No Cover Image

Journal article 684 views 75 downloads

Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021

Hope Jones, Mike Seaborne Orcid Logo, Mohamed Mhereeg, Michaela James Orcid Logo, Tash Kennedy Kennedy Orcid Logo, Amrita Bandyopadhyay, Sinead Brophy Orcid Logo

BMJ Paediatrics Open, Volume: 7, Issue: 1, Start page: e001907

Swansea University Authors: Hope Jones, Mike Seaborne Orcid Logo, Mohamed Mhereeg, Michaela James Orcid Logo, Tash Kennedy Kennedy Orcid Logo, Amrita Bandyopadhyay, Sinead Brophy Orcid Logo

  • 63897.VOR.pdf

    PDF | Version of Record

    © Author(s) 2023. Distributed under the terms of a Creative Commons Attribution 4.0 Licence (CC BY 4.0).

    Download (420.03KB)

Abstract

Objectives: The WHO recommends exclusive breastfeeding for the first 6 months of life. This study aimed to examine the impact the pandemic had on breastfeeding uptake and duration, and whether intention to breastfeed is associated with longer duration of exclusive breastfeeding. Methods: A cohort st...

Full description

Published in: BMJ Paediatrics Open
ISSN: 2399-9772
Published: BMJ 2023
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa63897
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract: Objectives: The WHO recommends exclusive breastfeeding for the first 6 months of life. This study aimed to examine the impact the pandemic had on breastfeeding uptake and duration, and whether intention to breastfeed is associated with longer duration of exclusive breastfeeding. Methods: A cohort study using routinely collected, linked healthcare data from the Secure Anonymised Information Linkage databank. All women who gave birth in Wales between 2018 and 2021 recorded in the Maternal Indicators dataset were asked about intention to breastfeed. These data were linked with the National Community Child Health Births and Breastfeeding dataset to examine breastfeeding rates. Results: Intention to breastfeed was associated with being 27.6 times more likely to continue to exclusively breastfeed for 6 months compared with those who did not intend to breastfeed (OR 27.6, 95% CI 24.9 to 30.7). Breastfeeding rates at 6 months were 16.6% prepandemic and 20.5% in 2020. When compared with a survey population, the initial intention to breastfeed/not breastfeed only changes for about 10% of women. Conclusion: Women were more likely to exclusively breastfeed for 6 months during the pandemic compared with before or after the pandemic. Arguably, interventions which enable families to spend more time with their baby such as maternal and paternal leave may help improve breastfeeding duration. The biggest predictor of breastfeeding at 6 months was intention to breastfeed. Therefore, targeted interventions during pregnancy to encourage motivation to breastfeed could improve duration of breastfeeding.
Keywords: Breastfeeding, COVID-19 pandemic, data study, Born in Wales Cohort
College: Faculty of Medicine, Health and Life Sciences
Funders: Swansea University. This work is funded by the National Centre for Population Health and Wellbeing Research (grant number AMS103836) and the National Core Studies funded by the Medical Research Council (grant number MC_PC_20030).
Issue: 1
Start Page: e001907