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.

PubMed

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.
Abstract

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