Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Janine Zöllkau - , Friedrich-Schiller-Universität Jena (Autor:in)
  • Yvonne Heimann - , Friedrich-Schiller-Universität Jena (Autor:in)
  • Carsten Hagenbeck - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Ulrich Pecks - , Christian-Albrechts-Universität zu Kiel (CAU) (Autor:in)
  • Michael Abou-Dakn - , St. Joseph Krankenhaus Berlin Tempelhof (Autor:in)
  • Rolf Schlösser - , Universitätsklinikum Frankfurt (Autor:in)
  • Anna Schohe - , St. Joseph Krankenhaus Berlin Tempelhof (Autor:in)
  • Iris Dressler-Steinbach - , Sana Kliniken AG (Autor:in)
  • Maike Manz - , Klinikum Darmstadt (Autor:in)
  • Constanze Banz-Jansen - , Evangelisches Klinikum Bethel (EvKB) (Autor:in)
  • Edith Reuschel - , Universität Regensburg (Autor:in)
  • Antonella Iannaccone - , Universität Duisburg-Essen (Autor:in)
  • Michael K. Bohlmann - , St. Elisabethen-Krankenhaus Lörrach gGmbH (Autor:in)
  • Katrina Kraft - , München Klinik Bogenhausen (Autor:in)
  • Sara Fill Malfertheiner - , Universität Regensburg (Autor:in)
  • Pauline Wimberger - , Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe (Autor:in)
  • Thomas Kolben - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Catharina Bartmann - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Ann Carolin Longardt - , Christian-Albrechts-Universität zu Kiel (CAU) (Autor:in)

Abstract

Background: The SARS-CoV-2 pandemic and its influence on peripartum processes worldwide led to issues in breastfeeding support. Research Aim: The aim of this study was to describe breastfeeding behavior and peripartum in-hospital management during the pandemic in Germany and Austria. Methods: This study was a descriptive study using a combination of secondary longitudinal data and a cross-sectional online survey. Registry data from the prospective multicenter COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) cohort study (longitudinal, medical records of 1,815 parent-neonate pairs with confirmed SARS-CoV-2 infection during pregnancy) and a cross-sectional online survey of CRONOS hospitals’ physicians (N = 67) were used for a descriptive comparison of feeding outcomes and postpartum management. Results: In 93.7% (n = 1700) of the cases in which information on the neonate's diet was provided, feeding was with the mother’s own milk. Among neonates not receiving their mother’s own milk, 24.3% (n = 26) reported SARS-CoV-2 infection as the reason. Peripartum maternal SARS-CoV-2 infection, severe maternal COVID-19 including the need for intensive care unit (ICU) treatment or invasive ventilation, preterm birth, mandatory delivery due to COVID-19, and neonatal ICU admission were associated with lower rates of breastfeeding. Rooming-in positively influenced breastfeeding without affecting neonatal SARS-CoV-2 frequency (4.2% vs. 5.6%). CRONOS hospitals reported that feeding an infant their mother’s own milk continued to be supported during the pandemic. In cases of severe COVID-19, four of five hospitals encouraged breastfeeding. Conclusion: Maintaining rooming-in and breastfeeding support services in the CRONOS hospitals during the pandemic resulted in high breastfeeding rates.

Details

OriginalspracheEnglisch
Seiten (von - bis)625-635
Seitenumfang11
FachzeitschriftJournal of human lactation
Jahrgang39
Ausgabenummer4
PublikationsstatusVeröffentlicht - 15 Sept. 2023
Peer-Review-StatusJa

Externe IDs

PubMed 37712573

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Austria, COVID-19, CRONOS Registry, Germany, SARS-CoV-2, breastfeeding, lactation management, mother’s milk feeding, pregnancy, prospective cohort, Prospective Studies, Premature Birth, Cross-Sectional Studies, Humans, Breast Feeding, Infant, Pregnancy, COVID-19/epidemiology, Female, Outcome Assessment, Health Care, Infant, Newborn, Cohort Studies

Bibliotheksschlagworte