Sattar Fatima, Borders Ann E B, Keenan-Devlin Lauren S
University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Department of Obstetrics and Gynecology, North Shore University Health System, Evanston Hospital, 2650 Ridge Ave Walgreen Bldg, Ste 1507, Evanston, IL, 60201, USA.
Matern Child Health J. 2025 Feb;29(2):148-155. doi: 10.1007/s10995-024-04035-w. Epub 2024 Dec 19.
To evaluate whether Covid-19 related workflow changes to a clinically-integrated breastfeeding peer counseling (ci-BPC) program were associated with poorer breastfeeding outcomes for Medicaid-enrolled patients.
This retrospective chart review included patients who received ci-BPC care during January 2017-March 2020 ("Pre-Pandemic," N = 318); March 2020-September 2020 ("During-Peak," N = 53); and September 2020-May 2021 ("Post-Peak," N = 97). ANOVA evaluated differences in encounter type frequencies for each time point, as well as differences in breastfeeding initiation, exclusivity during inpatient admission, and continuation of breastfeeding at least 6 weeks post-delivery.
In-person prenatal counseling significantly decreased from Pre-Pandemic to During-Peak (43.9-8.2%, p < 0.05). Breastfeeding at 6 weeks postpartum significantly increased from the Pre-Pandemic cohort to the During-Peak cohort (67-85%, p < 0.05), and returned to baseline for the Post-Peak cohort (74%).
Covid-19 related workflow changes for the peer counselor did not decrease breastfeeding outcomes as anticipated.
评估与新型冠状病毒肺炎（Covid-19）相关的临床综合母乳喂养同伴咨询（ci-BPC）项目工作流程变化是否与医疗补助参保患者较差的母乳喂养结果相关。
这项回顾性病历审查纳入了在2017年1月至2020年3月期间（“疫情前”，N = 318）、2020年3月至2020年9月期间（“疫情高峰期”，N = 53）以及2020年9月至2021年5月期间（“疫情高峰后”，N = 97）接受ci-BPC护理的患者。方差分析评估了每个时间点就诊类型频率的差异，以及母乳喂养开始、住院期间纯母乳喂养和产后至少6周母乳喂养持续情况的差异。
从疫情前到疫情高峰期，面对面产前咨询显著减少（从43.9%降至8.2%，p < 0.05）。产后6周时的母乳喂养率从疫情前队列显著增加到疫情高峰期队列（从67%增至85%，p < 0.05），并在疫情高峰后队列恢复到基线水平（74%）。
同伴咨询师与Covid-19相关的工作流程变化并未如预期那样降低母乳喂养结果。
