Breastfeeding during the COVID-19 pandemic and associated factors: a risk to sustainable development
Bárbara Portela Diniz1, Danton Matheus de Souza1, Sandra Josefina Ferraz Ellero Grisi1
1Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Insights
Breastfeeding rates declined significantly in infants born during the COVID-19 pandemic, with early weaning linked to pacifier use and formula introduction. This trend may hinder progress toward Sustainable Development Goals.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic presented unprecedented challenges to maternal and infant health.
- Breastfeeding is crucial for infant nutrition and development, with global health organizations recommending exclusive breastfeeding for the first six months.
Purpose of the Study:
- To evaluate breastfeeding duration in infants born during the COVID-19 pandemic.
- To identify factors associated with early weaning in this population.
- To discuss findings in the context of the Sustainable Development Goals (SDGs).
Main Methods:
- A longitudinal study followed 127 mother-baby dyads from birth to six months.
- Data collected included infant feeding practices, postpartum depression, and mother-infant bonding.
- Statistical analyses included descriptive and inferential methods.
Main Results:
- A high incidence of early weaning was observed, particularly within the first month postpartum.
- Factors associated with early weaning included pacifier use (p=0.019) and breastfeeding difficulties (p=0.015).
- Early introduction of formula was also significantly linked to early weaning (p=0.001).
Conclusions:
- Reduced breastfeeding duration and increased early weaning rates during the pandemic pose a threat to achieving global health targets.
- The findings underscore the need for continued support for breastfeeding mothers, especially during public health crises.
- Addressing barriers to breastfeeding is essential for meeting Sustainable Development Goals related to child health and nutrition.
Objectives:
to assess breastfeeding during the first six months of life of children born during the COVID-19 pandemic, identify associated factors and discuss them based on the Sustainable Development Goals.
Method:
a longitudinal study conducted with 127 mother-baby dyads born in the pre-vaccination phase of the COVID-19 pandemic, followed from birth to the sixth month of life. Variables for dyad identification, postpartum depression, bonding, feeding and breastfeeding practices were collected, with data subjected to descriptive and inferential analysis.
Results:
a high percentage of early weaning was observed, especially in the first month, associated with the use of a pacifier (p=0.019), difficulty breastfeeding (p=0.015), both in the first month of life, early weaning (p=0.001) and early formula introduction (p=0.001).
Conclusion:
shorter breastfeeding time and high percentage of early weaning observed in children born during the pandemic may compromise the achievement of the Sustainable Development Goals.
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