Evidence map›Paper›PMID 36240984›Full record

ArticleAcademic pediatrics2023

Association of Severe Acute Respiratory Syndrome Coronavirus 2 Infection With Early Breastfeeding.

Henry H Bernstein, Eric J Slora, Tara Mathias-Prabhu, Hee Su Park, Cathie Spino

Open access · bronzeAbstract read
In one paragraph

Article in Academic pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

5 authors at 3 institutions in 1 country.

Henry H BernsteinCohen Children's Medical Center (HH Bernstein, EJ Slora, T Mathias-Prabhu, and HS Park), New Hyde Park, NY; Zucker School of Medicine at Hofstra/Northwell (HH Bernstein), Hempstead, NY. Electronic address: hbernstein@northwell.edu.
Eric J SloraCohen Children's Medical Center (HH Bernstein, EJ Slora, T Mathias-Prabhu, and HS Park), New Hyde Park, NY.
Tara Mathias-PrabhuCohen Children's Medical Center (HH Bernstein, EJ Slora, T Mathias-Prabhu, and HS Park), New Hyde Park, NY.
Hee Su ParkCohen Children's Medical Center (HH Bernstein, EJ Slora, T Mathias-Prabhu, and HS Park), New Hyde Park, NY.
Cathie SpinoUniversity of Michigan (C Spino), Ann Arbor, Mich.
Cohen Children's Medical Center · USHofstra University · USUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe association of maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) status before delivery with breastfeeding is unknown. This study compares breastfeeding initiation, exclusivity, and duration between SARS-CoV-2-positive (+) and SARS-CoV-2-negative (-) mothers during the first 2 months of their newborns' lives.

methodsA single center, retrospective cohort study of pediatric contacts during the first 2 months in a diverse mother-infant population (n = 285) compared breastfeeding outcomes by maternal SARS-CoV-2 status during a pandemic surge. Infants of SARS-CoV-2 positive mothers were also tested before discharge. Comparison of maternal demographics (age, race, ethnicity), maternal/infant characteristics (parity, insurance, delivery mode, infant sex, hospital length of stay), and pediatric contacts by maternal SARS-CoV-2 status included Fisher's exact and Wilcoxon tests and Poisson regression for count outcomes. Logistic regression compared breastfeeding outcomes between the 2 groups, adjusting for potential confounders and effect modifiers.

resultsMaternal demographics and maternal/infant characteristics were similar. While 19% of mothers tested positive for SARS-CoV-2 (n = 54), their infants were all negative. SARS-CoV-2 positive mothers had fewer in-person, but more virtual pediatric contacts. After controlling for the above variables, SARS-CoV-2 positive mothers had lower odds of breastfeeding initiation within 1 to 7 days of life (78% vs 88%; adjusted odds ratio [aOR] = 0.40, 95% confidence interval [CI]: 0.17, 0.96) and of any breastfeeding during month 2 (54% vs 76%; aOR = 0.37, 95% CI: 0.16, 0.86) compared with SARS-CoV-2 negative mothers.

conclusionsMaternal SARS-CoV-2 positivity at delivery was independently associated with less initiation and shorter duration of any breastfeeding during month 2. SARS-CoV-2 positive women would likely benefit from additional breastfeeding support during pandemic surges.

Indexed as

COVID-19Pregnancy Complications, InfectiousBreast FeedingChildFemaleHumansInfantInfant, NewbornMothersPregnancyRetrospective StudiesSARS-CoV-2breastfeeding durationbreastfeeding exclusivitycoronavirus disease 2019pandemicsevere acute respiratory syndrome coronavirus 2

Identifiers

PMID36240984
PMCPMC9554206
OpenAlexW4304689940

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.