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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

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DOI (Published version): 10.1136/bmjpo-2023-001907

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...

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Published in: BMJ Paediatrics Open
ISSN: 2399-9772
Published: BMJ 2023
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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. 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spelling v2 63897 2023-07-17 Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021 3fbf9b2f03a3a8f507dd35e9068bd485 Hope Jones Hope Jones true false fcc7ece0f04577ad5f283b00dd7f52cf 0000-0002-4921-7556 Mike Seaborne Mike Seaborne true false ef78c0301f61ea4c72dd0670e61f72df Mohamed Mhereeg Mohamed Mhereeg true false 9a717d184fb8f768e462d95b91e63e23 0000-0001-7047-0049 Michaela James Michaela James true false 3f6f07de33204db4c0ab665fb4b36367 0000-0002-1500-7112 Tash Kennedy Kennedy Tash Kennedy Kennedy true false 9f1e77f76a83746112ef45709bf83630 Amrita Bandyopadhyay Amrita Bandyopadhyay true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false 2023-07-17 MEDS 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. Journal Article BMJ Paediatrics Open 7 1 e001907 BMJ 2399-9772 Breastfeeding, COVID-19 pandemic, data study, Born in Wales Cohort 31 7 2023 2023-07-31 10.1136/bmjpo-2023-001907 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) 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). 2024-10-18T17:07:41.6138300 2023-07-17T12:25:44.6184007 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Hope Jones 1 Mike Seaborne 0000-0002-4921-7556 2 Mohamed Mhereeg 3 Michaela James 0000-0001-7047-0049 4 Tash Kennedy Kennedy 0000-0002-1500-7112 5 Amrita Bandyopadhyay 6 Sinead Brophy 0000-0001-7417-2858 7 63897__28131__44d5b88243054e798c3c5d1380e0e758.pdf 63897.VOR.pdf 2023-07-17T12:32:04.4607088 Output 430112 application/pdf Version of Record true © Author(s) 2023. Distributed under the terms of a Creative Commons Attribution 4.0 Licence (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021
spellingShingle 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
Mohamed Mhereeg
Michaela James
Tash Kennedy Kennedy
Amrita Bandyopadhyay
Sinead Brophy
title_short Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021
title_full Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021
title_fullStr Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021
title_full_unstemmed Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021
title_sort Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018–2021
author_id_str_mv 3fbf9b2f03a3a8f507dd35e9068bd485
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9a717d184fb8f768e462d95b91e63e23
3f6f07de33204db4c0ab665fb4b36367
9f1e77f76a83746112ef45709bf83630
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author_id_fullname_str_mv 3fbf9b2f03a3a8f507dd35e9068bd485_***_Hope Jones
fcc7ece0f04577ad5f283b00dd7f52cf_***_Mike Seaborne
ef78c0301f61ea4c72dd0670e61f72df_***_Mohamed Mhereeg
9a717d184fb8f768e462d95b91e63e23_***_Michaela James
3f6f07de33204db4c0ab665fb4b36367_***_Tash Kennedy Kennedy
9f1e77f76a83746112ef45709bf83630_***_Amrita Bandyopadhyay
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
author Hope Jones
Mike Seaborne
Mohamed Mhereeg
Michaela James
Tash Kennedy Kennedy
Amrita Bandyopadhyay
Sinead Brophy
author2 Hope Jones
Mike Seaborne
Mohamed Mhereeg
Michaela James
Tash Kennedy Kennedy
Amrita Bandyopadhyay
Sinead Brophy
format Journal article
container_title BMJ Paediatrics Open
container_volume 7
container_issue 1
container_start_page e001907
publishDate 2023
institution Swansea University
issn 2399-9772
doi_str_mv 10.1136/bmjpo-2023-001907
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
active_str 0
description 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.
published_date 2023-07-31T17:07:39Z
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