Rani Reena, Dhakate Mrinalini, Goswami Deepti, Gupta Sangeeta, Bhasin Sangeeta, Muthal Rathore Asmita, Tempe Anjali
Department of Obstetrics & Gynecology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India.
J Family Reprod Health. 2022 Mar;16(1):61-66. doi: 10.18502/jfrh.v16i1.8595.
This study aimed to assess the exclusive breastfeeding and contraceptive methods among women delivering within 1-week of a positive test for severe acute respiratory syndrome coronavirus- 2 (SARS-CoV-2) infection. In this study, 106 women with SARS-CoV-2 infection who were either asymptomatic or had mild disease were included. They were admitted for maternity care at a tertiary center between May to September 2020. The data was collected during their hospital stay and subsequently by telephonic or in-person interviews at 4-6 weeks and 8-10 weeks postpartum for contraceptive use, breastfeeding and use of facemask and hand-hygiene. Sixty-three (59.4%) women had vaginal delivery and 43 (40.6%) required cesarean-section. Only one of the 98 newborns who were tested for SARS-CoV-2 turned out positive. Initiation of breastfeeding was delayed by an average of three days due to preparing the Reverse transcription polymerase chain reaction (RT-PCR) report. Exclusive breastfeeding was practiced by 69% and mixed feeding by 26%.Pre breastfeeding hand hygiene and facemask use declined after discharge (100% to 53.75% at 8-10 weeks postpartum). Out of 106, 86 (81%) women used no contraception at 8-10 weeks postpartum, continued with post-placental-IUD in 8/106 (7.5%) and tubal-sterilization during cesarean in 8/106 (7.5%) cases. Only 4/106 (4%) adopted alternative methods like barrier contraception. The practice of exclusive breastfeeding remains unchanged among women who suffered from SARS-CoV-2 infection in the peripartum period while uptake of postpartum contraception was minimal except for the women who opted for long term contraceptive methods in the immediate postpartum period.
本研究旨在评估严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染检测呈阳性后1周内分娩的女性的纯母乳喂养和避孕方法。在本研究中，纳入了106例感染SARS-CoV-2且无症状或患有轻症的女性。她们于2020年5月至9月在一家三级中心接受产科护理。数据在她们住院期间收集，随后在产后4至6周和8至10周通过电话或面对面访谈收集有关避孕措施、母乳喂养以及口罩和手部卫生使用情况的信息。63名（59.4%）女性经阴道分娩，43名（40.6%）需要剖宫产。在98名接受SARS-CoV-2检测的新生儿中，只有1名呈阳性。由于准备逆转录聚合酶链反应（RT-PCR）报告，母乳喂养的开始平均推迟了三天。69%的女性进行纯母乳喂养，26%的女性进行混合喂养。出院后，母乳喂养前的手部卫生和口罩使用情况有所下降（产后8至10周从100%降至53.75%）。在106名女性中，86名（81%）在产后8至10周未采取任何避孕措施，106名中有8名（7.5%）继续使用产后宫内节育器，106名中有8名（7.5%）在剖宫产时进行了输卵管绝育。只有4/106（4%）采用了屏障避孕等替代方法。围产期感染SARS-CoV-2的女性中，纯母乳喂养的情况保持不变，而产后避孕措施的采用率极低，除了那些在产后立即选择长期避孕方法的女性。
