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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26518
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dc.contributor.authorChertok, Ilana Azulay-
dc.contributor.authorArtzi-Medvedik, Rada-
dc.contributor.authorArendt, Maryse-
dc.contributor.authorSacks, Emma-
dc.contributor.authorOtelea, Marina Ruxandra-
dc.contributor.authorRodrigues, Carina-
dc.contributor.authorCosta, Raquel-
dc.contributor.authorLinden, Karolina-
dc.contributor.authorZaigham, Mehreen-
dc.contributor.authorElden, Helen-
dc.contributor.authorDrandic, Daniela-
dc.contributor.authorGrylka-Baeschlin, Susanne-
dc.contributor.authorMiani, Céline-
dc.contributor.authorValente, Emanuelle Pessa-
dc.contributor.authorCovi, Benedetta-
dc.contributor.authorLazzerini, Marzia-
dc.contributor.authorMariani, Ilaria-
dc.date.accessioned2023-01-05T08:19:48Z-
dc.date.available2023-01-05T08:19:48Z-
dc.date.issued2022-12-02-
dc.identifier.issn1746-4358de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/26518-
dc.description.abstractBackground: Exclusive breastfeeding is the optimal infant nutrition, providing infants immunoprotection against many diseases including SARS-CoV-2 infection. Restrictions during the COVID-19 pandemic may have negatively affected breastfeeding practices in maternity care facilities. The aims of the study were to examine exclusive breastfeeding rates at discharge over time and to identify factors associated with exclusive breastfeeding during the pandemic. Methods: A cross-sectional survey was conducted among mothers who gave birth in a maternity care facility in the World Health Organization (WHO) European Region countries during the COVID-19 pandemic. The socio-ecological model was employed to examine intrapersonal, interpersonal, organizational, and community/society factors associated with maternal report of exclusive breastfeeding at the time of discharge. Results: There were 26,709 participating mothers from 17 European Region countries who were included in the analysis. Among the mothers, 72.4% (n = 19,350) exclusively breastfed and 27.6% (n = 7,359) did not exclusively breastfeed at discharge. There was an overall decline in exclusive breastfeeding rates over time (p = 0.015) with a significantly lower rate following the publication of the WHO breastfeeding guidelines on 23 June 2020 (AOR 0.88; 95% CI 0.82, 0.94). Factors significantly associated with exclusive breastfeeding outcomes in the logistic regression analysis included maternal age, parity, education, health insurance, mode of birth, inadequate breastfeeding support, lack of early breastfeeding initiation, lack of full rooming-in, birth attendant, perceived healthcare professionalism and attention, facility room cleanliness, timing of birth, and location of birth. Conclusions: Results from the study indicate the decline in exclusive breastfeeding rates in the WHO European Region during the COVID-19 pandemic. Using the socio-ecological model to identify factors associated with breastfeeding outcomes facilitates an integrated and holistic approach to address breastfeeding needs among women across the region. These findings demonstrate the need to augment breastfeeding support and to protect exclusive breastfeeding among mother-infant dyads, in an effort to reverse the declining exclusive breastfeeding rates. The study highlights the need to educate mothers and their families about the importance of exclusive breastfeeding, reduce maternal-infant separation, increase professional breastfeeding support, and follow evidence-based practice guidelines to promote breastfeeding in a comprehensive and multi-level manner.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofInternational Breastfeeding Journalde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectCOVID-19 pandemicde_CH
dc.subjectExclusive breastfeedingde_CH
dc.subjectInternational breastfeeding researchde_CH
dc.subjectPregnancyde_CH
dc.subjectInfantde_CH
dc.subjectFemalede_CH
dc.subjectHumande_CH
dc.subjectBreast feedingde_CH
dc.subjectPatient dischargede_CH
dc.subjectPandemicde_CH
dc.subjectCross-sectional studyde_CH
dc.subjectSARS-CoV-2de_CH
dc.subjectWorld Health Organizationde_CH
dc.subjectMotherde_CH
dc.subjectCOVID-19de_CH
dc.subjectMaternal health servicede_CH
dc.subject.ddc613.2: Diätetikde_CH
dc.subject.ddc640: Hauswirtschaft und Familienlebende_CH
dc.titleFactors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countriesde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.1186/s13006-022-00517-1de_CH
dc.identifier.doi10.21256/zhaw-26518-
dc.identifier.pmid36461061de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.start83de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume17de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.zhawIMAgiNE EURO (Improving MAternal Newborn carE In the EURO Region)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Chertok, I. A., Artzi-Medvedik, R., Arendt, M., Sacks, E., Otelea, M. R., Rodrigues, C., Costa, R., Linden, K., Zaigham, M., Elden, H., Drandic, D., Grylka-Baeschlin, S., Miani, C., Valente, E. P., Covi, B., Lazzerini, M., & Mariani, I. (2022). Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries. International Breastfeeding Journal, 17(1), 83. https://doi.org/10.1186/s13006-022-00517-1
Chertok, I.A. et al. (2022) ‘Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries’, International Breastfeeding Journal, 17(1), p. 83. Available at: https://doi.org/10.1186/s13006-022-00517-1.
I. A. Chertok et al., “Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries,” International Breastfeeding Journal, vol. 17, no. 1, p. 83, Dec. 2022, doi: 10.1186/s13006-022-00517-1.
CHERTOK, Ilana Azulay, Rada ARTZI-MEDVEDIK, Maryse ARENDT, Emma SACKS, Marina Ruxandra OTELEA, Carina RODRIGUES, Raquel COSTA, Karolina LINDEN, Mehreen ZAIGHAM, Helen ELDEN, Daniela DRANDIC, Susanne GRYLKA-BAESCHLIN, Céline MIANI, Emanuelle Pessa VALENTE, Benedetta COVI, Marzia LAZZERINI und Ilaria MARIANI, 2022. Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries. International Breastfeeding Journal. 2 Dezember 2022. Bd. 17, Nr. 1, S. 83. DOI 10.1186/s13006-022-00517-1
Chertok, Ilana Azulay, Rada Artzi-Medvedik, Maryse Arendt, Emma Sacks, Marina Ruxandra Otelea, Carina Rodrigues, Raquel Costa, et al. 2022. “Factors Associated with Exclusive Breastfeeding at Discharge during the COVID-19 Pandemic in 17 WHO European Region Countries.” International Breastfeeding Journal 17 (1): 83. https://doi.org/10.1186/s13006-022-00517-1.
Chertok, Ilana Azulay, et al. “Factors Associated with Exclusive Breastfeeding at Discharge during the COVID-19 Pandemic in 17 WHO European Region Countries.” International Breastfeeding Journal, vol. 17, no. 1, Dec. 2022, p. 83, https://doi.org/10.1186/s13006-022-00517-1.


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