Impact of COVID-19 on breastfeeding intention and behaviour among postpartum women in five countries |
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| Affiliation: | 1. Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Yang-Ming Campus, Taipei, Taiwan;2. Department of Nursing, Catholic Kkottongnae University, Cheongju, Republic of Korea;3. Women’s Health Nursing Department, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil;4. Department of Society and Health, Mahidol University, Nakhon Pathom, Thailand;5. ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand;6. Institute for Health and Society, Hanyang University, Seoul, Republic of Korea;7. Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King''s College London, London, United Kingdom |
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| Abstract: | BackgroundStudies regarding the impact of COVID-19 on breastfeeding have mostly used single- country samples or a qualitative design.AimThe objective of this study was to examine breastfeeding intention during pregnancy and breastfeeding behaviour among postpartum women in five countries during the COVID-19 pandemic and the associated factors.MethodsAn online questionnaire survey was conducted in Thailand, the United Kingdom, South Korea, Taiwan, and Brazil from July through November 2021. The study participants included 3253 mothers within six months of birth.FindingsAbout 90% of participants intended to breastfeed during pregnancy and 85.7% reported breastfeeding in the past 24 h. More than half reported their breastfeeding duration being as planned or longer despite COVID-19. Multivariate logistic regression models showed that being multiparous, ever tested COVID-19 positive, and having positive breastfeeding beliefs were associated with increased odds for intention to breastfeed during pregnancy. Lower maternal educational level, being primiparous, ever tested COVID-19 positive, and experiencing food insecurity were associated with decreased odds for breastfeeding duration being as planned or longer. Vaginal birth, currently working or on maternity leave, breastfeeding beliefs, breastfeeding support from spouse/partner/friend/relative, online support groups, and in-person or telephone contact with healthcare professionals were associated with increased odds for breastfeeding duration being as planned or longer.ConclusionBreastfeeding intention and behaviour remained high during the COVID-19 pandemic. Online support groups and telephone contact with health professionals were effective during the pandemic. |
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| Keywords: | Breastfeeding Postpartum COVID-19 Infant feeding Intention to breastfeed |
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