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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Association of SARS-CoV-2 infection with early breastfeeding

Henry H. Bernstein; Eric J. Slora; Tara Mathias-Prabhu (et al.)

Published: October 2022   Journal: Academic Pediatrics
The association of maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) status before delivery with breastfeeding is unknown. This study compares breastfeeding initiation, exclusivity, and duration between SARS-CoV-2-positive (+) and SARS-CoV-2-negative (-) mothers during the first 2 months of their newborns’ lives. A single center, retrospective cohort study of pediatric contacts during the first 2 months in a diverse mother-infant population (n = 285) compared breastfeeding outcomes by maternal SARS-CoV-2 status during a pandemic surge. Infants of SARS-CoV-2 positive mothers were also tested before discharge. Comparison of maternal demographics (age, race, ethnicity), maternal/infant characteristics (parity, insurance, delivery mode, infant sex, hospital length of stay), and pediatric contacts by maternal SARS-CoV-2 status included Fisher's exact and Wilcoxon tests and Poisson regression for count outcomes. Logistic regression compared breastfeeding outcomes between the 2 groups, adjusting for potential confounders and effect modifiers.
Association between depressive symptoms in the postpartum period and COVID-19: a meta-analysis

Chenxinzi Lin; Bin Chen; Youjing Yang (et al.)

Published: October 2022   Journal: Journal of Affective Disorders

With the pandemic of COVID, the public are faced with tremendous threatens both physically and mentally. Postpartum depression (PPD) is one of the most serious complications of childbearing, bringing severe impact on a woman's mental state and mood after birth. Research has shown that maternal mental state is closely correlated with PPD, those undergo the emergency or significant life changes during the postpartum period are more likely to suffer from PPD. In this study, we conducted the meta-analysis to estimate the association between PPD and COVID-19 pandemic. PubMed, Web of Science, PsycINFO, ScienceDirect, CNKI, China Science and Technology Journal Database, and WANFANG Database were searched for potentially relevant articles published before April 2022. Review Manager 5.2 was used to perform a meta-analysis and subgroup analysis to compute the pooled odds ratio.

Navigating through motherhood in pregnancy and postpartum periods during the COVID-19 pandemic: a systematic review and qualitative meta-synthesis

Xutong Zheng; Jiayu Zhang; Xinxin Ye (et al.)

Published: October 2022   Journal: Journal of Nursing Management

The aim of this work is to critically appraise and synthesize the qualitative studies on the experiences, perspectives, and consequences of pregnant women experiencing motherhood during the COVID-19 pandemic. The COVID-19 pandemic has posed a threat to the health of pregnant women. Such a pandemic disrupted their routine care, as well as normal daily life. However, little is known about their coping strategies to the changes brought by COVID-19. A qualitative systematic review was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist. A meta-aggregative approach rooted in pragmatism and Husserlian transcendental phenomenology was used to synthesize the findings. Dependability and credibility of both study findings and synthesized findings were appraised by Joanna Briggs Institute (JBI) ConQual process.

Protective measures feasibility for infants of low income SARS-CoV-2 positive breastfeeding mothers: a prospective multicenter cohort study

Walusa Assad Gonçalves-Ferri; Kelly Pereira Coca; Fábia Pereira Martins-Celini (et al.)

Published: October 2022   Journal: Journal of Nursing Management

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.

Pregnancy outcomes in Italy during COVID-19 pandemic: a population-based cohort study

Franca Rusconi; Monia Puglia; Martina Pacifici (et al.)

Published: October 2022   Journal: BJOG: An International Journal of Obstetrics & Gynaecology

This study aimed to compare the estimates of preterm birth (PTB; 22–36 weeks' gestational age, GA) and stillbirth rates during COVID-19 pandemic in Italy with those recorded in the three previous years. A population-based cohort study of live- and stillborn infants was conducted using data from Regional Health Systems and comparing the pandemic period (1 March 2020–31 March 2021, n = 362 129) to an historical period (January 2017–February 2020, n = 1 117 172). The cohort covered 84.3% of the births in Italy.

Postpartum depression, social support and maternal self-efficacy between adolescent and adult mothers during the COVID-19 pandemic: a comparative cross-sectional study

Nucharee Sangsawang; Bussara Sangsawang

Published: September 2022   Journal: Journal of Advanced Nursing

This study aims to determine the rate and level of postpartum depression (PPD), as well as to examine and compare PPD, social support and maternal self-efficacy between adolescent and adult mothers at 8 weeks postpartum during the COVID-19 pandemic. Policy measures to reduce the rapid spread of COVID-19 have disrupted many aspects of life and decreased social connections, which negatively impacts psychological well-being of the general population. However, studies focused on the impact of COVID-19 on mental health and maternal self-efficacy in postpartum mothers, particularly adolescent mothers, are limited.

Assessing the impact of the COVID-19 pandemic on parental satisfaction in two European neonatal intensive care units

Carolina Zorro; Eva MacRae; Marta Teresa-Palacio (et al.)

Published: September 2022   Journal: BMJ Paediatrics Open

Neonatal units across the world have altered their policies to prevent the spread of infection during the COVID-19 pandemic. This study aims to report parental experience in two European neonatal units during the pandemic. Parents of infants admitted to each neonatal unit were asked to complete a questionnaire regarding their experience during the COVID-19 pandemic. At King’s College Hospital, UK (KCH), data were collected prospectively between June 2020 and August 2020 (first wave). At the Hospital Clínic Barcelona (HCM), data were collected retrospectively from parents whose infants were admitted between September 2020 and February 2021 (second and third wave).

Cite this research | Open access | Vol.: 6 | Issue: 1 | No. of pages: 7 | Language: English | Topics: Health | Tags: COVID-19 response, lockdown, maternal and child health services, postnatal care, social distance | Countries: United Kingdom
Care in the time of COVID: An interpretative phenomenological analysis of the impact of COVID-19 control measures on post-partum mothers' experiences of pregnancy, birth and the health system

Mikhayl A. von Rieben; Leanne Boyd; Jade Sheen (et al.)

Published: September 2022   Journal: Frontiers in Psychology

Findings suggest pandemic control measures have modified maternal health practices, compromising the quality of care provided to new and expectant mothers and interfering with their birthing experiences. For this reason, this study explored the lived experiences of post-partum Victorian mothers during the pandemic as well as the potential influence of control measures over their perceptions regarding the health system. This study used a qualitative approach. Recruitment was conducted between May and June 2021, using both the Australian Breastfeeding Association’s social media pages and snowball recruitment. Interviews were semi-structured using open-ended questions relating to key themes. Seven Victorian post-partum mothers were identified and their transcripts analysed using Interpretative Phenomenological Analysis.

Analysis of postpartum and breastfeeding mother's participation in the Covid-19 vaccination program

Ariu Dewi Yanti

Published: August 2022   Journal: Jombang Nursing and Midwifery Journal
Postpartum and breastfeeding mothers are one of the targets of COVID-19 vaccination. Anxiety about the side effects of the COVID-19 vaccination makes people reluctant to participate in the vaccination program, as well as breastfeeding mothers. Therefore, this study aims to analyze the participation of postpartum and breastfeeding mothers in the COVID-19 vaccination program. This study uses quantitative (analytic) research methods using a cross-sectional design. The population in this study were all postpartum and breastfeeding mothers in the Wuluh Village and Carangrejo Village, Kesamben District, Jombang Regency, with a total of 78 respondents. The analysis criteria included age, education, and occupation of postpartum and breastfeeding mothers.
The content of breast milk and the challenges experienced by breastfeeding mothers during the COVID-19 pandemic: a systematic review

Eighty Mardiya Kurniawati; Nur Anisah Rahmawati; Innas Safira Putri (et al.)

Published: August 2022   Journal: The Open Public Health Journal

Every postpartum mother is recommended to breastfeed her baby because breast milk is the main need of newborns. The COVID-19 pandemic has had an impact on life in various aspects, including on the breastfeeding mothers, especially if they suffer from COVID-19 infection. The study aims to provide comprehensive evidence regarding potential virus transmission and antibody transfer through breastmilk and the experiences of mothers related to breastfeeding during the COVID-19 pandemic. A systematic review was conducted following the PRISMA guidelines. The search strategy involved the use of keywords related to COVID-19 and breastfeeding in PubMed and Science Direct databases. Articles were selected according to inclusion and exclusion criteria.

Sociodemographic factors affecting depression-anxiety-stress levels and coping strategies of parents with babies treated in neonatal intensive care units during the COVID-19 pandemic

Sevcan T. Kılıç; Asena Taşgıt

Published: August 2022   Journal: Journal of Neonatal Nursing

This study aimed to determine the sociodemographic factors affecting the depression-anxiety-stress levels and coping strategies of parents with babies treated in neonatal intensive care units during the COVID-19 pandemic. This descriptive cross-sectional study was conducted between March and October 2021. The sample consisted of 93 parents. Data were collected using a descriptive questionnaire, the Depression Anxiety Stress Scale (DASS- 42), and Coping Style Scale (CSS).

Longitudinal changes in wellbeing amongst breastfeeding women in Australia and New Zealand during the COVID-19 pandemic

Vanessa S. Sakalidis; Alethea Rea; Sharon L. Perrella (et al.)

Published: August 2022   Journal: European Journal of Pediatrics
The COVID-19 pandemic has impacted new mothers’ wellbeing and breastfeeding experience. Women have experienced changes in birth and postnatal care and restricted access to their support network. It is unclear how these impacts may have changed over time with shifting rates of infection and policies restricting movement and access to services in Australia and New Zealand. This study investigated the longitudinal effect of the COVID-19 pandemic on breastfeeding and maternal wellbeing in Australia and New Zealand. Mothers (n = 246) completed an online survey every 4 weeks for 6 months that examined feeding methods, maternal mental wellbeing, worries, challenges, and positive experiences during the pandemic.
Analysis of supporting factors associated with exclusive breastfeeding practice in the urban setting during the COVID-19 pandemic

Agrina Agrina; Dedi Afandi; Suyanto Suyanto (et al.)

Published: July 2022   Journal: Children
Breastfeeding mothers have had limited access to breastfeeding support throughout the COVID-19 pandemic. This study aims to investigate breastfeeding practices during the COVID-19 period and to determine the factors associated with supporting exclusive breastfeeding. A sequential explanatory mixed methods approach was adopted, including a quantitative method in the first phase and qualitative method in the second phase. Mothers whose babies were aged over 6 months to 24 months old from July to September 2021 in Pekanbaru City were selected as research subjects. Data analysis was performed with multivariate and deductive content analysis. Of 156 participants, 97 mothers (62.2%) exclusively breastfed their babies. Of those, mothers who delivered exclusive breastfeeding worked less than eight hours per day, were aged 17–25 and had low education. Though by using exclusive breastfeeding practice as a reference, associated supports, including emotional, instrumental, appraisal and information regarding exclusive breastfeeding practice were insignificant; however, mothers who practice exclusive breastfeeding had higher information support.
The kids are alright (?). Infants' development and COVID-19 pandemic: a cross-sectional study

Eleonora Ferrari; Lucia Palandri; Laura Lucaccioni (et al.)

Published: June 2022   Journal: International Journal of Public Health

The study aimed to assess and compare the global development in six-month-old infants before and during the pandemic restrictive social distancing measures. This cross-sectional nested study involved infants assessed through the Griffiths Scales of Child Development (GSCD) between September 2019 and April 2021. Infants were classified in a pre-COVID or a COVID group, considering the evaluation date and the restrictive measures in place. GSCD subscales and General Development Scores (GDS) were calculated and compared.

Breastfeeding promotion during the COVID-19 pandemic in northeastern Brazil

Brena Carvalho Pinto de Melo; Glaucia Virgínia de Queiroz Lins Guerra; Judith Correa (et al.)

Published: June 2022   Journal: World Nutrition Journal
Early COVID-19 delivery room reports routinely described maternal and neonatal physical distancing, in both confirmed or suspected cases. Immediately, breastfeeding experts expressed their concern for the potential catastrophic consequences of such separation, with great potential for breastfeeding discontinuity, particularly in low- and middle-income countries. This manuscript reports a positive experience of early breastfeeding promotion and maintenance in labour and delivery room, from the time of the first cases of COVID-19, confirmed or suspected, at a Baby Friendly Hospital Initiative (BFHI) and tertiary teaching hospital in Recife, in the northeastern region of Brazil.
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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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