The impact of coronavirus outbreak on breastfeeding guidelines among brazilian hospitals and maternity services: a cross-sectional study

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dc.creatorWalusa Assadgonçalves-Ferri
dc.creatorLaura Afonso Dias
dc.creatorDaniela Marques de Lima Mota Ferreira
dc.creatorGislayne Nieto
dc.creatorLeni Márcia Anchieta
dc.creatorRita de Cássia Silveira
dc.creatorMarta David Rocha de Moura
dc.creatorValdenise Martins L. Tuma Calil
dc.creatorViviane Christina Cortez Moraes
dc.creatorJoão Henrique Carvalho Leme de Almeida
dc.creatorMaurício Magalhães
dc.creatorFábia Martins Pereira-Cellini
dc.creatorThaise Cristina Branchee Sonini
dc.creatorJuliane Barleta Javorsky
dc.creatorÉrica Lobato Acaui Ribeiro
dc.creatorRodrigo Ferreira
dc.creatorLouise Dantas Cavalcante de Almeida
dc.creatorRosângela Garbers
dc.creatorGabriella Maset da Silva Faria
dc.creatorAnelise Roosch
dc.creatorAna Ruth Antunes de Mesquita
dc.creatorRebecca Meirelles de Oliveira Pinto
dc.creatorKelly Coca
dc.creatorDavi Casale Aragon
dc.creatorPaulo Nader
dc.creatorJoão Cesar Lyra
dc.creatorMaryneia Silva do Vale
dc.creatorSérgio Marba
dc.creatorKatiaci Araujo
dc.date.accessioned2024-06-13T22:45:04Z
dc.date.accessioned2025-09-08T23:18:06Z
dc.date.available2024-06-13T22:45:04Z
dc.date.issued2021-03-31
dc.format.mimetypepdf
dc.identifier.doi10.1186/s13006-021-00377-1
dc.identifier.issn1746-4358
dc.identifier.urihttps://hdl.handle.net/1843/69196
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Breastfeeding Journal
dc.rightsAcesso Aberto
dc.subjectAleitamento Materno
dc.subjectCOVID-19
dc.subjectSaúde Pública
dc.subjectBancos de Leite Humano
dc.subjectMaternidades
dc.titleThe impact of coronavirus outbreak on breastfeeding guidelines among brazilian hospitals and maternity services: a cross-sectional study
dc.typeArtigo de periódico
local.citation.epage11
local.citation.issue1
local.citation.spage1
local.citation.volume16
local.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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE PEDIATRIA
local.publisher.initialsUFMG
local.url.externahttps://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-021-00377-1

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