Impact of COVID-19 Pandemic-Related Workflow Changes on a Clinically-Integrated Breastfeeding Peer Counselor Program.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2025-02-01 Epub Date: 2024-12-19 DOI:10.1007/s10995-024-04035-w

Fatima Sattar, Ann E B Borders, Lauren S Keenan-Devlin

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引用次数: 0

Abstract

Objective: To evaluate whether Covid-19 related workflow changes to a clinically-integrated breastfeeding peer counseling (ci-BPC) program were associated with poorer breastfeeding outcomes for Medicaid-enrolled patients.

Methods: This retrospective chart review included patients who received ci-BPC care during January 2017-March 2020 ("Pre-Pandemic," N = 318); March 2020-September 2020 ("During-Peak," N = 53); and September 2020-May 2021 ("Post-Peak," N = 97). ANOVA evaluated differences in encounter type frequencies for each time point, as well as differences in breastfeeding initiation, exclusivity during inpatient admission, and continuation of breastfeeding at least 6 weeks post-delivery.

Results: In-person prenatal counseling significantly decreased from Pre-Pandemic to During-Peak (43.9-8.2%, p < 0.05). Breastfeeding at 6 weeks postpartum significantly increased from the Pre-Pandemic cohort to the During-Peak cohort (67-85%, p < 0.05), and returned to baseline for the Post-Peak cohort (74%).

Conclusions for practice: Covid-19 related workflow changes for the peer counselor did not decrease breastfeeding outcomes as anticipated.

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COVID-19大流行相关工作流程变化对临床整合母乳喂养同伴咨询计划的影响

目的：评估临床整合母乳喂养同伴咨询（ci-BPC）计划中与Covid-19相关的工作流程变化是否与医疗补助纳入患者较差的母乳喂养结果相关。方法：该回顾性图表回顾包括2017年1月至2020年3月期间接受ci-BPC治疗的患者（“大流行前”，N = 318）；2020年3月至2020年9月（“高峰期”，N = 53）；2020年9月至2021年5月（“峰值后”，N = 97）。方差分析评估了每个时间点遭遇类型频率的差异，以及母乳喂养开始、住院期间的排他性和分娩后至少6周继续母乳喂养的差异。结果：从大流行前到高峰期间，亲自产前咨询显著减少（43.9% -8.2%），p实践结论：与Covid-19相关的同伴咨询师的工作流程变化并未如预期的那样降低母乳喂养结果。

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

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.