码 625-635

出版社

SAGE PUBLICATIONS INC
DOI: 10.1177/08903344231190623

关键词

Austria; breastfeeding; COVID-19; CRONOS Registry; Germany; lactation management; mother's milk feeding; pregnancy; prospective cohort; SARS-CoV-2

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This study aimed to describe breastfeeding behavior and in-hospital management during the COVID-19 pandemic in Germany and Austria. The findings showed that maternal SARS-CoV-2 infection, severe COVID-19, preterm birth, and neonatal ICU admission were associated with lower rates of breastfeeding. However, rooming-in and breastfeeding support services in the CRONOS hospitals resulted in high breastfeeding rates.
Background: The SARS-CoV-2 pandemic and its influence on peripartum processes worldwide led to issues in breastfeeding support. Research Aim: The aim of this study was to describe breastfeeding behavior and peripartum in-hospital management during the pandemic in Germany and Austria. Methods: This study was a descriptive study using a combination of secondary longitudinal data and a cross-sectional online survey. Registry data from the prospective multicenter COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) cohort study (longitudinal, medical records of 1,815 parent-neonate pairs with confirmed SARS-CoV-2 infection during pregnancy) and a cross-sectional online survey of CRONOS hospitals' physicians (N = 67) were used for a descriptive comparison of feeding outcomes and postpartum management. Results: In 93.7% (n = 1700) of the cases in which information on the neonate's diet was provided, feeding was with the mother's own milk. Among neonates not receiving their mother's own milk, 24.3% (n = 26) reported SARS-CoV-2 infection as the reason. Peripartum maternal SARS-CoV-2 infection, severe maternal COVID-19 including the need for intensive care unit (ICU) treatment or invasive ventilation, preterm birth, mandatory delivery due to COVID-19, and neonatal ICU admission were associated with lower rates of breastfeeding. Rooming-in positively influenced breastfeeding without affecting neonatal SARSCoV-2 frequency (4.2% vs. 5.6%). CRONOS hospitals reported that feeding an infant their mother's own milk continued to be supported during the pandemic. In cases of severe COVID-19, four of five hospitals encouraged breastfeeding. Conclusion: Maintaining rooming-in and breastfeeding support services in the CRONOS hospitals during the pandemic resulted in high breastfeeding rates.

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