Evidence map›Paper›PMID 33789708›Full record

ArticleInternational breastfeeding journal2021

The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study.

Walusa Assad Gonçalves-Ferri, Fábia Martins Pereira-Cellini, Kelly Coca, Davi Casale Aragon, Paulo Nader, João Cesar Lyra, Maryneia Silva do Vale, Sérgio Marba, Katiaci Araujo, Laura Afonso Dias and 20 more

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 17 institutions in 2 countries.

Walusa Assad Gonçalves-FerriDepartment of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil. walusa@fmrp.usp.br.ORCID 0000-0002-7174-0044
Fábia Martins Pereira-CelliniDepartment of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil.
Kelly CocaDepartment of Pediatrics, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Davi Casale AragonDepartment of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil.
Paulo NaderDepartment of Pediatrics, Curso de Medicina da ULBRA, Universidade Luterana do Brasil, Porto Alegre, RS, Brazil.
João Cesar LyraDepartment of Pediatrics, Neonatology Discipline, Faculdade de Medicina do Campus de Botucatu, UNESP, Botucatu, SP, Brazil.
Maryneia Silva do ValeDepartment of Pediatrics, Universidade Federal do Maranhão, São Luís, MA, Brazil.
Sérgio MarbaDepartment of Pediatrics, Universidade Estadual de Campinas- UNICAMP, Campinas, SP, Brazil.
Katiaci AraujoDepartment of Pediatrics, Hospital Aliança, Salvador, BA, Brazil.
Laura Afonso DiasDepartment of Pediatrics, Maternidade Lilia Neves, CEPLIN - Instituto de pediatria e neonatologia ltda, Campus dos Goitazes, RJ, Brazil.
Daniela Marques de Lima Mota FerreiraDepartments of Pediatrics, Federal University of Uberlandia, Uberlândia, MG, Brazil.
Gislayne NietoDepartment of Pediatrics, Hospital e Maternidade Santa Brígida, Curitiba, PR, Brazil.
Lêni Marcia AnchietaDepartment of Pediatrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rita de Cássia SilveiraDepartment of Pediatrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RGS, Brazil.
Marta David Rocha de MouraDepartment of Pediatrics, Hospital Materno Infantil de Brasília, Brasília, DF, Brazil.
Valdenise Martins L Tuma CalilDepartment of Pediatrics, Instituto da Criança do Hospital das Clínicas da FMUSP, São Paulo, SP, Brazil.
Viviane Christina Cortez MoraesDepartment of Pediatrics, Maternidade Perinatal Laranjeiras, Rio de Janeiro, RJ, Brazil.
João Henrique Carvalho Leme de AlmeidaDepartment of Pediatrics, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Maurício MagalhãesDepartment of Pediatrics, Hospital Central da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Thaise Cristina Branchee SoniniDepartment of Pediatrics, Hospital Maternidade Carmela Dutra, Florianópolis, SC, Brazil.
Juliane Barleta JavorskyDepartment of Pediatrics, Complexo Hospital de Clínicas UFPR, Curitiba, PR, Brazil.
Érica Lobato Acaui RibeiroDepartment of Pediatrics, Hospital da Clínicas da Faculdade de Medicina de Marília -Unidade Materno Infantil, Marília, SP, Brazil.
Rodrigo FerreiraDepartment of Pediatrics, Universidade Do Estado Do Amazonas, Platô do Piquiá, Boca do Acre, AM, Brazil.
Louise Dantas Cavalcante de AlmeidaDepartment of Pediatrics, Maternidade Climério de Oliveira- UFBA, Salvador, BA, Brazil.
Rosângela GarbersDepartment of Pediatrics, Maternidade Nossa Senhora de Fátima, Curitiba, PR, Brazil.
Gabriella Maset da Silva FariaDepartment of Pediatrics, Faculdade de Medicina de São José do Rio Preto-FAMERP, São José do Rio Preto, SP, Brazil.
Anelise RooschDepartment of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil.
Ana Ruth Antunes de MesquitaDepartment of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil.
Rebecca Meirelles de Oliveira PintoDepartment of Pediatrics, Ribeirão Preto Medical School- University of São Paulo, Ribeirão Preto, SP, Brazil.
BRACOVID Project Collaborative Group
Universidade de Ribeirão Preto · BRFaculdade de Medicina de Marília · BRFaculdade de Medicina de São José do Rio Preto · BRIrmandade da Santa Casa de Misericórdia de São Paulo · BRUniversidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de Minas Gerais · BRUniversidade Salgado de Oliveira · BRFundação Oswaldo Cruz · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHospital de Clínicas Universidade Federal do Paraná · BRHospital Universitário de Brasília · BRMater Dei Hospital · BRUniversidade Federal de Uberlândia · BRUniversidade Federal do Maranhão · BRUniversidade Federal do Rio Grande do Sul · BRUniversidade Luterana do Brasil · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19).

methodsThis is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil's federal law recommendations.

resultsThe results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment's health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated.

conclusionsIn Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.

Indexed as

Breast FeedingGuideline AdherenceHygieneBrazilCOVID-19Cross-Sectional StudiesDisease OutbreaksFemaleHospitalsHumansMaternal Health ServicesPandemicsPregnancySurveys and QuestionnairesBrazilBreastfeedingBreastfeeding guidelinesBreastfeeding practicesCOVID-19Milk bankPublic healthSkin-to-skin

Identifiers

PMID33789708
PMCPMC8010275
OpenAlexW3118356958

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.