Zoellkau, Janine and Heimann, Yvonne and Hagenbeck, Carsten and Pecks, Ulrich and Abou-Dakn, Michael and Schloesser, Rolf and Schohe, Anna and Dressler-Steinbach, Iris and Manz, Maike and Banz-Jansen, Constanze and Reuschel, Edith and Iannaccone, Antonella and Bohlmann, Michael K. and Kraft, Katrina and Malfertheiner, Sara Fill and Wimberger, Pauline and Kolben, Thomas and Bartmann, Catharina and Longardt, Ann Carolin and CRONOS Network, (2023) Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS). JOURNAL OF HUMAN LACTATION, 39 (4). pp. 625-635. ISSN 0890-3344, 1552-5732
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Background: The SARS-CoV-2 pandemic and its influence on peripartum processes worldwide led to issues in breastfeeding support. Research Aim: The aim of this study was to describe breastfeeding behavior and peripartum in-hospital management during the pandemic in Germany and Austria. Methods: This study was a descriptive study using a combination of secondary longitudinal data and a cross-sectional online survey. Registry data from the prospective multicenter COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) cohort study (longitudinal, medical records of 1,815 parent-neonate pairs with confirmed SARS-CoV-2 infection during pregnancy) and a cross-sectional online survey of CRONOS hospitals' physicians (N = 67) were used for a descriptive comparison of feeding outcomes and postpartum management. Results: In 93.7% (n = 1700) of the cases in which information on the neonate's diet was provided, feeding was with the mother's own milk. Among neonates not receiving their mother's own milk, 24.3% (n = 26) reported SARS-CoV-2 infection as the reason. Peripartum maternal SARS-CoV-2 infection, severe maternal COVID-19 including the need for intensive care unit (ICU) treatment or invasive ventilation, preterm birth, mandatory delivery due to COVID-19, and neonatal ICU admission were associated with lower rates of breastfeeding. Rooming-in positively influenced breastfeeding without affecting neonatal SARSCoV-2 frequency (4.2% vs. 5.6%). CRONOS hospitals reported that feeding an infant their mother's own milk continued to be supported during the pandemic. In cases of severe COVID-19, four of five hospitals encouraged breastfeeding. Conclusion: Maintaining rooming-in and breastfeeding support services in the CRONOS hospitals during the pandemic resulted in high breastfeeding rates.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SARS-COV-2; Austria; breastfeeding; COVID-19; CRONOS Registry; Germany; lactation management; mother's milk feeding; pregnancy; prospective cohort; SARS-CoV-2 |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Apr 2024 09:03 |
| Last Modified: | 09 Apr 2024 09:03 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60744 |
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