Breastfeeding Success and Newborn Health before and during the COVID-19 Pandemic:A Single-Centre Comparative Study.

IF 2.6 3区医学 Q1 PEDIATRICS

Neonatology Pub Date : 2023-01-01 DOI:10.1159/000530080

Alexandre Lapillonne, Christine Pichon, Benoit Renaudin, Muriel Nicloux, Virginie Rigourd, Yves Ville

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引用次数: 0

Abstract

Introduction: Due to the SARS-CoV-2 pandemic, adjustments in patient and visitor traffic were made in hospitals to limit viral exposure. The primary objective of our study was to compare the breastfeeding success of healthy newborns in a maternity ward during the 2020 lockdown period compared with the same period in the previous year.

Material and methods: Single-center comparative study based on prospectively collected data. All neonates born alive, from a single pregnancy, and with a gestational age greater than 36 weeks were considered for this study.

Results: 309 infants born in 2020 and 330 born in 2019 were included. Among women who desired to exclusively breastfeed, the rate of exclusive breastfeeding at discharge from the maternity ward was higher in 2020 than in 2019 (85 vs. 79%; p = 0.078). After logistic regression analysis adjusted for potential confounders (i.e., maternal BMI, parity, mode of delivery, gestational age, and size at birth), study period remained significantly and independently associated with exclusive breastfeeding at discharge (OR [95% CI] = 1.645 [1.005; 2.694]; p = 0.046). Newborns born in 2020 were less likely to have weight loss ≥10% than those born in 2019 (OR [95% CI] = 2.596 [1.148; 5.872]; p = 0.017) but had similar need for phototherapy (p = 0.41).

Conclusion: The success of exclusive breastfeeding during the 2020 lockdown period was increased compared with the same period in 2019.

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在COVID-19大流行之前和期间母乳喂养成功与新生儿健康:一项单中心比较研究

导论:由于SARS-CoV-2大流行，医院对患者和访客流量进行了调整，以限制病毒暴露。我们研究的主要目的是比较2020年封锁期间产科病房中健康新生儿的母乳喂养成功率与前一年同期的比较。材料和方法:基于前瞻性数据的单中心比较研究。本研究考虑了所有单次妊娠且胎龄大于36周的活产新生儿。结果:纳入2020年出生的婴儿309例，2019年出生的婴儿330例。在希望进行纯母乳喂养的妇女中，2020年从产科病房出院时的纯母乳喂养率高于2019年(85%对79%;P = 0.078)。经logistic回归分析校正了潜在的混杂因素(即母亲体重指数、胎次、分娩方式、胎龄和出生时体型)后，研究期间与出院时纯母乳喂养仍然存在显著且独立的相关性(OR [95% CI] = 1.645 [1.005;2.694);P = 0.046)。2020年出生的新生儿体重下降≥10%的可能性低于2019年出生的新生儿(OR [95% CI] = 2.596 [1.148;5.872);P = 0.017)，但对光疗的需求相似(P = 0.41)。结论:与2019年同期相比，2020年封城期间纯母乳喂养成功率有所提高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neonatology 医学-小儿科

CiteScore

0.60

自引率

4.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This highly respected and frequently cited journal is a prime source of information in the area of fetal and neonatal research. Original papers present research on all aspects of neonatology, fetal medicine and developmental biology. These papers encompass both basic science and clinical research including randomized trials, observational studies and epidemiology. Basic science research covers molecular biology, molecular genetics, physiology, biochemistry and pharmacology in fetal and neonatal life. In addition to the classic features the journal accepts papers for the sections Research Briefings and Sources of Neonatal Medicine (historical pieces). Papers reporting results of animal studies should be based upon hypotheses that relate to developmental processes or disorders in the human fetus or neonate.