دورية أكاديمية
The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study.
| العنوان: | The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study. |
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| المؤلفون: | Gonçalves-Ferri WA; Department of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil. walusa@fmrp.usp.br., Pereira-Cellini FM; Department of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil., Coca K; Department of Pediatrics, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Aragon DC; Department of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil., Nader P; Department of Pediatrics, Curso de Medicina da ULBRA, Universidade Luterana do Brasil, Porto Alegre, RS, Brazil., Lyra JC; Department of Pediatrics, Neonatology Discipline, Faculdade de Medicina do Campus de Botucatu, UNESP, Botucatu, SP, Brazil., do Vale MS; Department of Pediatrics, Universidade Federal do Maranhão, São Luís, MA, Brazil., Marba S; Department of Pediatrics, Universidade Estadual de Campinas- UNICAMP, Campinas, SP, Brazil., Araujo K; Department of Pediatrics, Hospital Aliança, Salvador, BA, Brazil., Dias LA; Department of Pediatrics, Maternidade Lilia Neves, CEPLIN - Instituto de pediatria e neonatologia ltda, Campus dos Goitazes, RJ, Brazil., de Lima Mota Ferreira DM; Departments of Pediatrics, Federal University of Uberlandia, Uberlândia, MG, Brazil., Nieto G; Department of Pediatrics, Hospital e Maternidade Santa Brígida, Curitiba, PR, Brazil., Anchieta LM; Department of Pediatrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., de Cássia Silveira R; Department of Pediatrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RGS, Brazil., de Moura MDR; Department of Pediatrics, Hospital Materno Infantil de Brasília, Brasília, DF, Brazil., Tuma Calil VML; Department of Pediatrics, Instituto da Criança do Hospital das Clínicas da FMUSP, São Paulo, SP, Brazil., Moraes VCC; Department of Pediatrics, Maternidade Perinatal Laranjeiras, Rio de Janeiro, RJ, Brazil., de Almeida JHCL; Department of Pediatrics, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil., Magalhães M; Department of Pediatrics, Hospital Central da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil., Sonini TCB; Department of Pediatrics, Hospital Maternidade Carmela Dutra, Florianópolis, SC, Brazil., Javorsky JB; Department of Pediatrics, Complexo Hospital de Clínicas UFPR, Curitiba, PR, Brazil., Ribeiro ÉLA; Department of Pediatrics, Hospital da Clínicas da Faculdade de Medicina de Marília -Unidade Materno Infantil, Marília, SP, Brazil., Ferreira R; Department of Pediatrics, Universidade Do Estado Do Amazonas, Platô do Piquiá, Boca do Acre, AM, Brazil., de Almeida LDC; Department of Pediatrics, Maternidade Climério de Oliveira- UFBA, Salvador, BA, Brazil., Garbers R; Department of Pediatrics, Maternidade Nossa Senhora de Fátima, Curitiba, PR, Brazil., da Silva Faria GM; Department of Pediatrics, Faculdade de Medicina de São José do Rio Preto-FAMERP, São José do Rio Preto, SP, Brazil., Roosch A; Department of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil., de Mesquita ARA; Department of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil., de Oliveira Pinto RM; Department of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil. |
| مؤلفون مشاركون: | BRACOVID Project Collaborative Group |
| المصدر: | International breastfeeding journal [Int Breastfeed J] 2021 Mar 31; Vol. 16 (1), pp. 30. Date of Electronic Publication: 2021 Mar 31. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101251562 Publication Model: Electronic Cited Medium: Internet ISSN: 1746-4358 (Electronic) Linking ISSN: 17464358 NLM ISO Abbreviation: Int Breastfeed J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2006- |
| مواضيع طبية MeSH: | Breast Feeding*/adverse effects , Guideline Adherence*/statistics & numerical data , Hygiene*, COVID-19/*prevention & control, Brazil/epidemiology ; COVID-19/epidemiology ; COVID-19/etiology ; Cross-Sectional Studies ; Disease Outbreaks/prevention & control ; Female ; Hospitals ; Humans ; Maternal Health Services ; Pandemics ; Pregnancy ; Surveys and Questionnaires |
| مستخلص: | Background: The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods: This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil's federal law recommendations. Results: The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment's health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions: In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic. |
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| فهرسة مساهمة: | Keywords: Brazil; Breastfeeding; Breastfeeding guidelines; Breastfeeding practices; COVID-19; Milk bank; Public health; Skin-to-skin |
| تواريخ الأحداث: | Date Created: 20210401 Date Completed: 20210409 Latest Revision: 20210409 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC8010275 |
| DOI: | 10.1186/s13006-021-00377-1 |
| PMID: | 33789708 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1746-4358 |
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| DOI: | 10.1186/s13006-021-00377-1 |