Related Experiment Video

Updated: Jun 4, 2025

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
05:04

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect

Published on: September 22, 2023

374

Impact of COVID-19 Pandemic-Related Workflow Changes on a Clinically-Integrated Breastfeeding Peer Counselor Program

Fatima Sattar1, Ann E B Borders1,2,3, Lauren S Keenan-Devlin4,5

  • 1University of Chicago Pritzker School of Medicine, Chicago, IL, USA.

Maternal and Child Health Journal
|December 19, 2024
PubMed

Insights

COVID-19 workflow changes in breastfeeding peer counseling did not negatively impact breastfeeding outcomes. Breastfeeding at six weeks postpartum actually increased during the pandemic

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Healthcare Management

Background:

  • The COVID-19 pandemic necessitated rapid workflow modifications in healthcare services.
  • Clinically-integrated breastfeeding peer counseling (ci-BPC) programs adapted services to maintain patient support.
  • The impact of these adaptations on breastfeeding outcomes for vulnerable populations remained unclear.

Purpose of the Study:

  • To determine if COVID-19-related workflow changes in a ci-BPC program affected breastfeeding outcomes.
  • To assess the association between pandemic-induced service modifications and breastfeeding success in Medicaid-enrolled patients.

Main Methods:

  • A retrospective chart review analyzed data from three periods: Pre-Pandemic (Jan 2017-Mar 2020), During-Peak Pandemic (Mar 2020-Sep 2020), and Post-Peak Pandemic (Sep 2020-May 2021).
  • Statistical analysis (ANOVA) compared encounter types and breastfeeding outcomes (initiation, exclusivity, 6-week continuation) across the three time points.

Main Results:

  • In-person prenatal counseling decreased significantly from the Pre-Pandemic to the During-Peak period (43.9% to 8.2%).
  • Breastfeeding at 6 weeks postpartum significantly increased in the During-Peak cohort (67% to 85%) compared to the Pre-Pandemic cohort.
  • Breastfeeding continuation at 6 weeks postpartum returned to baseline levels in the Post-Peak cohort (74%).

Conclusions:

  • Workflow adaptations in the ci-BPC program during COVID-19 did not lead to poorer breastfeeding outcomes.
  • The study suggests that modified peer counseling services can maintain or even improve breastfeeding support during public health crises.
Abstract

Keywords:
BreastfeedingClinical WorkflowCovid-19 pandemicPeer counselingPeer counselor

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