Evidence map›Paper›PMID 36205220›Full record

ArticleJournal of nursing management2022

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

Walusa Assad Gonçalves-Ferri, Kelly Pereira Coca, Fábia Pereira Martins-Celini, Yan-Shing Chang, Raquel Santos Ferreira, Jamil Pedro de Siqueira Caldas, Rodrigo Duarte Ferreira, Patrícia Franco Marques, Thaise Cristina Branchee Sonini, Viviane Christina Cortez Moraes and 16 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

26 authors at 15 institutions in 2 countries.

Walusa Assad Gonçalves-FerriDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0002-7174-0044
Kelly Pereira CocaDepartamento de Enfermagem na Saúde da Mulher, Ana Abrão Breastfeeding Center, Universidade Federal de São Paulo, São Paulo, Brazil.
Fábia Pereira Martins-CeliniDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.
Yan-Shing ChangFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Raquel Santos FerreiraInstituto da Criança e do Adolescente, University of São Paulo, São Paulo, Brazil.
Jamil Pedro de Siqueira CaldasDepartment of Pediatrics, University of Campinas, Campinas, Brazil.
Rodrigo Duarte FerreiraSaúde da criança e do Adolescente, Faculdade de Medicina da Universidade do Estado do Amazonas, Manaus, Brazil.
Patrícia Franco MarquesHospital Universitário, Universidade Federal do Maranhão, São Luiz, Brazil.
Thaise Cristina Branchee SoniniHospital Maternidade Carmela Dutra, Florianópolis, Brazil.
Viviane Christina Cortez MoraesMaternidade Perinatal Laranjeiras, Rio de Janeiro, Brazil.
Simone Manso de Carvalho PeliciaDepartament of Pediatrics, Universidade Estadual Paulista, Botucatu, Brazil.
Leandro Meireles NunesDepartament of Pediatrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Bruno Antunes ContrucciDepartament of Pediatrics, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brazil.ORCID https://orcid.org/0000-0001-5507-4443
Edson Koji SuzukiUnidade Materno Infantil, Hospital das Clínicas da Faculdade de Medicina de Marília, Marília, Brazil.
Maurício MagalhãesServiço de Neonatologia da Unidade Pediatria e Puericultura, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil.
Paulo de Jesus Hartmann NaderDepartment of Pediatrics, Universidade Luterana do Brasil, Canoas, Brazil.
Daniela Marques de Lima Mota FerreiraDepartment of Pediatrics, Universidade Federal de Uberlândia, Uberlândia, Brazil.
Juliane Barleta JavorskyDepartament of Pediatrics, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil.
Laura de Fátima Afonso DiasUTI Neonatal Nicola Albano, Campos dos Goytacazes, Rio de Janeiro, Brazil.
Bruna Pinto Dias CavasinDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.
Ana Ruth Antunes de MesquitaDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.
Rebecca Meirelles de Oliveira PintoDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.
Luciana Mara Monti FonsecaDepartment of Maternal-Infant and Public Health Nursing, University of São Paulo, Ribeirão Preto, Brazil.
Edilaine Cristina da Silva Gherardi-DonatoDepartamento de Enfermagem Psiquiátrica e Ciências Humanas, University of São Paulo, Ribeirão Preto, Brazil.
Davi Casale AragonDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.
Anelise RooschDepartment of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.
Universidade de Ribeirão Preto · BRUniversidade de São Paulo · BRFaculdade de Ciências Médicas da Santa Casa de São Paulo · BRFaculdade de Medicina de Marília · BRFaculdade de Medicina de São José do Rio Preto · BRHospital de Clínicas Universidade Federal do Paraná · BRHospital Universitário da Universidade Federal do Maranhão · BRKing's College London · GBTeccampos (Brazil) · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal de São Paulo · BRUniversidade Federal de Uberlândia · 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

aimThe aim was to evaluate the feasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers.

backgroundBreastfeeding 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.

methodsA 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.

resultsOne 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).

conclusionThe 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.

Indexed as

breastfeedingCOVID‐19 pandemicdeveloping countrylow‐income populationSARs‐CoV‐2

Identifiers

PMID36205220
PMCPMC9874786
OpenAlexW4303518266

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.