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Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS).
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- Author(s): Zöllkau, Janine; Heimann, Yvonne; Hagenbeck, Carsten; Pecks, Ulrich; Abou-Dakn, Michael; Schlösser, Rolf; Schohe, Anna; Dressler-Steinbach, Iris; Manz, Maike; Banz-Jansen, Constanze; Reuschel, Edith; Iannaccone, Antonella; Bohlmann, Michael K.; Kraft, Katrina; Fill Malfertheiner, Sara; Wimberger, Pauline; Kolben, Thomas; Bartmann, Catharina; Carolin Longardt, Ann
- Source:
Journal of Human Lactation. Nov2023, Vol. 39 Issue 4, p625-635. 11p. - Source:
- Additional Information
- Subject Terms: MOTHERS; COVID-19; ATTITUDES of mothers; PREMATURE infants; NEONATAL intensive care; CROSS-sectional method; NEONATAL intensive care units; MANN Whitney U Test; MOTHERHOOD; PARENTING; PREGNANCY outcomes; OBSTETRICS; COMPARATIVE studies; BREASTFEEDING; DESCRIPTIVE statistics; RESEARCH funding; CHI-squared test; DATA analysis software; COVID-19 pandemic; PERINATAL period; LONGITUDINAL method
- Subject Terms:
- Abstract: 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 SARS-CoV-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. [ABSTRACT FROM AUTHOR]
- Abstract: Die SARS-CoV-2-Pandemie und ihre Auswirkungen auf die peripartale Versorgung haben weltweit zu Problemen bei der Unterstützung des Stillens geführt. Ziel dieser Studie war es, das Muttermilchfütterungsverhalten in der Pandemie und das peripartale Kliniksmanagement in Deutschland und Österreich zu beschreiben. Registerdaten aus der prospektiven multizentrischen Kohorte der COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) (Längsschnitt, 1.815 Mutter-Kind-Paare mit bestätigter SARS-CoV-2-Infektion während der Schwangerschaft zwischen April 2020 und August 2021) sowie eine ergänzende prospektive Querschnitts-Online-Umfrage unter Ärzten der CRONOS-Krankenhäuser wurden in einer deskriptiven Analyse des Stillverhaltens und des innerklinischen Stillmanagements ausgewertet. In 93,7 % der Fälle, in denen Angaben zur Ernährung des Neugeborenen gemacht wurden, erfolgte die Fütterung mit Muttermilch. Von den Frauen, die keine Muttermilch fütterten, gaben 24,3 % die SARS-CoV-2-Infektion als Grund hierfür an. Eine peripartale mütterliche SARS-CoV-2-Infektion, eine schwere mütterliche COVID-19-Erkrankung, die eine Behandlung auf der Intensivstation oder eine invasive Beatmung erforderlich machte, eine Frühgeburt, eine Entbindung aufgrund von COVID-19 sowie die Aufnahme auf die neonatale Intensivstation waren mit einer geringeren Fütterungsrate mit Muttermilch verbunden. Das Rooming-in wirkte sich positiv auf die Fütterung mit Muttermilch aus, ohne die neonatale SARS-CoV-2-Häufigkeit zu beeinflussen (4,2 % vs. 5,6 %). Die CRONOS-Kliniken berichteten die Aufrechterhaltung der Stillunterstützung während der Pandemie. Im Falle einer schweren COVID-19-Erkrankung befürworteten 4 von 5 Krankenhäusern die Fütterung mit Muttermilch. Die Aufrechterhaltung des Rooming-in und der Stillunterstützung in den CRONOS-Krankenhäusern während der Pandemie führte zu hohen Muttermilchfütterungsraten während der Pandemie. Maryse Arendt, IBCLC, BSEd [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Human Lactation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Subject Terms:
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