National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy;
Department of Epidemiology and Care Intelligence, Regional Agency for Health and Social Affair of Puglia, Bari, Italy.
Epidemiol Prev. 2023 Jul-Oct;47(4-5):263-272. doi: 10.19191/EP23.4-5.A587.066.
to describe the monthly trend of breastfeeding during hospitalization and the presence of companion of woman's choice during labour and birth, and the key regional responders' perspective of homogeneity/heterogeneity of the presence of the support person, before, during (February-May 2020), and after the first COVID-19 pandemic wave in a few Italian Regions.
two-phase study.
data from the italian birth certificate of six Italian Regions between 01.01.2019 and 31.03.2021 were analysed. Semi-structured interviews were conducted with the key regional respondents.
the frequency distributions of breastfeeding and the presence of companion of woman's choice were calculated as a whole and for each Region.
the infant feeding practices experienced smaller changes during COVID-19 pandemic than the presence of the companion of woman's choice during labour and birth, from January 2019 to March 2021. The highest value of exclusive breastfeeding was recorded in September 2020 (72.1%; 95%CI 71.3-72.8) in all Regions, while the lowest was recorded in March 2021 (62.5%; 95%CI 61.5-63.4). The presence of companion of woman's choice during labour and birth decreased during the pandemic and did not return to pre-pandemic levels. The highest value of presence of father during birth was recorded in March 2019 (59.0%; 95%CI 58.2-59.8), while the lowest in April 2020 (50.0%; 95%CI 49.1-50.8). The main emerging themes were: the existence of national, regional and local indications; the facilitators (e.g., Baby-Friendly Hospital Initiative implementation, strong motivation of the staff) and the critical points (e.g., inadequate analysis of the clinical-epidemiological context, inhomogeneous indications) of management of the support person presence.
the emergency has changed the provision of health services that not always guaranteed the application of best practices. It would be desirable to work for assessing the appropriateness of the birth certificate data to collect more accurate information and to provide clinical recommendations.
描述住院期间母乳喂养的月度趋势以及分娩期间女性选择的陪伴者的存在，并了解关键区域响应者对支持人员存在的同质性/异质性的看法，该研究在意大利几个地区的第一波 COVID-19 大流行之前（2020 年 2 月至 5 月）、期间和之后进行。
两阶段研究。
分析了 2019 年 1 月 1 日至 2021 年 3 月 31 日期间意大利六个地区的意大利出生证明中的数据。对关键区域响应者进行了半结构化访谈。
母乳喂养的频率分布和分娩期间女性选择的陪伴者的存在情况，作为整体和每个地区进行计算。
与分娩期间女性选择的陪伴者的存在相比，COVID-19 大流行期间婴儿喂养方式的变化较小，2019 年 1 月至 2021 年 3 月。所有地区 2020 年 9 月记录的纯母乳喂养率最高（72.1%；95%CI 71.3-72.8），而 2021 年 3 月最低（62.5%；95%CI 61.5-63.4）。分娩期间女性选择的陪伴者的存在减少，且未恢复到大流行前的水平。2019 年 3 月记录的父亲在分娩时的存在率最高（59.0%；95%CI 58.2-59.8），而 2020 年 4 月最低（50.0%；95%CI 49.1-50.8）。主要的新出现的主题是：国家、地区和地方指示的存在；促进因素（例如，实施婴儿友好医院倡议、工作人员的强烈动机）和管理支持人员存在的关键点（例如，对临床流行病学情况分析不足、指示不一致）。
紧急情况改变了卫生服务的提供方式，并不总是保证最佳实践的应用。有必要评估出生证明数据的适当性，以收集更准确的信息并提供临床建议。
