Breastmilk feeding of infants at birth among people with confirmed SARS-CoV-2 infection in pregnancy — SET-NET, Five States, March 29, 2020–December 31, 2020

Autor: Elizabeth L. Lewis, Ashley N. Smoots, Kate R. Woodworth, Emily O’Malley Olsen, Nicole M. Roth, Mahsa Yazdy, Hanna Shephard, Lindsey Sizemore, Heather Wingate, Paula Dzimira, Bethany Reynolds, Mamie Lush, Erika L. Fuchs, Kristen Ojo, Sam Siebman, Aron J. Hall, Eduardo Azziz-Baumgartner, Cria Perrine, Jason Hsia, Sascha Ellington, Van T. Tong, Suzanne M. Gilboa
Rok vydání: 2022
DOI: 10.21203/rs.3.rs-1498126/v1
Popis: Objective To describe prevalence of breastmilk feeding among people with SARS-CoV-2 infection during pregnancy and examine associations between breastmilk feeding, timing of maternal infection before delivery, and rooming-in status during delivery hospitalization. Methods Retrospective cohort using data from five states reporting initiation of breastmilk feeding of infants at birth among people with confirmed SARS-CoV-2 infection during pregnancy in 2020. Results Among 9760 (weighted N) people with SARS-CoV-2 infection in pregnancy, 86.0% (95% confidence interval [CI]: 83.3%-88.7%) initiated breastmilk feeding during birth hospitalization. People with infection ≤ 14 days before delivery had significantly lower prevalence of breastmilk feeding (adjusted prevalence ratio [aPR] 0.90, 95% CI: 0.82, 0.97) compared to those with infection > 14 days before delivery. When stratified by rooming-in status, the association between timing of infection and breastmilk feeding remained only among infants who did not room-in with their mother (aPR 0.78, 95% CI: 0.66, 0.92). Conclusion Pregnant and postpartum people with SARS-CoV-2 infection should be advised about the importance of breastmilk feeding, how to safely feed their infants in the same room, and have access to lactation support.
Databáze: OpenAIRE