Nurs Res. 2022;71(2):E10-E20. doi: 10.1097/NNR.0000000000000568.
The Movement Control Order (MCO), also known as the partial lockdown, was introduced in Malaysia in March 2020 to combat the COVID-19 pandemic, changing many public sector protocols and regulations. This may have implications for neonatal and maternity care and services, especially among new mothers.
The aim of this study was to compare the postnatal experiences and feeding practices between mothers who gave birth before MCO (B-MCO) and during MCO (D-MCO).
One thousand fifty-one mothers with an infant under 18 months in Malaysia completed an online survey between July 2020 and October 2020. The survey advertisement was disseminated online via various social media platforms.
More D-MCO mothers faced a significant effect on the ability to pay rent/mortgage, with their spouses facing a higher impact on employment. D-MCO mothers were more likely to have changed their birth plans, perceived insufficient breastfeeding support, and experienced changes in postnatal services since MCO. In contrast, more B-MCO mothers had stopped breastfeeding during the MCO and started complementary feeding earlier than planned. Many mothers reported feeling down and lonely and having trouble sleeping and a poor appetite. D-MCO mothers had more time to focus on their health, whereas B-MCO mothers spent more time outdoors.
MCO affected mothers' livelihood and postnatal experiences, potentially causing emotional distress. Hence, improved breastfeeding support, particularly at birth, is recommended, as is routine mental health screening during the postnatal checkup. Furthermore, because online contact was readily accessible during the pandemic, the efficacy of online breastfeeding support should be evaluated.
行动管制令（MCO），也称为部分封锁，于 2020 年 3 月在马来西亚推出，以应对 COVID-19 大流行，改变了许多公共部门的协议和规定。这可能对新生儿和产妇护理及服务产生影响，尤其是对新妈妈而言。
本研究旨在比较 MCO 前（B-MCO）和 MCO 期间（D-MCO）分娩的母亲产后经历和喂养方式。
2020 年 7 月至 10 月，马来西亚 1051 名婴儿在 18 个月以下的母亲完成了一项在线调查。调查广告通过各种社交媒体平台在线发布。
更多 D-MCO 母亲面临租金/抵押贷款支付能力的显著影响，其配偶的就业影响更高。D-MCO 母亲更有可能改变生育计划，认为母乳喂养支持不足，并经历 MCO 后产后服务的变化。相比之下，更多的 B-MCO 母亲在 MCO 期间停止母乳喂养，并比计划更早开始补充喂养。许多母亲报告感到沮丧和孤独，难以入睡，食欲不振。D-MCO 母亲有更多时间关注自己的健康，而 B-MCO 母亲则更多时间在户外活动。
MCO 影响了母亲的生计和产后经历，可能导致情绪困扰。因此，建议加强母乳喂养支持，特别是在分娩时，并在产后检查时常规进行心理健康筛查。此外，由于大流行期间在线联系很容易获得，应评估在线母乳喂养支持的效果。
