Access to lactation consult services during the COVID-19 pandemic and the impact on breastfeeding outcome variables
C. Maltese,
No information about this author
Chintan K. Gandhi,
No information about this author
Sarah I. Ramírez
No information about this author
et al.
PLoS ONE,
Journal Year:
2025,
Volume and Issue:
20(3), P. e0318749 - e0318749
Published: March 18, 2025
Background
:
Inpatient
lactation
consultation
and
social
influences
affect
breastfeeding
(BF)
choices
sustainability.
The
COVID-19
pandemic
introduced
barriers
to
BF
initiation
continuation
including
access
support
connection.
Equitable
can
reduce
health
disparities.
Research
aim
study
aimed
(1)
determine
the
prevalence
of
professional
during
pandemic,
(2)
explore
influence
this
on
equitable
accessibility
services,
(3)
identify
changes
in
rates
at
three
different
phases
(early,
middle,
late).
Methods
Patients
receiving
prenatal
care
a
mid-sized
academic
medical
institution
Central
Pennsylvania
were
recruited
surveyed
data
was
collected
combined
with
from
electronic
record.
Results
88%
patients
received
birth
hospitalization.
Having
pregnancy
did
not
change
post-partum
(p
=
0.0961).
Neither
exclusivity
nor
number
consult
visits
statistically
0.2263;
p
0.0958
respectively).
Multiple
regression
models
assessing
hospital
found
significant
associations
having
(OR
2.50,
95%
CI
1.04,
6.04),
an
infant
neonatal
intensive
unit
0.29,
0.11,
0.73),
reported
1.09,
1.01,1.18).
Conclusions
Social
visit
hospitalization
remained
critical
factors
for
exclusivity.
This
highlights
importance
both
pandemic.
Language: Английский
The role of nurses, midwives, and doulas on breastfeeding: changes during the COVID-19 pandemic
Frontiers in Global Women s Health,
Journal Year:
2025,
Volume and Issue:
6
Published: April 14, 2025
Introduction
The
COVID-19
pandemic
has
significantly
altered
maternal
healthcare
delivery,
including
breastfeeding
practices.
Our
study
investigated
the
influence
of
nurses,
midwives,
and
doulas
on
education
rates,
with
a
specific
focus
changes
that
transpired
during
pandemic.
Methods
Using
cross-sectional
design,
we
performed
secondary
data
analysis
stratified
systematic
sample
forty-six
U.S.
states
New
York
City
respondents
who
completed
Pregnancy
Risk
Assessment
Monitoring
System
(PRAMS)
Phase
7
(2012–2015)
8
(2016–2020)
surveys
(
n
=
193,068).
Descriptive
analyses
adjusted
multivariable
logistic
regression
models
reporting
odds
ratios
(aORs)
95%
confidence
intervals
(95%
CIs)
were
used
to
assess
associations
between
provision
guidance
mothers
from
doulas,
or
midwife
professionals;
breastfeeding/pumping
rates;
Cox-proportional
hazard
examine
association
duration.
Results
findings
revealed
participants
received
twice
as
likely
have
engaged
in
milk
pumping
for
their
infants
than
did
not
receive
(aOR
1.99,
CI:
1.89–2.11,
p
<
0.0001).
Additionally,
gave
birth
notably
less
nurse,
midwife,
doula
those
before
0.92,
0.88–0.96,
We
also
find
stopping
was
lower
among
(HR
0.94,
0.91–0.97,
0.001)
Discussion
underscores
vital
role
professionals
play
educating,
advocating
for,
promoting
behaviors.
This
further
highlights
pressing
need
sustained
efforts
support
initiatives
address
disparities
child
health,
particularly
context
challenges
presented
by
Language: Английский
Women's views and experiences of breastfeeding during the coronavirus disease 2019 pandemic: A systematic review of qualitative evidence
Maternal and Child Nutrition,
Journal Year:
2024,
Volume and Issue:
20(4)
Published: Aug. 9, 2024
Abstract
The
coronavirus
disease
2019
pandemic
affected
breastfeeding
women
in
various
ways.
Understanding
their
experiences
during
the
is
crucial
for
informing
actionable
recommendations,
evidence‐based
strategies
and
future
policies
to
support
global
pandemics.
This
review
aimed
synthesise
qualitative
evidence
on
women's
perceptions,
needs
pandemic.
Joanna
Briggs
Institute's
(JBI)
guidelines
systematic
reviews
of
were
followed.
MEDLINE,
Embase,
CINAHL
Web
Science
Core
Collection
databases
searched.
Methodological
quality
included
papers
was
assessed
using
JBI's
checklist
research.
synthesised
findings
generated
meta‐aggregation
approach.
JBI
ConQual
process
used
rank
each
finding.
Fifty‐two
included.
included:
(1)
awareness
commitment
pandemic,
(2)
multifaceted
(3)
practices
challenges
working
women,
(4)
professional
pandemic:
navigating
an
evolving
health
care
context
(5)
family
peer
groups
challenging
times
Breastfeeding
require
clear
information,
accessible
in‐person
lactation
support,
emotional
food
security
protection
psychological
well‐being.
reported
diverse
experiences,
from
social
positive
aspects
like
remote
work.
consultants
should
be
considered
as
essential
services
Food
households.
Lactation
could
prioritise
face‐to‐face
consultations
physical
providing
online
informational
support.
Future
research
explore
innovative
education
strategies.
Language: Английский
Breastfeeding During COVID-19 Stay-at-Home Orders: Implications for Future Maternal Work Policies and Health Equity
H B Pritz,
No information about this author
Zoe Henkes,
No information about this author
V Graham
No information about this author
et al.
Maternal and Child Health Journal,
Journal Year:
2024,
Volume and Issue:
28(11), P. 1961 - 1973
Published: Oct. 8, 2024
Language: Английский
Breastfeeding during the COVID-19 pandemic
Frontiers in Pediatrics,
Journal Year:
2023,
Volume and Issue:
11
Published: June 5, 2023
The
coronavirus
disease
2019
(COVID-19)
caused
by
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
has
many
significant
changes
to
all
aspects
of
day
life.
spread
and
reached
pandemic
proportions.
principle
route
transmission
is
the
route.
Infants,
pregnant
women
breastfeeding
mothers
have
been
affected.
Many
interventions
guidelines
from
important
societies
instituted
in
order
curb
disease.
These
involved
both
pharmacological
non-pharmacological
methods.
COVID-19
vaccines
also
emerged
as
methods
primary
prevention
But
several
questions
raised
concerning
safety
efficacy
their
use
mothers.
It
not
clear
if
are
effective
generating
a
robust
immune
response
confer
passive
immunity
fetuses
infants,
respectively.
And
they
tested
infants.
aspect
infant
feeding
equally
Although
breast
milk
known
serve
vehicle
virus,
there
still
some
lack
uniformity
practice
regarding
when
mother
SARS-CoV-2
infection.
This
led
being
done
commercial
formula
feeds,
pasteurized
human
donor
milk,
on
mother's
own
expressed
care
giver
directly
with
skin
contact.
despite
most
physiologically
appropriate
type
feed
for
Therefore
pertinent
question
remains;
should
continue
during
continue?
review
seeks
analyse
vast
amount
scientific
information
subject
synthesize
science-based
information.
Language: Английский
Breastfeeding Rates During the COVID-19 Pandemic in Germany: Data from the CRONOS Registry
Zeitschrift für Geburtshilfe und Neonatologie,
Journal Year:
2024,
Volume and Issue:
228(01), P. 88 - 96
Published: Feb. 1, 2024
Abstract
SARS-CoV-2
infection
and
COVID-19
disease
are
thought
to
have
an
impact
on
breastfeeding
rate
–
besides
other
known
peripartal
issues.
Data
of
the
national
CRONOS
registry
regarding
behavior
in
6,746
women
was
analyzed
time
window
between
maternal
delivery.
In
addition,
influencing
factors
like
predominant
viral
variant,
severity,
gestational
age
at
delivery
were
taken
into
account.
Our
data
suggest
that
within
variables
analyzed,
case
acute
(<14
days
before
birth),
improved
with
increasing
birth
(p<0.0001),
less
severe
illness
(p<0.0001)
as
pandemic
progressed
virulent
variants
(p=0.01).
When
adjusting
for
COVID-19-associated
non-associated
factors,
rooming-in
remains
most
important
factor
positively
behavior.
With
regards
benefits
mother
infants
from
breastfeeding,
a
separation
child
even
infectious
settings
should
be
avoided.
Language: Английский
The Role of Nurses, Midwives, and Doulas in Breastfeeding Education and Rates: Changes During the COVID-19 Pandemic
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Feb. 13, 2024
Abstract
Background
The
COVID-19
pandemic
has
significantly
altered
maternal
healthcare
delivery,
including
breastfeeding
practices.
Our
study
investigated
the
influence
of
nurses,
midwives,
and
doulas
on
education
rates,
with
a
specific
focus
changes
that
transpired
during
pandemic.
Methods
Using
cross-sectional
design,
we
performed
secondary
data
analysis
stratified
systematic
sample
forty-six
U.S.
states
New
York
City
respondents
who
completed
Pregnancy
Risk
Assessment
Monitoring
System
(PRAMS)
Phase
7
(2012–2015)
8
(2016–2020)
surveys
(n
=
193,068).
Descriptive
analyses
adjusted
multivariable
logistic
regression
models
reporting
odds
ratios
(aORs)
95%
confidence
intervals
(95%
CIs)
were
used
to
assess
associations
between
provision
guidance
mothers
from
doulas,
or
midwife
professionals;
breastfeeding/pumping
rates;
Results
findings
revealed
participants
received
twice
as
likely
have
engaged
in
milk
pumping
for
their
infants
than
did
not
receive
(aOR
1.99,
CI:
1.89–2.11,
p
≤
0.0001).
Additionally,
gave
birth
notably
less
nurse,
midwife,
doula
those
before
0.92,
0.88–0.96,
Conclusion
underscores
vital
role
professionals
play
educating,
advocating
for,
promoting
behaviors.
This
further
highlights
pressing
need
sustained
efforts
support
initiatives
address
disparities
child
health,
particularly
context
challenges
presented
by
Language: Английский
The Impact of COVID-19 on Breastfeeding Initiation and Duration in a Low-Income Population, Washington, DC
Breastfeeding Medicine,
Journal Year:
2024,
Volume and Issue:
19(2), P. 120 - 128
Published: Feb. 1, 2024
Objective:
To
assess
the
impact
of
coronavirus
disease
2019
(COVID-19)
pandemic
on
breastfeeding
initiation
(BFI)
and
duration
among
women
enrolled
in
Special
Supplemental
Nutrition
Program
for
women,
infants,
children
(WIC)
Washington
District
Columbia
(DC).
Materials
Methods:
We
used
WIC
program
data
from
DC
to
pandemic's
BFI
recipients.
t-Tests
unadjusted
odds
ratios
compared
outcomes
before
during
pandemic.
Multivariable
logistic
linear
regression
models
estimated
duration,
respectively,
while
controlling
social
determinants
health
other
factors.
Results:
was
similar
who
gave
birth
(61.4%)
or
(60.4%)
(p
=
0.359).
However,
proportion
breastfed
at
1
month
decreased
significantly
56.1%
(before
pandemic)
47.6%
(during
<
0.0001).
This
pattern
continued
3
6
months:
46.9%
37.1%
0.0001)
months
34.8%
25.7%
months.
On
average,
delivered
33.9
fewer
days
than
those
Conclusions:
recipients
infants
born
pandemic,
remained
previous
reports
(e.g.,
race/ethnicity,
education).
initiated
breastfeeding,
average
lower
before.
Our
findings
suggest
importance
leveraging
supports
promote
pandemics
emergencies.
Language: Английский
The impact of continuous and intermittent supportive counseling on self-efficacy and continuation of breastfeeding in lactating women affected by COVID-19: a quasi-experimental trial
BMC Pregnancy and Childbirth,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: May 17, 2024
Abstract
Background
Promoting
exclusive
breastfeeding
can
have
a
great
effect
in
reducing
the
complications
and
mortality
rate
of
mother
child.
Objective
The
study
aimed
to
compare
effects
continuous
intermittent
supportive
counselling
on
self-efficacy
continuity
among
Lactating
mothers
with
COVID-19.
Methods
was
semi-experimental
research
method
conducted
73
COVID-19
who
were
hospitalized
Ayatollah
Mousavi
Hospital
Zanjan,
Iran
from
May
2021
April
2022.
In
group,
provided
daily
for
14
days,
while
once
week
four
weeks.
Breastfeeding
assessed
based
World
Health
Organization’s
classification,
measured
using
Dennis’
standard
questionnaire
(BSE)
up
months
after
delivery.
data
analyzed
chi-square
tests,
independent
t-tests,
paired
analysis
variance
repeated
measures,
survival
(Kaplan-Meier)
95%
confidence
level.
Results
revealed
that
cessation
occurred
17
cases
within
group
22
group.
rates
continuation
52.8%
40.5%
respectively.
However,
no
statistically
significant
differences
observed
trend
changes
mean
scores
self-efficacies
between
groups.
Furthermore,
comparing
change
one-month
four-month
follow-ups
increase
observed.
Conclusion
results
indicated
difference
effectiveness
counseling
methods
improving
women
Further
is
needed
explore
long-term
different
approaches
outcomes
during
crises.
Trial
registration
registered
Iranian
Registry
Clinical
Trials
website
29/06/2021
code
IRCT20150731023423N19.
It
be
accessed
via
this
link:
https://irct.behdasht.gov.ir/user/trial/55391/view
.
Language: Английский
Comparison of Breastfeeding Practices in Mothers With Chronic Kidney Disease With or Without Kidney Transplantation
Anna Sadovnikova,
No information about this author
Melinda D. Wong,
No information about this author
Jeffrey Fine
No information about this author
et al.
Breastfeeding Medicine,
Journal Year:
2023,
Volume and Issue:
18(11), P. 849 - 854
Published: Oct. 19, 2023
Existing
literature
on
pregnant
patients
with
chronic
kidney
disease
(CKD)
or
without
transplantation
focuses
mainly
their
pregnancy
outcomes,
but
there
are
scant
data
lactation
outcomes.
Our
objective
was
to
characterize
the
outcomes
of
CKD
transplantation.
Language: Английский