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Zöllkau, Janine; Heimann, Yvonne; Hagenbeck, Carsten; Pecks, Ulrich; Abou-Dakn, Michael; Schlösser, Rolf; Schohe, Anna; Dressler-Steinbach, Iris; Manz, Maike; Banz-Jansen, Constanze; Reuschel, Edith; Iannaccone, Antonella; Bohlmann, Michael K.; Kraft, Katrina; Fill Malfertheiner, Sara; Wimberger, Pauline; Kolben, Thomas; Bartmann, Catharina; Longardt, Ann-Carolin

Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

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  • Media type: E-Article
  • Title: Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)
  • Contributor: Zöllkau, Janine; Heimann, Yvonne; Hagenbeck, Carsten; Pecks, Ulrich; Abou-Dakn, Michael; Schlösser, Rolf; Schohe, Anna; Dressler-Steinbach, Iris; Manz, Maike; Banz-Jansen, Constanze; Reuschel, Edith; Iannaccone, Antonella; Bohlmann, Michael K.; Kraft, Katrina; Fill Malfertheiner, Sara; Wimberger, Pauline; Kolben, Thomas; Bartmann, Catharina; Longardt, Ann-Carolin
  • imprint: SAGE Publications, 2023
  • Published in: Journal of Human Lactation
  • Language: English
  • DOI: 10.1177/08903344231190623
  • ISSN: 0890-3344; 1552-5732
  • Keywords: Obstetrics and Gynecology
  • Origination:
  • Footnote:
  • Description: <jats:sec><jats:title>Background:</jats:title><jats:p> The SARS-CoV-2 pandemic and its influence on peripartum processes worldwide led to issues in breastfeeding support. </jats:p></jats:sec><jats:sec><jats:title>Research Aim:</jats:title><jats:p> The aim of this study was to describe breastfeeding behavior and peripartum in-hospital management during the pandemic in Germany and Austria. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> This study was a descriptive study using a combination of secondary longitudinal data and a cross-sectional online survey. Registry data from the prospective multicenter COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) cohort study (longitudinal, medical records of 1,815 parent-neonate pairs with confirmed SARS-CoV-2 infection during pregnancy) and a cross-sectional online survey of CRONOS hospitals’ physicians ( N = 67) were used for a descriptive comparison of feeding outcomes and postpartum management. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> In 93.7% (n = 1700) of the cases in which information on the neonate's diet was provided, feeding was with the mother’s own milk. Among neonates not receiving their mother’s own milk, 24.3% ( n = 26) reported SARS-CoV-2 infection as the reason. Peripartum maternal SARS-CoV-2 infection, severe maternal COVID-19 including the need for intensive care unit (ICU) treatment or invasive ventilation, preterm birth, mandatory delivery due to COVID-19, and neonatal ICU admission were associated with lower rates of breastfeeding. Rooming-in positively influenced breastfeeding without affecting neonatal SARS-CoV-2 frequency (4.2% vs. 5.6%). CRONOS hospitals reported that feeding an infant their mother’s own milk continued to be supported during the pandemic. In cases of severe COVID-19, four of five hospitals encouraged breastfeeding. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Maintaining rooming-in and breastfeeding support services in the CRONOS hospitals during the pandemic resulted in high breastfeeding rates. </jats:p></jats:sec>