Publication: Monitoring the sustainability of a breastfeeding guideline during the COVID-19 pandemic: a mixed-methods study
Authors
Harillo Acevedo, Francisco David ; Molina Rodríguez, Alonso ; Ramos Morcillo, Antonio Jesús ; Suárez Cortés, María ; Ruzafa Martínez, María
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Facultad de Enfermería
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Publisher
Wiley
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DOI
https://doi.org/10.1111/jan.16827
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info:eu-repo/semantics/article
Description
Abstract
Aim: To analyse the impact of the COVID- 19 pandemic on the sustainability of a breastfeeding (BF) clinical practice guideline (CPG) for women without COVID- 19, throughout the 5 waves of the pandemic. Desing: A mixed- methods design was utilised. Methods: For the quantitative approach, an interrupted time series design was utilised, as well as the analysis of CPG sustaina bility reports as a qualitative approach. The study setting was in a health area in the Spanish health system from April 2019, until October 2021. The sample was composed of 2239 mother–infant dyads. Results: The exclusive- BF rate at hospital discharge obtained values between 90% and 94.8%, without statistically significant changes. A significant increase in the risk of not starting BF in the first feeding was observed (adjusted odds ratio = 9.36; 95% CI: 1.04–84.13), between the pre- pandemic period and the first wave. Skin- to- skin contact (SSC) decreased in the first wave to 82.20%, and the oscillations observed throughout the pandemic were not statistically significant. In general, the qualitative indicators were maintained. A decrease was observed in the spaces used for postpartum care due to the re- assigning to the intensive care unit. Also, the acquisition of materials and equipment decreased. Conclusions: The measures implemented for the sustainability of the BF CPG during the 5 waves of the pandemic were positive. The programmes of implementation of BF guidelines were shown to resist the COVID- 19 pandemic. Impact: Our findings contribute to the understanding and evolution of the main indicators of the sustainability of a BF CPG on COVID- 19 context, providing details on the magnitude of the effect and the process of change. Reporting Method: The Preferred Reporting Items for observational studies (STROBE) checklist was followed. Patient or Public Contribution: No Patient or Public Contribution.
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Citation
Journal of Advanced Nursing, 2025; 0:1–11
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