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

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dc.contributor.authorGonçalves-Ferri, Walusa Assad
dc.contributor.authorCoca, Kelly Pereira
dc.contributor.authorMartins-Celini, Fábia Pereira
dc.contributor.authorChang, Yan-Shing
dc.contributor.authorFerreira, Raquel Santos
dc.contributor.authorde Siqueira Caldas, Jamil Pedro
dc.contributor.authorFerreira, Rodrigo Duarte
dc.contributor.authorMarques, Patrícia Franco
dc.contributor.authorSonini, Thaise Cristina Branchee
dc.contributor.authorMoraes, Viviane Christina Cortez
dc.contributor.authorde Carvalho Pelicia, Simone Manso [UNESP]
dc.contributor.authorNunes, Leandro Meireles
dc.contributor.authorContrucci, Bruno Antunes
dc.contributor.authorSuzuki, Edson Koji
dc.contributor.authorMagalhães, Maurício
dc.contributor.authorde Jesus Hartmann Nader, Paulo
dc.contributor.authorde Lima Mota Ferreira, Daniela Marques
dc.contributor.authorJavorsky, Juliane Barleta
dc.contributor.authorde Fátima Afonso Dias, Laura
dc.contributor.authorCavasin, Bruna Pinto Dias
dc.contributor.authorde Mesquita, Ana Ruth Antunes
dc.contributor.authorde Oliveira Pinto, Rebecca Meirelles
dc.contributor.authorFonseca, Luciana Mara Monti
dc.contributor.authorda Silva Gherardi-Donato, Edilaine Cristina
dc.contributor.authorAragon, Davi Casale
dc.contributor.authorRoosch, Anelise
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionKing's College London
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionFaculdade de Medicina da Universidade do Estado do Amazonas
dc.contributor.institutionUniversidade Federal do Maranhão
dc.contributor.institutionHospital Maternidade Carmela Dutra
dc.contributor.institutionMaternidade Perinatal Laranjeiras
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversidade Federal do Rio Grande do Sul
dc.contributor.institutionFaculdade de Medicina de São José do Rio Preto
dc.contributor.institutionHospital das Clínicas da Faculdade de Medicina de Marília
dc.contributor.institutionFaculdade de Ciências Médicas da Santa Casa de São Paulo
dc.contributor.institutionUniversidade Luterana do Brasil
dc.contributor.institutionUniversidade Federal de Uberlândia (UFU)
dc.contributor.institutionUniversidade Federal do Paraná (UFPR)
dc.contributor.institutionCampos dos Goytacazes
dc.date.accessioned2023-07-29T13:59:32Z
dc.date.available2023-07-29T13:59:32Z
dc.date.issued2022-11-01
dc.description.abstractAim: The aim was to evaluate the feasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers. Background: 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. Methods: A prospective, multicentre study was conducted between July and October 2020 (BRACOVID). The participants were recruited at birth and interviewed through a structured questionnaire at 7 and 14 days in the home environment. The feasibility of PM during breastfeeding at home was defined by guidelines recommendations (mask using, handwashing, and distancing from newborn when not breastfeeding). Three groups according to the feasibility of guidelines: complete guidelines feasibility (CG): all PM; partial guidelines feasibility (PG): at least one PM feasible; no guidelines (NG): infeasibility to all of PM. Flu-like neonatal symptoms and breastfeeding practices were analyzed. We evaluated the association between PM feasibility and socioeconomic factors. Results: One hundred seventeen infected mothers from 17 Brazilian hospitals were enrolled. Forty-seven (40%) mothers followed all recommendations, 14 (11.9%) could not practice at least one recommendation, and 50 (42.7%) did not execute any of them. The breastfeeding rate was 98%. Factors associated with infeasibility were monthly family income <92.7 dollars/person, high housing density (>1 inhabitant/room), teenage mothers, responsive feeding, and poor schooling. Regarding infants' flu-like symptoms, 5% presented symptoms at 14 days (NG group). Conclusion: The guidelines were not applied to infants of SARs-CoV-positive mothers in 54.6% of the dyads since the recommendations were unviable in their environments. During pandemics, we should look for feasible and effective guidelines to protect neonates from low-income populations. Implications for Nursing Management: Poor socioeconomic conditions lead to the unfeasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers during the isolation period in the pandemics. The orientations and the support provided to dyad should consider the socioeconomic factors to guide feasible measures in the home environment and promote adequate protections; only an individual approach will allow a safe environment for low-income infants. The Research Ethics Committee approved the project of the Medicine School in Ribeirão Preto, University of São Paulo, Brazil (CAAE: 31357320.9.1001.5440-4.066.741/2020) and Brazilian hospitals and maternal services.en
dc.description.affiliationDepartment of Pediatrics University of São Paulo
dc.description.affiliationDepartamento de Enfermagem na Saúde da Mulher Ana Abrão Breastfeeding Center Universidade Federal de São Paulo
dc.description.affiliationFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care King's College London
dc.description.affiliationInstituto da Criança e do Adolescente University of São Paulo
dc.description.affiliationDepartment of Pediatrics University of Campinas
dc.description.affiliationSaúde da criança e do Adolescente Faculdade de Medicina da Universidade do Estado do Amazonas
dc.description.affiliationHospital Universitário Universidade Federal do Maranhão
dc.description.affiliationHospital Maternidade Carmela Dutra
dc.description.affiliationMaternidade Perinatal Laranjeiras
dc.description.affiliationDepartament of Pediatrics Universidade Estadual Paulista
dc.description.affiliationDepartament of Pediatrics Universidade Federal do Rio Grande do Sul
dc.description.affiliationDepartament of Pediatrics Faculdade de Medicina de São José do Rio Preto
dc.description.affiliationUnidade Materno Infantil Hospital das Clínicas da Faculdade de Medicina de Marília
dc.description.affiliationServiço de Neonatologia da Unidade Pediatria e Puericultura Faculdade de Ciências Médicas da Santa Casa de São Paulo
dc.description.affiliationDepartment of Pediatrics Universidade Luterana do Brasil
dc.description.affiliationDepartment of Pediatrics Universidade Federal de Uberlândia
dc.description.affiliationDepartament of Pediatrics Hospital de Clínicas da Universidade Federal do Paraná
dc.description.affiliationUTI Neonatal Nicola Albano Campos dos Goytacazes
dc.description.affiliationDepartment of Maternal-Infant and Public Health Nursing University of São Paulo
dc.description.affiliationDepartamento de Enfermagem Psiquiátrica e Ciências Humanas University of São Paulo
dc.description.affiliationUnespDepartament of Pediatrics Universidade Estadual Paulista
dc.format.extent4064-4070
dc.identifierhttp://dx.doi.org/10.1111/jonm.13854
dc.identifier.citationJournal of Nursing Management, v. 30, n. 8, p. 4064-4070, 2022.
dc.identifier.doi10.1111/jonm.13854
dc.identifier.issn1365-2834
dc.identifier.issn0966-0429
dc.identifier.scopus2-s2.0-85140716933
dc.identifier.urihttp://hdl.handle.net/11449/248996
dc.language.isoeng
dc.relation.ispartofJournal of Nursing Management
dc.sourceScopus
dc.subjectbreastfeeding
dc.subjectCOVID-19 pandemic
dc.subjectdeveloping country
dc.subjectlow-income population
dc.subjectSARs-CoV-2
dc.titleProtective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort studyen
dc.typeArtigo
unesp.author.orcid0000-0002-7174-0044[1]
unesp.author.orcid0000-0001-5507-4443[13]

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