Factors associated with the length of breastfeeding during the COVID-19 pandemic: a survival study.
Thales Philipe Rodrigues da Silva, Lorrayne Oliveira Dias Soares, Luana Carolina Dos Santos and 5 others
PMID 39178020WHAT IT FOUND
COVID-19 symptoms or signs were not associated with weaning.
Cesarean birth and self-reported brown skin color were associated with higher weaning incidence. Of 410 women reached, 53.66% had weaned.
Key findings
01Women with or without COVID-19 symptoms or signs did not differ significantly in weaning (p = 0.348).
02Among 410 women reached at follow-up, 53.66% had weaned.
03Weaning incidence was 121.93 per 1000 person-days after cesarean birth and 113.58 for self-reported brown skin color, compared with 93.72 after vaginal birth, 87.67 for self-reported white skin color and 80.11 for self-reported black skin color.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 410 of the 1,729 women included were reached at follow-up, and women who could not be contacted by telephone were lost, so the weaning results may not represent the original group. The study was done only in three public maternity hospitals in Belo Horizonte, so it may not apply to private hospitals or other parts of Brazil. Breastfeeding and pandemic-related information were partly collected by telephone, with possible memory bias and no universal SARS-CoV-2 testing. The sample may have missed higher-income women using private services and lower-income women without telephone access. Because this was an observational cohort, it cannot show that cesarean birth or self-reported skin color caused earlier weaning.
Declared interests
The supplied publication types indicate non-U.S. government research support. No specific funding source or author conflicts declaration is given in the article text.
The easy way to misread this
Do not conclude that COVID-19 symptoms or signs caused early weaning. The study found no significant difference in weaning between women with and without symptoms (p = 0.348).