See the published version of this preprint at International Breastfeeding Journal.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
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Research
Walusa Assad Gonçalves-Ferri
University of São Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7174-0044
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Recommended by the World Health Organization, exclusive breastfeeding is a safe source of nutrition available for children in humanitarian emergencies, as in the current pandemic caused by the severe acute respiratory syndrome coronavirus 2. Despite the Brazilian Guideline protecting breastfeeding practice, there are many concerns about how to protect babies from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19).
Methods
This is a descriptive cross-sectional and multicenter study collecting data from 24 Brazilian hospitals and maternity services from March to July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, Baby-Friendly Hospital Initiative, and Brazil’s law recommendations.
Results
The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact and companions for the mother and did not support mothers to initiate breastfeeding in the first hour. In rooming-in, 98.5% of the services allowed breastfeeding and recommend care for babies following the respiratory hygiene practices to prevent transmission of COVID-19 and whether companions are forbidden (83.3%). Hospital discharge was mostly early (79.1%); the guidelines were not individualized. Additionally, a lack of support was noticed from the health community network in the home environment (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%).
Conclusions
In Brazil, the hospitals are not able to approach recommendations to protect, promote, and support breastfeeding properly during the COVID-19 outbreak. The scientific community needs to discuss how to improve maternal and baby care services to protect breastfeeding in the current pandemic.
Keywords
Breastfeeding, COVID-19, breast milk, SARS-CoV-2, public health
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CURRENT STATUS: Published
View the published article at International Breastfeeding Journal.
Version (no preprint)
Posted 08 Feb, 2021
Review #2 received
Received 08 Feb, 2021
Review #1 received
Received 07 Feb, 2021
Reviewer #2 agreed
On 26 Jan, 2021
Reviewers invited
Invitations sent on 25 Jan, 2021
Reviewer #1 agreed
On 25 Jan, 2021
Editor assigned
On 23 Jan, 2021
Submission checks complete
On 23 Jan, 2021
Editor invited
On 23 Jan, 2021
First submitted
On 23 Jan, 2021
This version was not preprinted
No community comments so far
Reviewers invited
Invitations sent on 25 Jan, 2021
Reviewer #1 agreed
On 25 Jan, 2021
Editor assigned
On 23 Jan, 2021
Submission checks complete
On 23 Jan, 2021
Editor invited
On 23 Jan, 2021
Version (no preprint)
Posted 16 Jan, 2021
Editorial decision: Minor revision
On 16 Jan, 2021
Review #1 received
Received 04 Jan, 2021
Reviewer #5 agreed
On 30 Dec, 2020
Review #3 received
Received 30 Dec, 2020
Review #2 received
Received 27 Dec, 2020
Reviewer #4 agreed
On 19 Dec, 2020
Reviewer #3 agreed
On 17 Dec, 2020
Reviewer #2 agreed
On 14 Dec, 2020
Reviewer #1 agreed
On 06 Dec, 2020
Reviewers invited
Invitations sent on 03 Dec, 2020
Editor assigned
On 01 Dec, 2020
Submission checks complete
On 01 Dec, 2020
Editor invited
On 01 Dec, 2020
This version was not preprinted
Version 1
Posted 02 Dec, 2020
No comments provided
Editorial decision: Revise before peer review
On 25 Nov, 2020
Editor assigned
On 22 Nov, 2020
Submission checks complete
On 22 Nov, 2020
Editor invited
On 22 Nov, 2020
First submitted
On 18 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at International Breastfeeding Journal.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Walusa Assad Gonçalves-Ferri
University of São Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7174-0044
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at International Breastfeeding Journal.
Version (no preprint)
Posted 08 Feb, 2021
Review #2 received
Received 08 Feb, 2021
Review #1 received
Received 07 Feb, 2021
Reviewer #2 agreed
On 26 Jan, 2021
Reviewers invited
Invitations sent on 25 Jan, 2021
Reviewer #1 agreed
On 25 Jan, 2021
Editor assigned
On 23 Jan, 2021
Submission checks complete
On 23 Jan, 2021
Editor invited
On 23 Jan, 2021
First submitted
On 23 Jan, 2021
This version was not preprinted
No community comments so far
Reviewers invited
Invitations sent on 25 Jan, 2021
Reviewer #1 agreed
On 25 Jan, 2021
Editor assigned
On 23 Jan, 2021
Submission checks complete
On 23 Jan, 2021
Editor invited
On 23 Jan, 2021
Version (no preprint)
Posted 16 Jan, 2021
Editorial decision: Minor revision
On 16 Jan, 2021
Review #1 received
Received 04 Jan, 2021
Reviewer #5 agreed
On 30 Dec, 2020
Review #3 received
Received 30 Dec, 2020
Review #2 received
Received 27 Dec, 2020
Reviewer #4 agreed
On 19 Dec, 2020
Reviewer #3 agreed
On 17 Dec, 2020
Reviewer #2 agreed
On 14 Dec, 2020
Reviewer #1 agreed
On 06 Dec, 2020
Reviewers invited
Invitations sent on 03 Dec, 2020
Editor assigned
On 01 Dec, 2020
Submission checks complete
On 01 Dec, 2020
Editor invited
On 01 Dec, 2020
This version was not preprinted
Version 1
Posted 02 Dec, 2020
No comments provided
Editorial decision: Revise before peer review
On 25 Nov, 2020
Editor assigned
On 22 Nov, 2020
Submission checks complete
On 22 Nov, 2020
Editor invited
On 22 Nov, 2020
First submitted
On 18 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at International Breastfeeding Journal.
Background
Recommended by the World Health Organization, exclusive breastfeeding is a safe source of nutrition available for children in humanitarian emergencies, as in the current pandemic caused by the severe acute respiratory syndrome coronavirus 2. Despite the Brazilian Guideline protecting breastfeeding practice, there are many concerns about how to protect babies from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19).
Methods
This is a descriptive cross-sectional and multicenter study collecting data from 24 Brazilian hospitals and maternity services from March to July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, Baby-Friendly Hospital Initiative, and Brazil’s law recommendations.
Results
The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact and companions for the mother and did not support mothers to initiate breastfeeding in the first hour. In rooming-in, 98.5% of the services allowed breastfeeding and recommend care for babies following the respiratory hygiene practices to prevent transmission of COVID-19 and whether companions are forbidden (83.3%). Hospital discharge was mostly early (79.1%); the guidelines were not individualized. Additionally, a lack of support was noticed from the health community network in the home environment (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%).
Conclusions
In Brazil, the hospitals are not able to approach recommendations to protect, promote, and support breastfeeding properly during the COVID-19 outbreak. The scientific community needs to discuss how to improve maternal and baby care services to protect breastfeeding in the current pandemic.
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