Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1111/jonm.13854 http://hdl.handle.net/11449/248996 |
Resumo: | Aim: The aim was to evaluate the feasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers. Background: Breastfeeding 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. Methods: A 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. Results: One 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). Conclusion: The 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. |
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Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort studybreastfeedingCOVID-19 pandemicdeveloping countrylow-income populationSARs-CoV-2Aim: The aim was to evaluate the feasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers. Background: Breastfeeding 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. Methods: A 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. Results: One 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). Conclusion: The 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.Department of Pediatrics University of São PauloDepartamento de Enfermagem na Saúde da Mulher Ana Abrão Breastfeeding Center Universidade Federal de São PauloFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care King's College LondonInstituto da Criança e do Adolescente University of São PauloDepartment of Pediatrics University of CampinasSaúde da criança e do Adolescente Faculdade de Medicina da Universidade do Estado do AmazonasHospital Universitário Universidade Federal do MaranhãoHospital Maternidade Carmela DutraMaternidade Perinatal LaranjeirasDepartament of Pediatrics Universidade Estadual PaulistaDepartament of Pediatrics Universidade Federal do Rio Grande do SulDepartament of Pediatrics Faculdade de Medicina de São José do Rio PretoUnidade Materno Infantil Hospital das Clínicas da Faculdade de Medicina de MaríliaServiço de Neonatologia da Unidade Pediatria e Puericultura Faculdade de Ciências Médicas da Santa Casa de São PauloDepartment of Pediatrics Universidade Luterana do BrasilDepartment of Pediatrics Universidade Federal de UberlândiaDepartament of Pediatrics Hospital de Clínicas da Universidade Federal do ParanáUTI Neonatal Nicola Albano Campos dos GoytacazesDepartment of Maternal-Infant and Public Health Nursing University of São PauloDepartamento de Enfermagem Psiquiátrica e Ciências Humanas University of São PauloDepartament of Pediatrics Universidade Estadual PaulistaUniversidade de São Paulo (USP)Universidade Federal de São Paulo (UNIFESP)King's College LondonUniversidade Estadual de Campinas (UNICAMP)Faculdade de Medicina da Universidade do Estado do AmazonasUniversidade Federal do MaranhãoHospital Maternidade Carmela DutraMaternidade Perinatal LaranjeirasUniversidade Estadual Paulista (UNESP)Universidade Federal do Rio Grande do SulFaculdade de Medicina de São José do Rio PretoHospital das Clínicas da Faculdade de Medicina de MaríliaFaculdade de Ciências Médicas da Santa Casa de São PauloUniversidade Luterana do BrasilUniversidade Federal de Uberlândia (UFU)Universidade Federal do Paraná (UFPR)Campos dos GoytacazesGonçalves-Ferri, Walusa AssadCoca, Kelly PereiraMartins-Celini, Fábia PereiraChang, Yan-ShingFerreira, Raquel Santosde Siqueira Caldas, Jamil PedroFerreira, Rodrigo DuarteMarques, Patrícia FrancoSonini, Thaise Cristina BrancheeMoraes, Viviane Christina Cortezde Carvalho Pelicia, Simone Manso [UNESP]Nunes, Leandro MeirelesContrucci, Bruno AntunesSuzuki, Edson KojiMagalhães, Mauríciode Jesus Hartmann Nader, Paulode Lima Mota Ferreira, Daniela MarquesJavorsky, Juliane Barletade Fátima Afonso Dias, LauraCavasin, Bruna Pinto Diasde Mesquita, Ana Ruth Antunesde Oliveira Pinto, Rebecca MeirellesFonseca, Luciana Mara Montida Silva Gherardi-Donato, Edilaine CristinaAragon, Davi CasaleRoosch, Anelise2023-07-29T13:59:32Z2023-07-29T13:59:32Z2022-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4064-4070http://dx.doi.org/10.1111/jonm.13854Journal of Nursing Management, v. 30, n. 8, p. 4064-4070, 2022.1365-28340966-0429http://hdl.handle.net/11449/24899610.1111/jonm.138542-s2.0-85140716933Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Nursing Managementinfo:eu-repo/semantics/openAccess2023-07-29T13:59:32Zoai:repositorio.unesp.br:11449/248996Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-07-29T13:59:32Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
title |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
spellingShingle |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study Gonçalves-Ferri, Walusa Assad breastfeeding COVID-19 pandemic developing country low-income population SARs-CoV-2 |
title_short |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
title_full |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
title_fullStr |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
title_full_unstemmed |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
title_sort |
Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study |
author |
Gonçalves-Ferri, Walusa Assad |
author_facet |
Gonçalves-Ferri, Walusa Assad Coca, Kelly Pereira Martins-Celini, Fábia Pereira Chang, Yan-Shing Ferreira, Raquel Santos de Siqueira Caldas, Jamil Pedro Ferreira, Rodrigo Duarte Marques, Patrícia Franco Sonini, Thaise Cristina Branchee Moraes, Viviane Christina Cortez de Carvalho Pelicia, Simone Manso [UNESP] Nunes, Leandro Meireles Contrucci, Bruno Antunes Suzuki, Edson Koji Magalhães, Maurício de Jesus Hartmann Nader, Paulo de Lima Mota Ferreira, Daniela Marques Javorsky, Juliane Barleta de Fátima Afonso Dias, Laura Cavasin, Bruna Pinto Dias de Mesquita, Ana Ruth Antunes de Oliveira Pinto, Rebecca Meirelles Fonseca, Luciana Mara Monti da Silva Gherardi-Donato, Edilaine Cristina Aragon, Davi Casale Roosch, Anelise |
author_role |
author |
author2 |
Coca, Kelly Pereira Martins-Celini, Fábia Pereira Chang, Yan-Shing Ferreira, Raquel Santos de Siqueira Caldas, Jamil Pedro Ferreira, Rodrigo Duarte Marques, Patrícia Franco Sonini, Thaise Cristina Branchee Moraes, Viviane Christina Cortez de Carvalho Pelicia, Simone Manso [UNESP] Nunes, Leandro Meireles Contrucci, Bruno Antunes Suzuki, Edson Koji Magalhães, Maurício de Jesus Hartmann Nader, Paulo de Lima Mota Ferreira, Daniela Marques Javorsky, Juliane Barleta de Fátima Afonso Dias, Laura Cavasin, Bruna Pinto Dias de Mesquita, Ana Ruth Antunes de Oliveira Pinto, Rebecca Meirelles Fonseca, Luciana Mara Monti da Silva Gherardi-Donato, Edilaine Cristina Aragon, Davi Casale Roosch, Anelise |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Universidade Federal de São Paulo (UNIFESP) King's College London Universidade Estadual de Campinas (UNICAMP) Faculdade de Medicina da Universidade do Estado do Amazonas Universidade Federal do Maranhão Hospital Maternidade Carmela Dutra Maternidade Perinatal Laranjeiras Universidade Estadual Paulista (UNESP) Universidade Federal do Rio Grande do Sul Faculdade de Medicina de São José do Rio Preto Hospital das Clínicas da Faculdade de Medicina de Marília Faculdade de Ciências Médicas da Santa Casa de São Paulo Universidade Luterana do Brasil Universidade Federal de Uberlândia (UFU) Universidade Federal do Paraná (UFPR) Campos dos Goytacazes |
dc.contributor.author.fl_str_mv |
Gonçalves-Ferri, Walusa Assad Coca, Kelly Pereira Martins-Celini, Fábia Pereira Chang, Yan-Shing Ferreira, Raquel Santos de Siqueira Caldas, Jamil Pedro Ferreira, Rodrigo Duarte Marques, Patrícia Franco Sonini, Thaise Cristina Branchee Moraes, Viviane Christina Cortez de Carvalho Pelicia, Simone Manso [UNESP] Nunes, Leandro Meireles Contrucci, Bruno Antunes Suzuki, Edson Koji Magalhães, Maurício de Jesus Hartmann Nader, Paulo de Lima Mota Ferreira, Daniela Marques Javorsky, Juliane Barleta de Fátima Afonso Dias, Laura Cavasin, Bruna Pinto Dias de Mesquita, Ana Ruth Antunes de Oliveira Pinto, Rebecca Meirelles Fonseca, Luciana Mara Monti da Silva Gherardi-Donato, Edilaine Cristina Aragon, Davi Casale Roosch, Anelise |
dc.subject.por.fl_str_mv |
breastfeeding COVID-19 pandemic developing country low-income population SARs-CoV-2 |
topic |
breastfeeding COVID-19 pandemic developing country low-income population SARs-CoV-2 |
description |
Aim: The aim was to evaluate the feasibility of protective measures for infants of low-income SARS-CoV-2 positive breastfeeding mothers. Background: Breastfeeding 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. Methods: A 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. Results: One 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). Conclusion: The 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. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-11-01 2023-07-29T13:59:32Z 2023-07-29T13:59:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1111/jonm.13854 Journal of Nursing Management, v. 30, n. 8, p. 4064-4070, 2022. 1365-2834 0966-0429 http://hdl.handle.net/11449/248996 10.1111/jonm.13854 2-s2.0-85140716933 |
url |
http://dx.doi.org/10.1111/jonm.13854 http://hdl.handle.net/11449/248996 |
identifier_str_mv |
Journal of Nursing Management, v. 30, n. 8, p. 4064-4070, 2022. 1365-2834 0966-0429 10.1111/jonm.13854 2-s2.0-85140716933 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Nursing Management |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4064-4070 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
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UNESP |
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UNESP |
reponame_str |
Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799965100680937472 |