Examining the Breastfeeding Self-Efficacy of Mothers Diagnosed with COVID-19

Year 2024, Volume: 14 Issue: 4, 974 - 981, 29.12.2024

Zahide Kaplan , Hülya Karataş , Ufuk Acar

https://doi.org/10.33808/clinexphealthsci.1338931

Abstract

Objective: It is an important issue to determine the effects and health behaviors of mothers and babies, who are among the vulnerable groups, in particular situations that affect the perceptions and orientations of societies in many dimensions, such as the pandemic. The present study was carried out in order to investigate the breastfeeding-related knowledge and practices of mothers diagnosed with COVID-19 and their breastfeeding self-efficacy.
Methods: This descriptive and cross-sectional study was carried out on mothers diagnosed with COVID-19 and having a baby aged between 0 and 24 months. Data were obtained through a questionnaire form including participants' descriptive characteristics and the breastfeeding self-efficacy scale: short form, administered through telephone interviews.
Results: The study included participants with a mean age of 29.39±5.34 years, of whom 86% resided in urban/rural centers. The average number of pregnancies was 3.46±2.34, and the average number of living children was 2.80±1.79. The percentage of mothers who continued to breastfeed their babies after being diagnosed with COVID-19 was 73.9%. The mean score of breastfeeding self-efficacy in the study group was 54.4±7.2, and the average scores of breastfeeding self-efficacy for mothers who continued to breastfeed after being diagnosed with COVID-19 were significantly higher.
Conclusion: In this study, it was determined that mothers with high breastfeeding self-efficacy scores continued breastfeeding after COVID-19 diagnosis.

Keywords

COVID-19, breastmilk, breastfeeding, self-efficacy

Ethical Statement

This study was approved by the Ethics Committee of Harran University Medical Faculty, (approval date 26/04/2021 and number HRÜ/21.09.05)

Supporting Institution

The authors received no financial support for the research

Thanks

Thank you for supporting the participants in this study

References

• Peng S, Zhu H, Yang L, Cao L, Huang X, Dynes M, Narayan A, Xia J, Chen Y, Zhang P, Liu H, Li H, Xia S. A study of breastfeeding practices, SARS-CoV-2 and its antibodies in the breast milk of mothers confirmed with COVID-19. Lancet Reg Health West Pac. 2020;4:100045. DOI:10.1016/j.lanwpc.2020.100045.
• French National Academy of Medicine. Breastfeeding and COVID-19. Bull Acad Natl Med. 2020;204(9):140-141. DOI:10.1016/j.banm.2020.09.030.
• World Health Organization. WHO coronavirus (COVID-19) dashboard. Published [25 July 2023]. Updated [25 July 2023]. Accessed [25 July 2023]. https://covid19.who.int/
• T.C. Sağlık Bakanlığı. COVID-19 Bilgilendirme Platformu. Published [2023]. Accessed [25 July 2023]. https://covid19.saglik.gov.tr/TR-66935/genel-koronavirus-tablosu.html
• Cinar N, Suzan OK, Ozturkler S, Cinar V, Tabakoglu P. Breastfeeding/Breast Milk safety in infants of mothers with suspected or confirmed COVID-19 infection. JCPSP. 2022;32(04):492-502. DOI:10.29271/jcpsp.2022.04.492.
• Powell RLR. Safety of breast/chest-feeding by those infected by SARS-CoV-2. Curr Opin Clin Nutr Metab Care. 2022;25(2):129-132. DOI:10.1097/MCO.0000000000000816.
• Bhatt H. Should COVID-19 mother breastfeed her newborn child? A literature review on the safety of breastfeeding for pregnant women with COVID-19. Curr Nutr Rep. 2021;10(1):71-75. DOI:10.1007/s13668-020-00343-z.
• Galindo-Sevilla N del C, Contreras-Carreto NA, Rojas-Bernabé A, Mancilla-Ramírez J. Breastfeeding and COVID-19. Gac Med Mex. 2021;157(2):194-200. DOI:10.24875/GMM.20000665.
• Fernández-Carrasco FJ, Vázquez-Lara JM, González-Mey U, Gómez-Salgado J, Parrón-Carreño T, Rodríguez-Díaz L. Coronavirus Covid-19 infection and breastfeeding: An exploratory review. Rev Esp Salud Publica. 2020;27;94:e202005055.
• Carvalho ACA de, Reis GCC, Oliveira JG de M, Borges RF. Risks and benefits of breastfeeding in COVID-19: Integrative literature review. Rev Bras Ginecol Obstet. 2022;44(05):532-539. DOI:10.1055/s-0041-1741031.
• Salvador-Pinos CA, Martinez EZ, Dueñas-Matute SE, Aguinaga RR, Jácome JC, Michelena-Tupiza S, Cárdenas-Morales V. Health of the newborn and breastfeeding during the COVID-19 pandemic: A literature review. Rev Bras Ginecol Obstet. 2022;44(3):311-318. DOI:10.1055/s-0041-1741449.
• Natarelli TRP, Brassarola HGM, Fonseca LMM. Breastfeeding during the COVID-19 pandemic: What do we know so far? Einstein. 2022;20. DOI:10.31744/einstein_journal/2022RW6609.
• Baud D, Qi X, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID-19 infection. Lancet Infect Dis. 2020;20(7):773. DOI:10.1016/S1473-3099(20)30195-X.
• Dennis C-L. Theoretical underpinnings of breastfeeding confidence: A self-efficacy framework. J Hum Lact. 1999;15(3):195-201. DOI:10.1177/089033449901500303.
• Sinsuksai N, Nuampa S, Chanprapaph P. Factors predicting 6-month-exclusive breastfeeding in mothers with cesarean section. Nurs Sci J Thail. 2017;35(1):14-22.
• Azhari S, Baghani R, Akhlaghi F, Ebrahimzadeh S, Salehi J. Comparing the effects of hands-on and hands-off breastfeeding methods on self-efficacy in primiparous mothers. JSUMS. 2011;17(4):248-255.
• Bor Ataman N, İpekçi N, Öztürk M. An assessment of the relationship between coronavirus anxiety of breastfeeding mothers and their breastfeeding self-efficacy. Gobeklitepe Journal. 2021;4(4):70-86.
• Ergün S, Kaynak S, Aydın B. Fear of COVID-19 and related factors affecting mothers’ breastfeeding self-efficacy during the pandemic. Rev Esc Enferm USP. 2022;56. DOI:10.1590/1980-220x-reeusp-2022-0130en.
• Durmuş A, Öztaş HG. Knowledge levels of breastfeeding and the effect of breastfeeding self-suffıciency on mothers who have been diagnosed or contacted with Covid-19. Kırşehir Ahi Evran University Journal of Health Sciences. 2022;6(1):14-21.
• Nalbantoğlu A, Nalbantoğlu B, Gökçay G. Knowledge and attitudes of mothers about breastfeeding during COVID-19 infection. Nam Kem Med J. 2020;8:314-320. DOI:10.37696/nkmj.779496.
• Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191. DOI:10.3758/BF03193146.
• Aluş Tokat M, Yeyğel Ç, Elmas S, Okumuş H, Özturk Haney M. Preterm yenidoğanlar olan annelere yönelik düzenlenmiş emzirme özyeterlilik ölçeğinin (kısa şekli) güvenirlik ve geçerlilik çalışması. In: Adnan Menderes Üniversitesi 1. Uluslararası Sağlık Bilimleri Kongresi. Aydın; 2017.p.5333.
• World Health Organization. Coronavirus disease (COVID-19). Published [7 May 2023]. Accessed [25 July 2023]. https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
• UNFPA. Coronavirus Disease (COVID-19) Preparedness and response UNFPA technical briefs. Sexual and reproductive health and rights. Published [23 March 2020]. Accessed [26 July 2023]. https://www.unfpa.org.
• Aydın R, Aktaş S. COVID-19 and breastfeeding: A review for clinical practice Turkiye Klinikleri J Health Sci. 2021;6(3):675-681. DOI:10.5336/healthsci.2020-80014.
• World Health Organization. Global research on coronavirus disease (COVID-19). Published [30 January 2022]. Accessed [26 July 2023]. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/global-research-on-novel-coronavirus-2019-ncov.
• Royal College of Paediatrics and Child Health RL. COVID-19-guidance for paediatric services. Published [30 January 2022]. Accessed [1 December 2022]. https://www.rcpch.ac.uk/key-topics/covid-19.
• Nismath S, Rao SS, Addala S, Ravikiran SR, Kamath N. Breastfeeding self-efficacy in COVID-19 positive postpartum mothers in a community maternal facility in South India: A case control study. Ethiop J Health Sci. 2023;33(1):13-20. DOI:10.4314/ejhs.v33i1.3.
• Demirçelik Y, Örsdemir Hortu H, Üzüm Ö, Eliaçık K, Helvacı M. The effect of social support and workplace breastfeeding conditions of mothers working in an education research hospital on breastfeeding period. Forbes J Med. 2021. DOI:10.5222/forbes.2021.04706.
• Milani GP, Porro A, Agostoni C, Giannì ML. Breastfeeding during a Pandemic. Ann Nutr Metab. 2022;78(Suppl. 1):17-25. DOI:10.1159/000521349.
• Snyder K, Worlton G. Social Support During COVID-19: Perspectives of breastfeeding mothers. Breastfeed Med. 2021;16(1):39-45. DOI:10.1089/bfm.2020.0200.
• Costantini C, Joyce A, Britez Y. Breastfeeding experiences during the COVID-19 lockdown in the United Kingdom: An exploratory study into maternal opinions and emotional states. J Hum Lact. 2021;37(4):649-662. DOI:10.1177/08903344211026565.
• Demirci JR. Breastfeeding support in the time of COVID-19. J Perinat Neonatal Nurs. 2020;34(4):297-299. DOI:10.1097/JPN.0000000000000521.
• Sutton D, D'Alton M, Zhang Y, Kahe K, Cepin A, Goffman D, Staniczenko A, Yates H, Burgansky A, Coletta J, Williams Z, Gyamfi-Bannerman C. COVID-19 vaccine acceptance among pregnant, breastfeeding, and nonpregnant reproductive-aged women. Am J Obstet Gynecol MFM. 2021;3(5):100403. DOI:10.1016/j.ajogmf.2021.100403