Educational Strategy for Breastfeeding Maintenance During the COVID-19 Post-Pandemic Period in Popayán
DOI:
https://doi.org/10.5294/aqui.2023.23.3.5Keywords:
Strategies, life change events, breastfeeding, mothers, newborn infantAbstract
Introduction: The scientific literature indicates that the COVID-19 pandemic has exerted an important impact on delivery care and breastfeeding, such as abandoning practices like skin-to-skin contact and early breastfeeding initiation, which offer major benefits for maternal-child health. Objective: To know the experiences undergone by mothers of hospitalized breastfeeding infants regarding educational strategies for breastfeeding maintenance during the COVID-19 post-pandemic period. Materials and methods: A qualitative study with a phenomenological approach. The population was comprised of 39 mothers of newborns hospitalized in the neonatal unit of the Susana López de Valencia hospital, Popayán (Cauca). Semi-structured interviews and a discussion group consisting of randomly selected mothers who did not know each other were employed as techniques to obtain the information. The semi-structured interviews eased an in-depth search for information until reaching data saturation. Results: Five categories emerged from the analysis: 1) The mothers’ knowledge about breastfeeding; 2) Barriers identified by the mothers in the educational process; 3) Nurses’ willingness to provide support, listen and help; 4) The best strategy concerning breastfeeding education; and 5) The pandemic as a factor that increases fear and apprehension during hospitalization of a child. Conclusions: Knowing the experiences undergone by mothers of hospitalized children regarding breastfeeding allows us to get closer to proposing an educational strategy that includes their needs, previous knowledge, facilitating elements and barriers, to maintain breastfeeding during hospitalization.
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Lalaguna Mallada P, Díaz-Gómez NM, Costa Romero M, San Feliciano Martín L, Gabarrell Guiu M. The impact of covid-19 pandemic on breastfeeding and birth care. The importance of recovering good practices. Rev Esp Salud Pública. 2020;94:e202007083.
Davanzo R, Moro G, Sandri F, Agosti M, Moretti C, Mosca F. Breastfeeding and coronavirus disease-2019: Ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal & Perinatal Societies. Maternal and Child Nutrition. 2020l;16(3):13010. DOI: https://doi.org/10.1111/mcn.13010
Breastfeeding. Organización Mundial de la Salud, 2018 [actualizado 4/09/2023]. Disponible en: https://www.who.int/news-room/facts-in-pictures/detail/breastfeeding
Bonvecchio A; Pacheco Miranda S, Irizarry L, Herrera Cuenca M, Tijerina Walls MV, et al. Recomendaciones de micronutrientes para grupos vulnerables en contexto de desnutrición, durante la pandemia de covid-19 en Latinoamérica. Posición de un Grupo de Expertos en Nutrición. Archivos Latinoamericanos de Nutrición. 2019;69(4). DOI: https://doi.org/10.37527/2019.69.4.006
Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: a systematic review. BMC Public Health. 2013;13(3):20. DOI: https://doi.org/10.1186/1471-2458-13-S3-S20
Morales-Aguilar RS, Pardo-Vásquez AC, Lastre-Amell GE. Application of theoretical and methodological components of nursing care. Rev Cienc Cuidad. 2016;13(2):107-120. DOI: https://doi.org/10.22463/17949831.766
Fuster Guillen DE. Investigación cualitativa: método fenomenológico hermenéutico. Avances en investigación cualitativa en educación. Propósitos y Representaciones. 2019;7(1):201-29. DOI: https://doi.org/10.20511/pyr2019.v7n1.267
Morgan DL (1998) The focus group guidebook. Newbury Park: SAGE Publications. DOI: https://doi.org/10.4135/9781483328164
República de Colombia, Ministerio de Salud. Resolución No 8430 de 1993; 1993. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Asociación Médica Mundial. Declaración de Helsinki de la AMM – Principios éticos para las investigaciones médicas en seres humanos; 2017. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Fundación Salutia. Plan decenal de lactancia materna y alimentación complementaria 2021 – 2030. Bogotá: Fundación Salutia; 2021 https://www.icbf.gov.co/system/files/pdlmac_2021_2030_vf.pdf
Minchala-Urgiles RE, Ramírez-Coronel AA, Caizaguano-Dutan MK, Estrella-González MD, Altamirano-Cárdenas LF, Andrade-Molina MC, et al. La lactancia materna como alternativa para la prevención de enfermedades materno-infantiles: Revisión sistemática. Archivos Venezolanos de Farmacología y Terapéutica. 2020;39(8):941-7. https://www.redalyc.org/articulo.oa?id=55969796017
UNICEF. Lactancia materna; s.f. https://www.unicef.org/mexico/lactancia-materna
Tamayo-Velazquez O, Gómez-Tejeda JJ, Dieguez-Guach RA, Iparraguirre-Tamayo A, Perez-Abreu MR. Intervención educativa sobre los beneficios inmunológicos de la lactancia materna para los lactantes. Rev Cubana de Medicina General Integral. 2022; 38(2). http://www.revmgi.sld.cu/index.php/mgi/article/view/1484
León Alayo Melba Lourdes, Huertas-Angulo Flor. Cuidados de enfermería que fortalecen la lactancia materna en neonatos de un hospital. Rev Cubana de Enfermería. 2021;37(2):e3559. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192021000200002&lng=es
Morales López S, Colmenares Castaño M, Cruz-Licea V, Iñarritu Pérez MC, Maya Rincón N, Vega Rodríguez A, et al. Recordemos lo importante que es la lactancia. Rev Fac Med (Mex). 2022;65(2). DOI: https://doi.org/10.22201/fm.24484865e.2022.65.2.02
Castelo-Rivas WP, Pincay-Intriago JS, Porras-Castellano JP, Vera-Rodríguez M N. Factores que influyen en el destete precoz de lactantes pertenecientes al Centro de Salud Augusto Egas, Ecuador. Rev Inf Cient. 2021;100(5):e3646. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332021000500010&lng=es
Bazzarella AZ, Pereira EM, Faria ICL, Garoze GL, Pontes MB de, Poton WL. Aleitamento materno: conhecimento e prática dos profissionais de saúde e atividades desenvolvidas pelas unidades da atenção primária / Breastfeeding: knowledge and practice of health personnel and activities developed by primary care units. BJDV. 2022; 8(4):32453-72. DOI: https://doi.org/10.34117/bjdv8n4-636
Novillo-Luzuriaga N, Robles-Amaya J, Calderón-Cisneros J. Beneficios de la lactancia materna y factores asociados a la interrupción de esta práctica. Enferm Investig. [Internet]. 9 de octubre de 2019 [citado 7 de diciembre de 2022];4(5):29-35. DOI: https://doi.org/10.29033/enfi.v4i5.729
Kyei-Nimakoh M, Carolan-Olah M, McCann TV. Access barriers to obstetric care at health facilities in sub-Saharan Africa—a systematic review. Syst Rev. 2017;6(110). DOI: https://doi.org/10.1186/s13643-017-0503-x
Esselmont E, Moreau K, Aglipay M, Pound CM. Residents’ breastfeeding knowledge, comfort, practices, and perceptions: results of the Breastfeeding Resident Education Study (BRESt). BMC Pediatrics. 2018;18:170. DOI: https://doi.org/10.1186/s12887-018-1150-7
Ceulemans M, Verbakel JY, Van Calsteren K, Eerdekens A, Allegaert K, Foulon V. SARS-CoV-2 Infections and Impact of the COVID-19 Pandemic in Pregnancy and Breastfeeding: Results from an Observational Study in Primary Care in Belgium. Int J Environ Res Public Health. 2020;17:6766. DOI: https://doi.org/10.3390/ijerph17186766
Monroe M, Linares AM, Ashford K. Women’s Perceptions of Hospital-Based Breastfeeding Care and the Association With Exclusive Breastfeeding. NWH Journal. 2021;25(4):257-63. DOI: https://doi.org/10.1016/j.nwh.2021.05.008
Lazzerini M, Covi B, Mariani I, Drglin Z, Arendt M, Nedberg IH, et al. Quality of facility-based maternal and newborn care around the time of childbirth during the covid-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region. The Lancet Regional Health – Europe. 2022;13:100268. DOI: https://doi.org/10.1016/j.lanepe.2021.100268
Samano R. Barreras y facilitadores para la práctica de lactancia materna exclusiva en un grupo de madres de la Ciudad de México. Archivos latinoamericanos de nutrición. 2018;68(1).
Martín- Iglesias S, Santamaría-Martín MJ, Alonso-Álvarez A, Rico-Blázquez M, Cura-González I, Rodríguez-Barrientos R, et al. Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study. BMC Pregnancy Childbirth. 2018;18(59). DOI: https://doi.org/10.1186/s12884-018-1679-3
Reggeti Márquez MI, Miranda Sánchez MS. Experiencias educativas del centro de atención nutricional infantil Antímano Cania durante la pandemia por covid-19. Archivos Latinoamericanos de Nutrición. 2021;71:460. https://search-ebscohostcom.acceso.unicauca.edu.co/login.aspx?direct=true&db=lth&AN=153637829&lang=es&site=ehost-live
Dantas AC, Santos W, Nascimento AAA, Oliveira LAM. Reflecting on the context of breastfeeding during the covid-19 pandemic Enferm. foco (Brasília). 2020;11(2):236-9. DOI: https://doi.org/10.21675/2357-707X.2020.v11.n2.ESP.3616
Jácome Á, Castañeda-Orjuela C, Barahona N. Indirect effects of the SARS CoV-2 pandemic on the prevalence of breastfeeding: Modeling its impact. Biomédica. 2021;41(Supl.2):118-29. DOI: https://doi.org/10.7705/biomedica.5917
Anifah F, Taufiqoh S, Ma’rifah Umi, Supatmi, S. Anxiety and Behavior of Breastfeeding Mothers During the COVID-19 Pandemic in Surabaya Indonesia. Gaceta Médica de Caracas. 2022;130(1 suppl):131-S136. DOI: https://doi.org/10.47307/GMC.2022.130.s1.24
Ng, YPM, Low YF, Goh XL, Fok D, Amin Z. Breastfeeding in COVID-19: A Pragmatic Approach. Am J Perinatology. 2020;37(3):0040-1716506. https://doi.org/10.1055/s-0040-1716506
Kebede AA, Taye BT, Wondie KY, Tiguh AE, Eriku GA, Mihret MS. Health care providers’ awareness of breastfeeding practice recommendations during covid-19 pandemic and associated factors in Northwest Ethiopia, 2021: A multicenter study. PLoS One. 2021;16(12):e0260762. DOI: https://doi.org/10.1371/journal.pone.0260762
Walker K, Green J, Petty J, Whiting L, Staff L, Bromley P, et al. Breastfeeding in the context of the COVID-19 pandemic: A discussion paper. J Neonatal Nursing. 2022;28(1):9-15. DOI: https://doi.org/10.1016/j.jnn.2021.08.003
Wesołowska A, Orczyk-Pawiłowicz M, Bzikowska-Jura A, Gawrońska M, Walczak B. Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being. Int J Environ Res Public Health. 2022;19(6):3347. DOI: https://doi.org/10.3390/ijerph19063347
Ibarra Peso J, Bustamante Guzmán C, Torres Muñoz J. Efectos de la covid-19 en la lactancia materna en Chile durante el 2020. Rev Ciencias Médicas. 2021;25(4):e5115. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942021000400018&lng=es
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