Research Article
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Year 2024, , 311 - 324, 30.04.2024

Gülşah Kaner , Gamze Yurtdaş Depboylu , Tuba Yalçın , Gamze Çalık , Bahanur Karaçar

https://doi.org/10.21020/husbfd.1365985

Abstract

Amaç: Pandeminin emzirme ve tamamlayıcı beslenme uygulamaları üzerindeki etkisini anlamak önemlidir. Bu kesitsel çalışma, pandemi öncesi ve sırasında doğum yapan 0-24 aylık bebeği olan annelerin COVID-19 kısıtlamalarının emzirme ve tamamlayıcı beslenme uygulamalarını nasıl etkilediğini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Çevrimiçi veri toplama platformu aracılığıyla demografik değişkenler, emzirme ile ilgili sorular ve tamamlayıcı beslenme uygulamalarını içeren bir anket katılımcılara gönderilmiştir.
Bulgular: 0-24 aylık bebeği olan toplam 814 anne [pandemiden önce doğum (BP) yapan 489, pandemi sırasında doğum (DP) yapan 325] anketi tamamladı. Pandemi sırasında doğan bebeklerin %31,4'ü sadece anne sütü ile beslenirken, pandemiden önce doğanların %67,5'i anne sütü + tamamlayıcı besinlerle beslenmiştir. Yetersiz süt üretimi algısı pandemi sürecinde doğum yapan annelerde (%27,0, n=80) pandemiden önce doğum yapanlara (%10,8, n=42) göre daha yüksekti (p=0,001). Bebek mamasına erken başlama oranı pandemi sürecinde doğum yapan annelerde (2,3±2,64 ay) pandemiden önce doğum yapanlara (3,4±3,62 ay) göre daha yüksekti (p=0,034). COVID-19 ile enfekte olması durumunda bebeklerin beslenme uygulamalarında herhangi bir değişiklik yapmayacaklarını belirten annelerin oranı pandemi sürecinde doğum yapan annelerde (%83,1) pandemi öncesinde doğum yapanlara (%75,9) göre daha yüksekti (p=0,040).
Sonuç: Bu sonuçlar, COVID-19 pandemisinin emzirme yöntemini ve tamamlayıcı beslenme uygulamalarını etkileyebileceğini göstermektedir. Annelerin ilk 6 ay sadece anne sütü ile bebeğini beslemesi teşvik edilmelidir. Sonuçlar, salgın sırasında erişilebilir profesyonel emzirme ve tamamlayıcı beslenme uygulamaları yardımına duyulan ihtiyacı desteklemektedir.

Keywords

COVID-19 emzirme tamamlayıcı beslenme bebek

Project Number

1919B012001076

References

  • Akseer, N., Kandru, G., Keats, E. C., & Bhutta, Z. A. (2020). COVID-19 pandemic and mitigation strategies: Implications for maternal and child health and nutrition. The American Journal of Clinical Nutrition, 112(2), 251–256. https://doi.org/10.1093/ajcn/nqaa171
  • Al Shahrani, A. S. (2022). Does COVID-19 policy affect initiation and duration of exclusive breastfeeding? A single-center retrospective study. Risk Management and Healthcare Policy, 15, 27-36. https://doi.org/10.2147/RMHP.S343150
  • Brown, A., & Shenker, N. (2021). Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Maternal & Child Nutrition, 17(1), e13088. https://doi.org/10.1111/mcn.13088
  • Busch-Hallen, J., Walters, D., Rowe, S., Chowdhury, A., & Arabi, M. (2020). Impact of COVID-19 on maternal and child health. Lancet Global Health, 8(10), e1257. https://doi.org/10.1016/S2214-109X(20)30327-2
  • Ceulemans, M., Verbakel, J. Y., Van Calsteren, K., Eerdekens, A., Allegaert, K., & Foulon, V. (2020). SARS-CoV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. International Journal of Environmental Research and Public Health, 17(18), 6766. https://doi.org/10.3390/ijerph17186766
  • Cheema, R., Partridge, E., Kair, L. R., Kuhn-Riordon, K. M., Silva, A. I., Bettinelli, M. E., Chantry, C. J., Underwood, M. A., Lakshminrusimha, S., & Blumberg, D. (2023). Protecting Breastfeeding during the COVID-19 Pandemic. American Journal of Perinatology, 40(3), 260–266. https://doi.org/10.1055/s-0040-1714277
  • de Faria Coelho-Ravagnani, C., Corgosinho, F. C., Sanches, F. F. Z., Prado, C. M. M., Laviano, A., & Mota, J. F. (2021). Dietary recommendations during the COVID-19 pandemic. Nutrition Reviews, 79(4), 382–393. https://doi.org/10.1093/nutrit/nuaa067
  • Food and Agriculture Organization of the United Nations. (2020). Maintaining a healthy diet during the COVID-19 pandemic. https://www.fao.org/3/ca8380en/ca8380en.pdf
  • Holand, B. L., de Oliveira Agostini, C., Pacheco, M. C. M., de Leon, D. M. Z., Drehmer, M., & Bosa, V. L. (2022). Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study. Jornal de Pediatria, 98(5), 496–503. https://doi.org/10.1016/j.jped.2021.12.007
  • Kent, J. C., Ashton, E., Hardwick, C. M., Rea, A., Murray, K., & Geddes, D. T. (2021). Causes of perception of insufficient milk supply in Western Australian mothers. Maternal & Child Nutrition, 17(1), e13080. https://doi.org/10.1111/mcn.13080
  • Latorre, G., Martinelli, D., Guida, P., Masi, E., De Benedictis, R., & Maggio, L. (2021). Impact of COVID-19 pandemic lockdown on exclusive breastfeeding in non-infected mothers. International Breastfeeding Journal, 16(1), 36. https://doi.org/10.1186/s13006-021-00382-4
  • Lubbe, W., Botha, E., Niela-Vilen, H., & Reimers, P. (2020). Breastfeeding during the COVID-19 pandemic-a literature review for clinical practice. International Breastfeeding Journal, 15(1), 82. https://doi.org/10.1186/s13006-020-00319-3
  • Mosca, F., & Giannì, M. L. (2017). Human milk: Composition and health benefits. La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics, 39(2), 155. https://doi.org/10.4081/pmc.2017.155
  • Motrico, E., Mateus, V., Bina, R., Felice, E., Bramante, A., Kalcev, G., Mauri, M., Martins, S., & Mesquita, A. (2020). Good practices in perinatal mental health during the COVID-19 pandemic: A report from task-force RISEUP-PPD COVID-19. Clínica y Salud, 31, 155-160
  • Pacheco, F., Sobral, M., Guiomar, R., de la Torre-Luque, A., Caparros-Gonzalez, R. A., & Ganho-Ávila, A. (2021). Breastfeeding during COVID-19: A narrative review of the psychological impact on mothers. Behavioral Sciences (Basel, Switzerland), 11(3), 34. https://doi.org/10.3390/bs11030034
  • Pérez-Escamilla, R., Martinez, J. L., & Segura-Pérez, S. (2016). Impact of the Baby-friendly Hospital Initiative on breastfeeding and child health outcomes: A systematic review. Maternal & Child Nutrition, 12(3), 402–417. https://doi.org/10.1111/mcn.12294
  • Renfrew, M. J., Cheyne, H., Craig, J., Duff, E., Dykes, F., Hunter, B., Lavender, T., Page, L., Ross-Davie, M., Spiby, H., & Downe, S. (2020). Sustaining quality midwifery care in a pandemic and beyond. Midwifery, 88, 102759. https://doi.org/10.1016/j.midw.2020.102759
  • Royal College of Obstetricians and Gynaecologists. (2022). Coronavirus (COVID-19) infection in pregnancy. https://www.rcog.org.uk/media/ftzilsfj/2022-12-15-coronavirus-covid-19-infection-in-pregnancy-v16.pdf
  • Spatz, D. L. (2012). Breastfeeding is the cornerstone of childhood nutrition. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(1), 112–113. https://doi.org/10.1111/j.1552-6909.2011.01312.x
  • Stuebe, A. (2020). Should infants be separated from mothers with COVID-19? First, do no harm. Breastfeeding medicine: The Official Journal of The Academy of Breastfeeding Medicine, 15(5), 351–352. https://doi.org/10.1089/bfm.2020.29153.ams
  • T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü [Republic of Turkey Ministry of Health The General Directorate of Health Information Systems]. (2019). Sağlık İstatistikleri Yıllığı [Health Statistics Yearbook]. https://sbsgm.saglik.gov.tr/Eklenti/40564/0/saglik-istatistikleri-yilligi-2019pdf.pdf
  • Tigka, M., Metallinou, D., Nanou, C., Iliodromiti, Z., & Lykeridou, K. (2022). Frequency and determinants of breastfeeding in Greece: A prospective cohort study during the COVID-19 pandemic. Children (Basel, Switzerland), 9(1), 43. https://doi.org/10.3390/children9010043
  • Türkiye Diyetisyenler Derneği [Turkish Dietetic Association]. (2021). COVID-19 Beslenme Önerileri [COVID-19 Nutrition Recommendations]. https://www.tdd.org.tr/Haberler/tabid/21021/articleType/ArticleView/articleId/56328/COVID-19-Beslenme-Onerileri.aspx
  • Vazquez-Vazquez, A., Dib, S., Rougeaux, E., Wells, J. C., & Fewtrell, M. S. (2021). The impact of the Covid-19 lockdown on the experiences and feeding practices of new mothers in the UK: Preliminary data from the COVID-19 New Mum Study. Appetite, 156, 104985. https://doi.org/10.1016/j.appet.2020.104985
  • Zanardo, V., Tortora, D., Guerrini, P., Garani, G., Severino, L., Soldera, G., & Straface, G. (2021). Infant feeding initiation practices in the context of COVID-19 lockdown. Early Human Development, 152, 105286. https://doi.org/10.1016/j.earlhumdev.2020.105286
  • Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W., Lu, R., Niu, P., Zhan, F., Ma, X., Wang, D., Xu, W., Wu, G., Gao, G. F., Tan, W., & China Novel Coronavirus Investigating and Research Team (2020). A Novel Coronavirus from Patients with Pneumonia in China, 2019. The New England Journal of Medicine, 382(8), 727–733. https://doi.org/10.1056/NEJMoa2001017
  • World Health Organization. (2020a). WHO Director-General's opening remarks at the media briefing on COVID-19-11 March 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
  • World Health Organization. (2020b). Breastfeeding advice during the COVID-19 outbreak. https://www.emro.who.int/nutrition/covid-19/breastfeeding-advice-during-the-covid-19-outbreak.html
  • World Health Organization (2020c). Nutrition advice for adults during the COVID-19 outbreak. https://www.emro.who.int/nutrition/news/nutrition-advice-for-adults-during-the-covid-19-outbreak.html

Breastfeeding and Complementary Feeding Practices Among Women with Infants Aged 0-24 Months: A Comparative Study of Pre-Pandemic and Pandemic Deliveries

Year 2024, , 311 - 324, 30.04.2024

Gülşah Kaner , Gamze Yurtdaş Depboylu , Tuba Yalçın , Gamze Çalık , Bahanur Karaçar

https://doi.org/10.21020/husbfd.1365985

Abstract

Objectives: It is important to understand the impact of the pandemic on breastfeeding and complementary feeding practices. This study was conducted to examine the impact of COVID-19 restrictions on the complementary feeding and breastfeeding practices of mothers with 0-24-month-old infants who gave birth before and during the pandemic.
Materials and Methods: This study used a cross-sectional, descriptive study design. An online survey including demographic variables, questions about breastfeeding, and complementary feeding practices was sent through the online data collection platform.
Results: A total of 814 mothers [489 delivered before the pandemic (BP), 325 delivered during the pandemic (DP)] with infants infant 0-24 months old completed the survey. Mothers reported that 31.4% of DP infants were exclusively breastfed, while 67.5% of BP infants were breastfed+complementary fed. A perception of insufficient milk production was higher in DP mothers (27.0%, n = 80) than BP mothers (10.8%, n = 42) (p<0.001). The proportion of early initiation to infant formula was higher in DP mothers (2.3±2.64 months) than BP mothers (3.4±3.62 months) (p = 0.034). The rate of mothers who stated that they would not make any changes in the feeding practices of infants in case of being infected with COVID-19 was higher in DP mothers (83.1%) than BP mothers (75.9%) (p = 0.040).
Conclusion: The results of this study suggest that the COVID-19 pandemic may affect the method of breastfeeding and complementary feeding practices. These results emphasize the need to receive professional support for breastfeeding and complementary feeding during the outbreak.

Keywords

COVID-19 breastfeeding complementary feeding infant

Ethical Statement

This study was conducted in accordance with the guidelines outlined in the Declaration of Helsinki, and all procedures involving research study participants were approved by the University Clinical Research Ethics Committee (Decision date/no: 19.11.2020/1066) and study permission from the T.R. Ministry of Health Scientific Research Platform. As the study was web-based, a 'I agree to participate in the study' tab was included in the online questionnaire to obtain written consent from participants.

Supporting Institution

The Scientific and Technological Research Council of Turkey (TUBITAK) 2209-A Projects Funding Program

Project Number

1919B012001076

Thanks

The authors are thankful to all the participants who devoted their time to the data collection.

References

  • Akseer, N., Kandru, G., Keats, E. C., & Bhutta, Z. A. (2020). COVID-19 pandemic and mitigation strategies: Implications for maternal and child health and nutrition. The American Journal of Clinical Nutrition, 112(2), 251–256. https://doi.org/10.1093/ajcn/nqaa171
  • Al Shahrani, A. S. (2022). Does COVID-19 policy affect initiation and duration of exclusive breastfeeding? A single-center retrospective study. Risk Management and Healthcare Policy, 15, 27-36. https://doi.org/10.2147/RMHP.S343150
  • Brown, A., & Shenker, N. (2021). Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Maternal & Child Nutrition, 17(1), e13088. https://doi.org/10.1111/mcn.13088
  • Busch-Hallen, J., Walters, D., Rowe, S., Chowdhury, A., & Arabi, M. (2020). Impact of COVID-19 on maternal and child health. Lancet Global Health, 8(10), e1257. https://doi.org/10.1016/S2214-109X(20)30327-2
  • Ceulemans, M., Verbakel, J. Y., Van Calsteren, K., Eerdekens, A., Allegaert, K., & Foulon, V. (2020). SARS-CoV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. International Journal of Environmental Research and Public Health, 17(18), 6766. https://doi.org/10.3390/ijerph17186766
  • Cheema, R., Partridge, E., Kair, L. R., Kuhn-Riordon, K. M., Silva, A. I., Bettinelli, M. E., Chantry, C. J., Underwood, M. A., Lakshminrusimha, S., & Blumberg, D. (2023). Protecting Breastfeeding during the COVID-19 Pandemic. American Journal of Perinatology, 40(3), 260–266. https://doi.org/10.1055/s-0040-1714277
  • de Faria Coelho-Ravagnani, C., Corgosinho, F. C., Sanches, F. F. Z., Prado, C. M. M., Laviano, A., & Mota, J. F. (2021). Dietary recommendations during the COVID-19 pandemic. Nutrition Reviews, 79(4), 382–393. https://doi.org/10.1093/nutrit/nuaa067
  • Food and Agriculture Organization of the United Nations. (2020). Maintaining a healthy diet during the COVID-19 pandemic. https://www.fao.org/3/ca8380en/ca8380en.pdf
  • Holand, B. L., de Oliveira Agostini, C., Pacheco, M. C. M., de Leon, D. M. Z., Drehmer, M., & Bosa, V. L. (2022). Association between breastfeeding and complementary feeding in pre-pandemic and pandemic COVID-19 times: Maternar cohort study. Jornal de Pediatria, 98(5), 496–503. https://doi.org/10.1016/j.jped.2021.12.007
  • Kent, J. C., Ashton, E., Hardwick, C. M., Rea, A., Murray, K., & Geddes, D. T. (2021). Causes of perception of insufficient milk supply in Western Australian mothers. Maternal & Child Nutrition, 17(1), e13080. https://doi.org/10.1111/mcn.13080
  • Latorre, G., Martinelli, D., Guida, P., Masi, E., De Benedictis, R., & Maggio, L. (2021). Impact of COVID-19 pandemic lockdown on exclusive breastfeeding in non-infected mothers. International Breastfeeding Journal, 16(1), 36. https://doi.org/10.1186/s13006-021-00382-4
  • Lubbe, W., Botha, E., Niela-Vilen, H., & Reimers, P. (2020). Breastfeeding during the COVID-19 pandemic-a literature review for clinical practice. International Breastfeeding Journal, 15(1), 82. https://doi.org/10.1186/s13006-020-00319-3
  • Mosca, F., & Giannì, M. L. (2017). Human milk: Composition and health benefits. La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics, 39(2), 155. https://doi.org/10.4081/pmc.2017.155
  • Motrico, E., Mateus, V., Bina, R., Felice, E., Bramante, A., Kalcev, G., Mauri, M., Martins, S., & Mesquita, A. (2020). Good practices in perinatal mental health during the COVID-19 pandemic: A report from task-force RISEUP-PPD COVID-19. Clínica y Salud, 31, 155-160
  • Pacheco, F., Sobral, M., Guiomar, R., de la Torre-Luque, A., Caparros-Gonzalez, R. A., & Ganho-Ávila, A. (2021). Breastfeeding during COVID-19: A narrative review of the psychological impact on mothers. Behavioral Sciences (Basel, Switzerland), 11(3), 34. https://doi.org/10.3390/bs11030034
  • Pérez-Escamilla, R., Martinez, J. L., & Segura-Pérez, S. (2016). Impact of the Baby-friendly Hospital Initiative on breastfeeding and child health outcomes: A systematic review. Maternal & Child Nutrition, 12(3), 402–417. https://doi.org/10.1111/mcn.12294
  • Renfrew, M. J., Cheyne, H., Craig, J., Duff, E., Dykes, F., Hunter, B., Lavender, T., Page, L., Ross-Davie, M., Spiby, H., & Downe, S. (2020). Sustaining quality midwifery care in a pandemic and beyond. Midwifery, 88, 102759. https://doi.org/10.1016/j.midw.2020.102759
  • Royal College of Obstetricians and Gynaecologists. (2022). Coronavirus (COVID-19) infection in pregnancy. https://www.rcog.org.uk/media/ftzilsfj/2022-12-15-coronavirus-covid-19-infection-in-pregnancy-v16.pdf
  • Spatz, D. L. (2012). Breastfeeding is the cornerstone of childhood nutrition. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(1), 112–113. https://doi.org/10.1111/j.1552-6909.2011.01312.x
  • Stuebe, A. (2020). Should infants be separated from mothers with COVID-19? First, do no harm. Breastfeeding medicine: The Official Journal of The Academy of Breastfeeding Medicine, 15(5), 351–352. https://doi.org/10.1089/bfm.2020.29153.ams
  • T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü [Republic of Turkey Ministry of Health The General Directorate of Health Information Systems]. (2019). Sağlık İstatistikleri Yıllığı [Health Statistics Yearbook]. https://sbsgm.saglik.gov.tr/Eklenti/40564/0/saglik-istatistikleri-yilligi-2019pdf.pdf
  • Tigka, M., Metallinou, D., Nanou, C., Iliodromiti, Z., & Lykeridou, K. (2022). Frequency and determinants of breastfeeding in Greece: A prospective cohort study during the COVID-19 pandemic. Children (Basel, Switzerland), 9(1), 43. https://doi.org/10.3390/children9010043
  • Türkiye Diyetisyenler Derneği [Turkish Dietetic Association]. (2021). COVID-19 Beslenme Önerileri [COVID-19 Nutrition Recommendations]. https://www.tdd.org.tr/Haberler/tabid/21021/articleType/ArticleView/articleId/56328/COVID-19-Beslenme-Onerileri.aspx
  • Vazquez-Vazquez, A., Dib, S., Rougeaux, E., Wells, J. C., & Fewtrell, M. S. (2021). The impact of the Covid-19 lockdown on the experiences and feeding practices of new mothers in the UK: Preliminary data from the COVID-19 New Mum Study. Appetite, 156, 104985. https://doi.org/10.1016/j.appet.2020.104985
  • Zanardo, V., Tortora, D., Guerrini, P., Garani, G., Severino, L., Soldera, G., & Straface, G. (2021). Infant feeding initiation practices in the context of COVID-19 lockdown. Early Human Development, 152, 105286. https://doi.org/10.1016/j.earlhumdev.2020.105286
  • Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W., Lu, R., Niu, P., Zhan, F., Ma, X., Wang, D., Xu, W., Wu, G., Gao, G. F., Tan, W., & China Novel Coronavirus Investigating and Research Team (2020). A Novel Coronavirus from Patients with Pneumonia in China, 2019. The New England Journal of Medicine, 382(8), 727–733. https://doi.org/10.1056/NEJMoa2001017
  • World Health Organization. (2020a). WHO Director-General's opening remarks at the media briefing on COVID-19-11 March 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
  • World Health Organization. (2020b). Breastfeeding advice during the COVID-19 outbreak. https://www.emro.who.int/nutrition/covid-19/breastfeeding-advice-during-the-covid-19-outbreak.html
  • World Health Organization (2020c). Nutrition advice for adults during the COVID-19 outbreak. https://www.emro.who.int/nutrition/news/nutrition-advice-for-adults-during-the-covid-19-outbreak.html
There are 29 citations in total.

Details

Primary Language English
Subjects Nutrition and Dietetics (Other)
Journal Section Articles
Authors

Gülşah Kaner 0000-0001-5882-6049

Gamze Yurtdaş Depboylu 0000-0001-5410-7231

Tuba Yalçın 0000-0002-4820-8180

Gamze Çalık 0000-0002-9160-7750

Bahanur Karaçar 0000-0001-7737-448X

Project Number 1919B012001076
Early Pub Date April 30, 2024
Publication Date April 30, 2024
Submission Date September 25, 2023
Published in Issue Year 2024

Cite

APA Kaner, G., Yurtdaş Depboylu, G., Yalçın, T., Çalık, G., et al. (2024). Breastfeeding and Complementary Feeding Practices Among Women with Infants Aged 0-24 Months: A Comparative Study of Pre-Pandemic and Pandemic Deliveries. Hacettepe University Faculty of Health Sciences Journal, 11(1), 311-324. https://doi.org/10.21020/husbfd.1365985