Population, Policy & Practice Research & Teaching Department, UCL Institute of Child Health, University College London, London, UK.
Department of Child Health, Capital Medical University Beijing Children's Hospital, Beijing, China.
BMC Pediatr. 2022 Feb 24;22(1):104. doi: 10.1186/s12887-022-03155-y.
The COVID-2019 pandemic has placed extensive pressure on health systems and posed a severe public health challenge worldwide. Lockdown measures implemented in many countries have delayed virus spread. However, a considerable number of people have faced unprecedented pressure, especially pregnant and breast-feeding women, because face-to-face professional support has been reduced during the lockdown in many countries.
To compare the delivery and infant feeding experiences of women who delivered before (BL) versus during (DL) the Covid-19 pandemic in Beijing, China and to investigate predictors of breastfeeding at 6-months.
Women aged ≥18 years with an infant ≤18 months of age completed an anonymous survey. Information/links were shared online and via local clinics in Beijing. Logistic regression was performed to assess predictors of breastfeeding during the first 6-months.
One thousand eight hundred seven women provided data; BL 1231 (68.1%), DL 576 (31.9%). Significantly more mothers in DL group reported the lockdown had moderate to high impact to their household income (p = 0.013) and the convenience of purchasing daily necessities(p = 0.014). Compared to BL mothers, significantly more mothers in the DL groups thought their birth location and breastfeeding intention had been effected by the COVID-19 (p < 0.001, p = 0.036 respectively). Mostly breastfeeding (MBF, mainly breastfeeding with few non-formula fluids added) at 6 months was predicted by delivery during the lockdown period (OR1.43, 95% confidence interval (CI) 1.08, 1.90), younger maternal age (OR 0.96, 95%CI 0.93, 0.99), getting support from friends or relatives (OR 1.95, 95%CI 1.06, 3.59), and discussing health issues in online groups > four times a week (OR 1.66, 95%CI 1.09, 2.53).
The COVID-19 pandemic and lockdown measures influenced mothers' planned birth location and breastfeeding intention. However, breastfeeding practice was maintained during the pandemic. Our results highlight the importance of feeding support as well as potential beneficial effects of increased mother-infant contact during the lockdown period which is relevant even under normal circumstances.
COVID-19 大流行给卫生系统带来了巨大压力，对全球公共卫生构成了严峻挑战。许多国家实施的封锁措施延迟了病毒的传播。然而，由于在许多国家的封锁期间，面对面的专业支持减少，相当多的人面临着前所未有的压力，尤其是孕妇和哺乳期妇女。
比较中国北京在 COVID-19 大流行前（BL）和大流行期间（DL）分娩的妇女的分娩和婴儿喂养经历，并探讨 6 个月时母乳喂养的预测因素。
年龄≥18 岁、婴儿≤18 个月的妇女完成了一项匿名调查。信息/链接通过网络和北京当地诊所进行了共享。使用逻辑回归评估了前 6 个月母乳喂养的预测因素。
1807 名妇女提供了数据；BL 组 1231 名（68.1%），DL 组 576 名（31.9%）。DL 组中报告封锁对家庭收入有中等到高度影响（p=0.013）和购买日常用品便利性有中等到高度影响（p=0.014）的母亲明显多于 BL 组。与 BL 组的母亲相比，DL 组的母亲中，认为 COVID-19 对其分娩地点和母乳喂养意愿有影响的比例明显更高（p<0.001，p=0.036）。6 个月时的主要母乳喂养（MBF，主要母乳喂养，添加少量非配方液）由分娩期间的封锁期（OR1.43，95%置信区间（CI）1.08，1.90）、母亲年龄较小（OR 0.96，95%CI 0.93，0.99）、得到朋友或亲戚的支持（OR 1.95，95%CI 1.06，3.59）以及每周在在线群组中讨论健康问题>四次（OR 1.66，95%CI 1.09，2.53）预测。
COVID-19 大流行和封锁措施影响了母亲计划的分娩地点和母乳喂养意愿。然而，在大流行期间，母乳喂养的实践得以维持。我们的结果强调了喂养支持的重要性，以及在封锁期间增加母婴接触的潜在有益影响，即使在正常情况下也是如此。
