ArticleEuropean journal of midwifery2025
Longitudinal survey of knowledge, attitude, and practice of breastfeeding during the COVID-19 pandemic.
Article in European journal of midwifery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionConcerns about viral transmission through breast milk may impact breastfeeding recommendations and success. This study examined the changes in maternal knowledge, attitudes, and practices (KAP) related to breastfeeding and COVID-19 transmission during the pandemic.
methodsA longitudinal survey of Thai mothers was conducted when infants were 2, 12, and aged 24 weeks (March 2022-April 2023). The questionnaire, assessing knowledge of SARS-CoV-2 transmission, attitudes toward breastfeeding, and hygiene practices, was validated using the Item-Objective Congruence index. Good KAP was defined as scoring >60% in each section. Associated factors, including maternal age, education level, occupation, breastfeeding experience, and history of recent COVID-19 illness, were analyzed using multivariable linear regression.
resultsA total of 195 mothers (mean age: 30.6 ± 6 years) completed the survey. One-third had good KAP, with an increasing trend over 24 weeks. Knowledge and practice scores among mothers without a recent history of COVID-19 illness demonstrated a positive change at an infant age of 24 weeks (95% CI: 0.08-0.96 and 0.02-0.76, respectively), while attitude scores remained unchanged. Maternal age at delivery was positively associated with the attitude changes (β=0.19; 95% CI: 0.02-0.20), whereas maternal education level and monthly family income were negatively associated. Better knowledge and attitudes about COVID-19 transmission during breastfeeding at 2 and 12 weeks were linked to a higher likelihood of predominant breastfeeding at 24 weeks postpartum.
conclusionsMaternal knowledge, attitudes, and practices (KAP) improved over 24 weeks, with significant gains in knowledge and practice among mothers who had not recently contracted COVID-19. Early knowledge and attitude were linked to sustained predominant breastfeeding, highlighting the importance of targeted education. CLINICAL
trial registrationThe study was part of the study entitled 'Infant feeding survey during COVID-19 pandemic' registered on the official website of Thaiclinicaltrials.org. IDENTIFIER: ID TCTR20220215012.
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