COVID-19 infection in childbirth and exclusive breastfeeding rates in a BFHI maternity

Gabriel, Miguel Ángel Marín; Perero, Sofía Manchado; Gutiérrez, Lydia Manzanares; Lozoya, Sergio Martín; Abad, Beatriz Gómez de Olea

doi:10.1016/j.anpede.2022.02.003

Cited by 1 publication

(1 citation statement)

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“…Other factors related to the lack of support and the potential impact on breastfeeding rates may include, as discussed above, a maternal SARS-CoV-2 diagnosis and the perception of obstetric violence in obstetric care. Regarding the diagnosis and impact of SARS-CoV-2, direct results on breastfeeding rates have already been seen, with all cases showing a decrease in breastfeeding rates [ 23 ] despite efforts to put in place protocols to contain this situation [ 24 ] or to implement baby-friendly hospital initiative (BFHI) protocols [ 25 ]. It should be noted that none of the variables analysed showed statistically significant differences according to maternal diagnosis for SARS-CoV-2, except for effective support with doubts or difficulties, in line with other international studies [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding and Obstetric Violence during the SARS-CoV-2 Pandemic in Spain: Maternal Perceptions

Mena‐Tudela

Iglesias-Casás²,

Cervera‐Gasch

et al. 2022

IJERPH

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Catalan legislation, a pioneer in Europe, has defined obstetric violence (OV) as “preventing or hindering access to truthful information, necessary for autonomous and informed decision-making”. The definition also states that OV can affect physical and mental health, as well as sexual and reproductive health. Some authors have expressed concern about an increase in OV during the SARS-CoV-2 pandemic. During the pandemic, recommendations were also openly offered on the non-establishment and/or early abandonment of breastfeeding without scientific evidence to support them. Experiencing a traumatic childbirth can influence breastfeeding outcomes. Here, we conducted a cross-sectional study using a self-administered online questionnaire. The sample consisted of women who gave birth in Spain between March 2020 and April 2021. The mean age was 34.41 (±4.23) years. Of the women, 73% were employed, 78.2% had a university education, and almost all were Caucasian. Among the subjects, 3.3% were diagnosed with SARS-CoV-2 during pregnancy and 1% were diagnosed during delivery. Some of the women (1.6%) were advised to stop breastfeeding in order to be vaccinated. Women diagnosed with SARS-CoV-2 during delivery (p = 0.048), belonging to a low social class (p = 0.031), with secondary education (p = 0.029), or who suffered obstetric violence (p < 0.001) perceived less support and that the health care providers were less inclined to resolve doubts and difficulties about breastfeeding. Breastfeeding has been significantly challenged during the pandemic. In addition to all the variables to be considered that make breastfeeding support difficult, we now probably need to add SARS-CoV-2 diagnosis and OV.

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