Maternal and Infant Outcomes Associated with Maternity Practices Related to COVID-19: The COVID Mothers Study
| Autor: | Angela Giusti, John P. Gaughan, Maria-Teresa Hernández-Aguilar, Elise M. Chapin, Lucia Jenkins, Elysângela Dittz Duarte, Verónica Valdés, Lori Feldman-Winter, Nikhil B Bhana, Melissa Bartick |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Internationality Breastfeeding Pediatrics 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Pregnancy Risk Factors Surveys and Questionnaires 030225 pediatrics Kangaroo-Mother Care Method Obstetrics and Gynaecology Infant Mortality Maternity and Midwifery medicine Humans Pregnancy Complications Infectious Statistics & numerical data Retrospective Studies 030219 obstetrics & reproductive medicine SARS-CoV-2 Obstetrics business.industry Health Policy Infant Newborn Pregnancy Outcome COVID-19 Infant Obstetrics and Gynecology Retrospective cohort study Odds ratio medicine.disease Infectious Disease Transmission Vertical Infant mortality Breast Feeding Logistic Models Touch Multivariate Analysis Female business Breast feeding |
| Zdroj: | Breastfeeding Medicine |
| ISSN: | 1556-8342 1556-8253 |
| Popis: | Background: Maternity care practices such as skin-to-skin care, rooming-in, and direct breastfeeding are recommended, but it is unclear if these practices increase the risk of clinically significant COVID-19 in newborns, and if disruption of these practices adversely affects breastfeeding. Methods: We performed a retrospective cohort study of 357 mothers and their infants 0.2 for each). Infants who did not directly breastfeed, experience skin-to-skin care, or who did not room-in within arms' reach, were significantly less likely to be exclusively breastfed in the first 3 months, adjusting for maternal symptoms (p ≤ 0.02 for each). Nearly 60% of mothers who experienced separation reported feeling "very distressed," and 29% who tried to breastfeed were unable. Presence of maternal symptoms predicted infant transmission or symptoms (adjusted odds ratio = 4.50, 95% confidence interval = 1.52-13.26, p = 0.006). Conclusion: Disruption of evidence-based quality standards of maternity care is associated with harm and may be unnecessary. |
| Databáze: | OpenAIRE |
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