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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/69196
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dc.creatorWalusa Assadgonçalves-Ferript_BR
dc.creatorLaura Afonso Diaspt_BR
dc.creatorDaniela Marques de Lima Mota Ferreirapt_BR
dc.creatorGislayne Nietopt_BR
dc.creatorLeni Márcia Anchietapt_BR
dc.creatorRita de Cássia Silveirapt_BR
dc.creatorMarta David Rocha de Mourapt_BR
dc.creatorValdenise Martins L. Tuma Calilpt_BR
dc.creatorViviane Christina Cortez Moraespt_BR
dc.creatorJoão Henrique Carvalho Leme de Almeidapt_BR
dc.creatorMaurício Magalhãespt_BR
dc.creatorFábia Martins Pereira-Cellinipt_BR
dc.creatorThaise Cristina Branchee Soninipt_BR
dc.creatorJuliane Barleta Javorskypt_BR
dc.creatorÉrica Lobato Acaui Ribeiropt_BR
dc.creatorRodrigo Ferreirapt_BR
dc.creatorLouise Dantas Cavalcante de Almeidapt_BR
dc.creatorRosângela Garberspt_BR
dc.creatorGabriella Maset da Silva Fariapt_BR
dc.creatorAnelise Rooschpt_BR
dc.creatorAna Ruth Antunes de Mesquitapt_BR
dc.creatorRebecca Meirelles de Oliveira Pintopt_BR
dc.creatorKelly Cocapt_BR
dc.creatorDavi Casale Aragonpt_BR
dc.creatorPaulo Naderpt_BR
dc.creatorJoão Cesar Lyrapt_BR
dc.creatorMaryneia Silva do Valept_BR
dc.creatorSérgio Marbapt_BR
dc.creatorKatiaci Araujopt_BR
dc.date.accessioned2024-06-13T22:45:04Z-
dc.date.available2024-06-13T22:45:04Z-
dc.date.issued2021-03-31-
dc.citation.volume16pt_BR
dc.citation.issue1pt_BR
dc.citation.spage1pt_BR
dc.citation.epage11pt_BR
dc.identifier.doi10.1186/s13006-021-00377-1pt_BR
dc.identifier.issn1746-4358pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/69196-
dc.description.resumoBackground: 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.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE PEDIATRIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInternational Breastfeeding Journalpt_BR
dc.rightsAcesso Abertopt_BR
dc.subject.otherAleitamento Maternopt_BR
dc.subject.otherCOVID-19pt_BR
dc.subject.otherSaúde Públicapt_BR
dc.subject.otherBancos de Leite Humanopt_BR
dc.subject.otherMaternidadespt_BR
dc.titleThe impact of coronavirus outbreak on breastfeeding guidelines among brazilian hospitals and maternity services: a cross-sectional studypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-021-00377-1pt_BR
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