European journal of midwifery · 2025
Longitudinal survey of knowledge, attitude, and practice of breastfeeding during the COVID-19 pandemic.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ananta Pattaraporn, Chomtho Sirinuch, Khabuan Siriporn, Mekangkul Eakkarin, Wannaphahoon Kamolmart, Maitreechit Duangporn, Gallier Sophie, Suteerojtrakool Orapa
Аннотация
INTRODUCTION: Concerns 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.
METHODS: A 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.
RESULTS: A 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.
CONCLUSIONS: Maternal 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 REGISTRATION: The 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.
METHODS: A 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.
RESULTS: A 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.
CONCLUSIONS: Maternal 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 REGISTRATION: The 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.