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AUTHOR(S) Karleen Gribble; Jennifer Cashin; Kathleen Marinelli (et al.)
In March 2020, the World Health Organization (WHO) published clinical guidance for the care of newborns of mothers with COVID-19. Weighing the available evidence on SARS-CoV-2 infection against the well-established harms of maternal-infant separation, the WHO recommended maternal-infant proximity and breastfeeding even in the presence of maternal infection. Since then, the WHO’s approach has been validated by further research. However, early in the pandemic there was poor global alignment with the WHO recommendations. This study assessed guidance documents collected in November and December 2020 from 101 countries and two regional agencies on the care of newborns of mothers with COVID-19 for alignment with the WHO recommendations. Recommendations considered were: (1) skin-to-skin contact; (2) early initiation of breastfeeding; (3) rooming-in; (4) direct breastfeeding; (5) provision of expressed breastmilk; (6) provision of donor human milk; (7) wet nursing; (8) provision of breastmilk substitutes; (9) relactation; (10) psychological support for separated mothers; and (11) psychological support for separated infants.
AUTHOR(S) Herlia Suamrdha Nasution; Fithriani
AUTHOR(S) Vittria Meilinda; Eka Rinalia
AUTHOR(S) Lauren E. Boudreau; Betty R. Vohr; Richard Tucker (et al.)
AUTHOR(S) Serine Ramlawi; Katherine A. Muldoon; Sandra I. Dunn (et al.)
COVID-19 vaccines are recommended for pregnant and lactating individuals, and there is substantial evidence for their safety and effectiveness. As the pandemic continues, information on worries and beliefs surrounding perinatal COVID-19 vaccination remains important to inform efforts aimed at improving vaccine uptake. Our objectives were to assess factors associated with COVID-19 vaccination among perinatal individuals; and to explore motivational factors associated with willingness to be vaccinated among unvaccinated perinatal individuals. This was a cross-sectional web-based survey of preconception, pregnant, and lactating individuals in Canada. The outcomes of interest were vaccination with at least one dose of any COVID-19 vaccine and willingness to be vaccinated among unvaccinated individuals. Sample characteristics were summarized using frequencies and percentages. The association between eight prespecified risk factors and two outcomes (vaccination status and willingness to be vaccinated) was assessed by logistic regression. Odds ratios (OR) and 95% confidence intervals (CI) were calculated for the total sample, and across perinatal sub-groups.
AUTHOR(S) Amal S. Bagalb; Dlal Almazrou; Amani A. Albraiki (et al.)
The acceptance of vaccines among pregnant and breastfeeding women is vital to alleviate the risk of contracting and transmitting coronavirus disease 2019 (COVID-19). Therefore, we aimed to assess the COVID-19 vaccine acceptance among pregnant and breastfeeding/lactating women and the factors associated with the acceptance of the COVID-19 vaccine in Saudi Arabia. A cross-sectional survey was conducted among pregnant and breastfeeding women living in Saudi Arabia. A 23-item, self-administered questionnaire was used to assess the COVID-19 vaccine acceptance among pregnant or lactating women.
AUTHOR(S) Nadia G. Diamond-Smith; Preetika Sharma; Mona Duggal (et al.)
AUTHOR(S) Arti Maria; Ritika Mukherjee; Swati Upadhyay (et al.)
The COVID-19 pandemic disrupted newborn care and breastfeeding practices across most healthcare facilities. We undertook this study to explore the barriers and enablers for newborn care and breastfeeding practices in hospitals in Delhi, India for recently delivered mother (RDM)–newborn dyads during the first wave of the COVID-19 pandemic (2020) and inductively design a “pathway of impaction” for informing mitigatory initiatives during the current and future pandemics, at least in the initial months. This study used an exploratory descriptive design (qualitative research method) and collected information from seven leading public health facilities in Delhi, India. We conducted separate interviews with the head and senior faculty from the Departments of Pediatrics/Neonatology (n = 12) and Obstetrics (n = 7), resident doctors (n = 14), nurses (labor room/maternity ward; n = 13), and RDMs (n = 45) across three profiles: (a) COVID-19-negative RDM with healthy newborn (n = 18), (b) COVID-19-positive RDM with healthy newborn (n = 19), and (c) COVID-19 positive RDM with sick newborn needing intensive care (n = 8) along with their care-giving family members (n = 39). We analyzed the data using grounded theory as the method and phenomenology as the philosophy of our research.
AUTHOR(S) Siti Sulfatus Saniyah; Dini Kurniawati; Iis Rahmawati
Breastfeeding mothers are included in a vulnerable group that is important to get the COVID-19 vaccine, but some factors influence it carrying out the COVID-19 vaccine. This study aimed to identify the factors that influence breastfeeding mothers in administering the COVID-19 vaccine in the working area of the Gladak Pakem Health Center. The design of this study used a cross-sectional study conducted on 106 breastfeeding mothers with a total sampling technique. Data collection uses 4 questionnaires, namely the respondent's characteristics questionnaire, knowledge about COVID-19 and the COVID-19 vaccine, cues for action, and perceptions of obstacles in carrying out the COVID-19 vaccine. Data collection was carried out door-to-door starting on 23-29 March 2022.
AUTHOR(S) Mwawi Nyirongo; Neelima Agrawal; Amarilys Rojas (et al.)
This review serves to account for the published literature regarding the changing impact of the COVID-19 pandemic with a focus on neonatal nutrition in low- and middle-income countries. Initial national and international guidelines regarding breastfeeding were often contradictory. Lack of clear guidelines resulted in separation of mother-neonate dyads and the reliance on non-human sources of milk at institutional levels. Mothers and families were less likely to initiate and/or continue breastfeed during the pandemic due to confusion regarding guidelines, lack of support for lactation, and concern for infection transmission to their neonates. Continued research in neonatal nutrition, however, continues to support the use of breastmilk as the optimal nutritional source for neonates.
AUTHOR(S) Yan‐Shing Chang; Kan M. C. Li; Li‐Yin Chien (et al.)
AUTHOR(S) Henry H. Bernstein; Eric J. Slora; Tara Mathias-Prabhu (et al.)
AUTHOR(S) Walusa Assad Gonçalves-Ferri; Kelly Pereira Coca; Fábia Pereira Martins-Celini (et al.)
This study aimed to evaluate the feasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers. Breastfeeding mothers with SARS-CoV-2 positive should avoid exposing the infant through protective measures (PM), but it could be challenging in a low-income population.
AUTHOR(S) Syahrul Bariah Abdul Hamid; Syasya Nurazmiena Haris; Hui Jun Chih
Child hunger commonly occurs in families with household food insecurity when mothers fail to continue breastfeeding due to stress and inability to produce sufficient breastmilk. This study aimed to investigate the association of breastfeeding KAP with food insecurity during the pandemic of COVID-19. An online self-administered questionnaire related to the study was used to obtain data from 444 Malaysian
AUTHOR(S) Tahreem Nisar; Syed Ammar Bin Zia; Sarah Ishaq (et al.)
The covid-19 has disrupted all parts of life especially maternal-child relationship. Many lactating womenwerequarantinedincovid-19whichhasaffectednourishmentoftheirinfant. Breastfeeding has innumerable benets for both mother and infants as it provides them protection. The Maternal-child relationship is drastically affected if an infant is separated from its mother. It greatly affects lactation, which acts as a shield against infectious diseases. It is approved by all the international agencies and government bodies to promote breastfeeding including the neonates of infected mothers. It is suggested to adopt proper hand and respiratory hygiene measures to prevent transmission from mother to infant. Although many studies and literature reviews have conrmed that there are no direct transmission cases related to coronavirus during breastfeeding. However, WHO, UNICEF, and many other organizations suggested to adopt some hygiene-specic guidelines while practicing lactation. These include wearing a mask, washing hands, and disinfecting surfaces. As we are in the middle of this pandemic and new information is being gathered by scientists, it is hoped that they will also support promoting breastfeeding. As its advantages outweigh the risks of COVID-19. The main aim of this review is to promote early initiation and exclusive breastfeeding during COVID-19.
UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.
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