Breastfeeding During COVID-19 Stay-at-Home Orders: Implications for Future Maternal Work Policies and Health Equity.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2024-11-01 Epub Date: 2024-10-08 DOI:10.1007/s10995-024-03990-8
Haley Pritz, Zoe Henkes, Valerie M Graham, Maria J Romo-Palafox
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引用次数: 0

Abstract

Objectives: This study aimed to explore the impact of the COVID-19 pandemic and associated stay-at-home orders on the breastfeeding experiences of U.S. people a identify facilitators and barriers to breastfeeding during this period, and to assess the effects of maternal stress and misinformation on breastfeeding practices.

Methods: U.S. women with infants were selected through purposive and convenience sampling. An online survey, distributed during summer 2020, measured changes in infant feeding practices, maternal stress levels, use of lactation support resources, and the influence of misinformation on feeding decisions. Quantitative data were analyzed using descriptive statistics, and qualitative responses underwent thematic analysis.

Results: Our sample (n = 1,861) revealed that 34% of U.S. women realized the pandemic affected their feeding practices, 544 women provided qualitative data. Major themes from qualitative analysis included ease of breastfeeding at home, bonding, increased breastfeeding duration, and challenges like limited access to lactation support. Logistic regressions highlighted demographic influences on breastfeeding practices, with no significant effects found related to the child's age or women's income on changes in feeding practices.

Conclusions for practice: The COVID-19 pandemic substantially impacted breastfeeding experiences of U.S. women, yielding insights for future policy and healthcare practices. The findings underscore the potential benefits of telehealth lactation support services and flexible remote work environments for breastfeeding people. Clear and scientifically-grounded communication regarding breastfeeding, mental health support, and policy development, are essential to promote equitable and flexible work and maternity leave options for breastfeeding people especially during global health crises.

COVID-19 留守家庭期间的母乳喂养:对未来产妇工作政策和健康公平的影响》。
研究目的本研究旨在探讨 COVID-19 大流行和相关的家庭订单对美国人母乳喂养经历的影响,确定在此期间母乳喂养的促进因素和障碍,并评估产妇压力和错误信息对母乳喂养做法的影响:方法:通过目的性抽样和便利性抽样选取了有婴儿的美国妇女。在 2020 年夏季发放了一份在线调查,调查内容包括婴儿喂养方式的变化、产妇的压力水平、哺乳支持资源的使用情况以及错误信息对喂养决定的影响。采用描述性统计对定量数据进行了分析,并对定性回答进行了主题分析:我们的样本(n = 1,861)显示,34% 的美国妇女意识到大流行影响了她们的喂养方式,544 名妇女提供了定性数据。定性分析的主要主题包括在家母乳喂养的便利性、亲子关系、母乳喂养时间的延长,以及面临的挑战,如获得哺乳支持的机会有限。逻辑回归强调了人口统计学对母乳喂养方式的影响,没有发现孩子的年龄或妇女的收入对喂养方式的改变有显著影响:COVID-19大流行对美国妇女的母乳喂养经历产生了重大影响,为未来的政策和医疗保健实践提供了启示。研究结果强调了远程医疗哺乳支持服务和灵活的远程工作环境对母乳喂养者的潜在益处。有关母乳喂养、心理健康支持和政策制定的清晰、有科学依据的沟通对于促进母乳喂养者公平、灵活的工作和产假选择至关重要,尤其是在全球健康危机期间。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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