{"title":"COVID-19大流行期间母乳喂养知识、态度和做法的纵向调查","authors":"Pattaraporn Ananta, Sirinuch Chomtho, Siriporn Khabuan, Eakkarin Mekangkul, Kamolmart Wannaphahoon, Duangporn Maitreechit, Sophie Gallier, Orapa Suteerojtrakool","doi":"10.18332/ejm/203448","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Concerns about viral transmission through breast milk may impact breastfeeding recommendations and success. This study examined the changes in maternal knowledge, attitudes, and practices (KAP) related to breastfeeding and COVID-19 transmission during the pandemic.</p><p><strong>Methods: </strong>A longitudinal survey of Thai mothers was conducted when infants were 2, 12, and aged 24 weeks (March 2022-April 2023). The questionnaire, assessing knowledge of SARS-CoV-2 transmission, attitudes toward breastfeeding, and hygiene practices, was validated using the Item-Objective Congruence index. Good KAP was defined as scoring >60% in each section. Associated factors, including maternal age, education level, occupation, breastfeeding experience, and history of recent COVID-19 illness, were analyzed using multivariable linear regression.</p><p><strong>Results: </strong>A total of 195 mothers (mean age: 30.6 ± 6 years) completed the survey. One-third had good KAP, with an increasing trend over 24 weeks. Knowledge and practice scores among mothers without a recent history of COVID-19 illness demonstrated a positive change at an infant age of 24 weeks (95% CI: 0.08-0.96 and 0.02-0.76, respectively), while attitude scores remained unchanged. Maternal age at delivery was positively associated with the attitude changes (β=0.19; 95% CI: 0.02-0.20), whereas maternal education level and monthly family income were negatively associated. Better knowledge and attitudes about COVID-19 transmission during breastfeeding at 2 and 12 weeks were linked to a higher likelihood of predominant breastfeeding at 24 weeks postpartum.</p><p><strong>Conclusions: </strong>Maternal knowledge, attitudes, and practices (KAP) improved over 24 weeks, with significant gains in knowledge and practice among mothers who had not recently contracted COVID-19. Early knowledge and attitude were linked to sustained predominant breastfeeding, highlighting the importance of targeted education.</p><p><strong>Clinical trial registration: </strong>The study was part of the study entitled 'Infant feeding survey during COVID-19 pandemic' registered on the official website of Thaiclinicaltrials.org.</p><p><strong>Identifier: </strong>ID TCTR20220215012.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":"9 ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12527125/pdf/","citationCount":"0","resultStr":"{\"title\":\"Longitudinal survey of knowledge, attitude, and practice of breastfeeding during the COVID-19 pandemic.\",\"authors\":\"Pattaraporn Ananta, Sirinuch Chomtho, Siriporn Khabuan, Eakkarin Mekangkul, Kamolmart Wannaphahoon, Duangporn Maitreechit, Sophie Gallier, Orapa Suteerojtrakool\",\"doi\":\"10.18332/ejm/203448\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Concerns about viral transmission through breast milk may impact breastfeeding recommendations and success. This study examined the changes in maternal knowledge, attitudes, and practices (KAP) related to breastfeeding and COVID-19 transmission during the pandemic.</p><p><strong>Methods: </strong>A longitudinal survey of Thai mothers was conducted when infants were 2, 12, and aged 24 weeks (March 2022-April 2023). The questionnaire, assessing knowledge of SARS-CoV-2 transmission, attitudes toward breastfeeding, and hygiene practices, was validated using the Item-Objective Congruence index. Good KAP was defined as scoring >60% in each section. Associated factors, including maternal age, education level, occupation, breastfeeding experience, and history of recent COVID-19 illness, were analyzed using multivariable linear regression.</p><p><strong>Results: </strong>A total of 195 mothers (mean age: 30.6 ± 6 years) completed the survey. One-third had good KAP, with an increasing trend over 24 weeks. Knowledge and practice scores among mothers without a recent history of COVID-19 illness demonstrated a positive change at an infant age of 24 weeks (95% CI: 0.08-0.96 and 0.02-0.76, respectively), while attitude scores remained unchanged. Maternal age at delivery was positively associated with the attitude changes (β=0.19; 95% CI: 0.02-0.20), whereas maternal education level and monthly family income were negatively associated. Better knowledge and attitudes about COVID-19 transmission during breastfeeding at 2 and 12 weeks were linked to a higher likelihood of predominant breastfeeding at 24 weeks postpartum.</p><p><strong>Conclusions: </strong>Maternal knowledge, attitudes, and practices (KAP) improved over 24 weeks, with significant gains in knowledge and practice among mothers who had not recently contracted COVID-19. Early knowledge and attitude were linked to sustained predominant breastfeeding, highlighting the importance of targeted education.</p><p><strong>Clinical trial registration: </strong>The study was part of the study entitled 'Infant feeding survey during COVID-19 pandemic' registered on the official website of Thaiclinicaltrials.org.</p><p><strong>Identifier: </strong>ID TCTR20220215012.</p>\",\"PeriodicalId\":32920,\"journal\":{\"name\":\"European Journal of Midwifery\",\"volume\":\"9 \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-04-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12527125/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Midwifery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18332/ejm/203448\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Midwifery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18332/ejm/203448","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Longitudinal survey of knowledge, attitude, and practice of breastfeeding during the COVID-19 pandemic.
Introduction: Concerns about viral transmission through breast milk may impact breastfeeding recommendations and success. This study examined the changes in maternal knowledge, attitudes, and practices (KAP) related to breastfeeding and COVID-19 transmission during the pandemic.
Methods: A longitudinal survey of Thai mothers was conducted when infants were 2, 12, and aged 24 weeks (March 2022-April 2023). The questionnaire, assessing knowledge of SARS-CoV-2 transmission, attitudes toward breastfeeding, and hygiene practices, was validated using the Item-Objective Congruence index. Good KAP was defined as scoring >60% in each section. Associated factors, including maternal age, education level, occupation, breastfeeding experience, and history of recent COVID-19 illness, were analyzed using multivariable linear regression.
Results: A total of 195 mothers (mean age: 30.6 ± 6 years) completed the survey. One-third had good KAP, with an increasing trend over 24 weeks. Knowledge and practice scores among mothers without a recent history of COVID-19 illness demonstrated a positive change at an infant age of 24 weeks (95% CI: 0.08-0.96 and 0.02-0.76, respectively), while attitude scores remained unchanged. Maternal age at delivery was positively associated with the attitude changes (β=0.19; 95% CI: 0.02-0.20), whereas maternal education level and monthly family income were negatively associated. Better knowledge and attitudes about COVID-19 transmission during breastfeeding at 2 and 12 weeks were linked to a higher likelihood of predominant breastfeeding at 24 weeks postpartum.
Conclusions: Maternal knowledge, attitudes, and practices (KAP) improved over 24 weeks, with significant gains in knowledge and practice among mothers who had not recently contracted COVID-19. Early knowledge and attitude were linked to sustained predominant breastfeeding, highlighting the importance of targeted education.
Clinical trial registration: The study was part of the study entitled 'Infant feeding survey during COVID-19 pandemic' registered on the official website of Thaiclinicaltrials.org.
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