Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/69196
Tipo: Artigo de Periódico
Título: The impact of coronavirus outbreak on breastfeeding guidelines among brazilian hospitals and maternity services: a cross-sectional study
Autor(es): Walusa Assadgonçalves-Ferri
Laura Afonso Dias
Daniela Marques de Lima Mota Ferreira
Gislayne Nieto
Leni Márcia Anchieta
Rita de Cássia Silveira
Marta David Rocha de Moura
Valdenise Martins L. Tuma Calil
Viviane Christina Cortez Moraes
João Henrique Carvalho Leme de Almeida
Maurício Magalhães
Fábia Martins Pereira-Cellini
Thaise Cristina Branchee Sonini
Juliane Barleta Javorsky
Érica Lobato Acaui Ribeiro
Rodrigo Ferreira
Louise Dantas Cavalcante de Almeida
Rosângela Garbers
Gabriella Maset da Silva Faria
Anelise Roosch
Ana Ruth Antunes de Mesquita
Rebecca Meirelles de Oliveira Pinto
Kelly Coca
Davi Casale Aragon
Paulo Nader
João Cesar Lyra
Maryneia Silva do Vale
Sérgio Marba
Katiaci Araujo
Resumen: Background: The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods: This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results: The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions: In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.
Asunto: Aleitamento Materno
COVID-19
Saúde Pública
Bancos de Leite Humano
Maternidades
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: MED - DEPARTAMENTO DE PEDIATRIA
Tipo de acceso: Acesso Aberto
Identificador DOI: 10.1186/s13006-021-00377-1
URI: http://hdl.handle.net/1843/69196
Fecha del documento: 31-mar-2021
metadata.dc.url.externa: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-021-00377-1
metadata.dc.relation.ispartof: International Breastfeeding Journal
Aparece en las colecciones:Artigo de Periódico



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