Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study

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Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorUniversidade Federal de São Paulo (UNIFESP)-
Autor(es): dc.contributorKing's College London-
Autor(es): dc.contributorUniversidade Estadual de Campinas (UNICAMP)-
Autor(es): dc.contributorFaculdade de Medicina da Universidade do Estado do Amazonas-
Autor(es): dc.contributorUniversidade Federal do Maranhão-
Autor(es): dc.contributorHospital Maternidade Carmela Dutra-
Autor(es): dc.contributorMaternidade Perinatal Laranjeiras-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversidade Federal do Rio Grande do Sul-
Autor(es): dc.contributorFaculdade de Medicina de São José do Rio Preto-
Autor(es): dc.contributorHospital das Clínicas da Faculdade de Medicina de Marília-
Autor(es): dc.contributorFaculdade de Ciências Médicas da Santa Casa de São Paulo-
Autor(es): dc.contributorUniversidade Luterana do Brasil-
Autor(es): dc.contributorUniversidade Federal de Uberlândia (UFU)-
Autor(es): dc.contributorUniversidade Federal do Paraná (UFPR)-
Autor(es): dc.contributorCampos dos Goytacazes-
Autor(es): dc.creatorGonçalves-Ferri, Walusa Assad-
Autor(es): dc.creatorCoca, Kelly Pereira-
Autor(es): dc.creatorMartins-Celini, Fábia Pereira-
Autor(es): dc.creatorChang, Yan-Shing-
Autor(es): dc.creatorFerreira, Raquel Santos-
Autor(es): dc.creatorde Siqueira Caldas, Jamil Pedro-
Autor(es): dc.creatorFerreira, Rodrigo Duarte-
Autor(es): dc.creatorMarques, Patrícia Franco-
Autor(es): dc.creatorSonini, Thaise Cristina Branchee-
Autor(es): dc.creatorMoraes, Viviane Christina Cortez-
Autor(es): dc.creatorde Carvalho Pelicia, Simone Manso-
Autor(es): dc.creatorNunes, Leandro Meireles-
Autor(es): dc.creatorContrucci, Bruno Antunes-
Autor(es): dc.creatorSuzuki, Edson Koji-
Autor(es): dc.creatorMagalhães, Maurício-
Autor(es): dc.creatorde Jesus Hartmann Nader, Paulo-
Autor(es): dc.creatorde Lima Mota Ferreira, Daniela Marques-
Autor(es): dc.creatorJavorsky, Juliane Barleta-
Autor(es): dc.creatorde Fátima Afonso Dias, Laura-
Autor(es): dc.creatorCavasin, Bruna Pinto Dias-
Autor(es): dc.creatorde Mesquita, Ana Ruth Antunes-
Autor(es): dc.creatorde Oliveira Pinto, Rebecca Meirelles-
Autor(es): dc.creatorFonseca, Luciana Mara Monti-
Autor(es): dc.creatorda Silva Gherardi-Donato, Edilaine Cristina-
Autor(es): dc.creatorAragon, Davi Casale-
Autor(es): dc.creatorRoosch, Anelise-
Data de aceite: dc.date.accessioned2025-08-21T19:21:11Z-
Data de disponibilização: dc.date.available2025-08-21T19:21:11Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-10-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1111/jonm.13854-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/248996-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/248996-
Descrição: dc.descriptionAim: 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.-
Descrição: dc.descriptionDepartment of Pediatrics University of São Paulo-
Descrição: dc.descriptionDepartamento de Enfermagem na Saúde da Mulher Ana Abrão Breastfeeding Center Universidade Federal de São Paulo-
Descrição: dc.descriptionFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care King's College London-
Descrição: dc.descriptionInstituto da Criança e do Adolescente University of São Paulo-
Descrição: dc.descriptionDepartment of Pediatrics University of Campinas-
Descrição: dc.descriptionSaúde da criança e do Adolescente Faculdade de Medicina da Universidade do Estado do Amazonas-
Descrição: dc.descriptionHospital Universitário Universidade Federal do Maranhão-
Descrição: dc.descriptionHospital Maternidade Carmela Dutra-
Descrição: dc.descriptionMaternidade Perinatal Laranjeiras-
Descrição: dc.descriptionDepartament of Pediatrics Universidade Estadual Paulista-
Descrição: dc.descriptionDepartament of Pediatrics Universidade Federal do Rio Grande do Sul-
Descrição: dc.descriptionDepartament of Pediatrics Faculdade de Medicina de São José do Rio Preto-
Descrição: dc.descriptionUnidade Materno Infantil Hospital das Clínicas da Faculdade de Medicina de Marília-
Descrição: dc.descriptionServiço de Neonatologia da Unidade Pediatria e Puericultura Faculdade de Ciências Médicas da Santa Casa de São Paulo-
Descrição: dc.descriptionDepartment of Pediatrics Universidade Luterana do Brasil-
Descrição: dc.descriptionDepartment of Pediatrics Universidade Federal de Uberlândia-
Descrição: dc.descriptionDepartament of Pediatrics Hospital de Clínicas da Universidade Federal do Paraná-
Descrição: dc.descriptionUTI Neonatal Nicola Albano Campos dos Goytacazes-
Descrição: dc.descriptionDepartment of Maternal-Infant and Public Health Nursing University of São Paulo-
Descrição: dc.descriptionDepartamento de Enfermagem Psiquiátrica e Ciências Humanas University of São Paulo-
Descrição: dc.descriptionDepartament of Pediatrics Universidade Estadual Paulista-
Formato: dc.format4064-4070-
Idioma: dc.languageen-
Relação: dc.relationJournal of Nursing Management-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectbreastfeeding-
Palavras-chave: dc.subjectCOVID-19 pandemic-
Palavras-chave: dc.subjectdeveloping country-
Palavras-chave: dc.subjectlow-income population-
Palavras-chave: dc.subjectSARs-CoV-2-
Título: dc.titleProtective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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