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. 2022 Jun 17;35(6):e523–e529. doi: 10.1016/j.wombi.2022.06.006

Table 5.

Factors associated with impact of COVID-19 on breastfeeding behaviour.

Impact of COVID-19 on feeding directly from breast
Impact of COVID-19 on feeding with expressed breast milk
No intention Shorter Planned Longer p No intention Shorter Planned Longer p
n = 489;15.05% n = 603;18.56% n = 1746;53.74% n = 411;12.65% n = 895;27.55% n = 654;20.13% n = 1325;40.78% n = 375;11.54%
Maternal age (years) < .0001 0.004
18–29 50.1 39 27 34.6 35.9 39 30 31.7
30–39 46 57.4 67.5 61.6 59.4 57.2 64.8 63.5
> =40 3.9 3.7 5.6 3.9 4.7 3.8 5.2 4.8
Work status < .0001 < .0001
Yes 27.2 18.2 13 22.6 15.5 18.7 16.5 22.1
No 59.7 65.7 54.6 51.2 49.5 62.3 59.9 55.2
On paid maternity leave 10 14.8 9 11.7 6.4 13.5 11.1 13.6
On unpaid maternity leave 31.7 23.6 20 28.2 27.4 26.5 19.3 23.5
Educational level < .0001 < .0001
Secondary school or lower 46.4 21.4 18.9 24.6 33.9 24.5 18.4 21.3
College/University or higher 53.6 78.6 81.1 75.4 66.1 75.5 81.6 78.7
Primiparous 59.7 65.7 54.6 51.2 < .0001 49.5 62.3 59.9 55.2 < .0001
Birth mode 0.05 0.66
Vaginal 60.3 56.6 61.9 64.5 60.9 59 61.7 62.1
Caesarean 39.7 43.5 38.1 35.5 39.1 41 38.3 37.9
Birthweight < 2500 g 7.6 11.1 6.8 6.8 0.0058 5.6 9.3 7.2 11.8 0.0006
Preterm birth 12.9 15.6 9.9 16.6 < .0001 10.4 13 11 19.7 < .0001
Ever tested COVID-19 positive 16.6 11.3 12.9 10.5 0.02 15.9 12.1 11.9 10.1 0.01
Has received COVID-19 vaccine 63.8 70.7 77.2 63 < .0001 74.2 69.4 72.5 70.9 0.2
Impact of COVID-19 on food insecurity < .0001 < .0001
Insecure to insecure 18.4 9.8 6.1 10.2 11.6 10.7 6.6 9.6
Worse 15 11.1 7.8 15.6 14.1 11.5 7 12.3
Better 1.6 0.5 0.7 1 1 1.1 0.5 1.1
Secure to secure 65 78.6 85.4 73.2 73.3 76.7 85.8 77
Breastfeeding belief; M(SD) 12.5 (2.4) 12.6 (2.5) 14.0 (2.6) 13.1 (2.7) < .0001 13.8 (2.6) 12.7 (2.5) 13.5 (2.7) 13.1 (2.6) < .0001
Support provider for postnatal infant feeding (Mark all that apply)
No support 15.5 13.4 16.2 15.8 0.45 20.3 17 12.9 10.9 < .0001
Healthcare professionals 69.9 67.7 65.3 70.3 0.09 60.7 65.6 70.5 72.8 < .0001
Spouse/partner, friend, or relative 38.5 53.7 55.3 47.9 < .0001 45.1 48.3 56.2 55.7 < .0001
Online support group (e.g., Facebook) 22.7 25 34.7 31.9 < .0001 30.8 23.6 33.7 32.5 < .0001
Others 3.9 9.1 7.8 6.1 0.005 5.5 8.7 7.2 9.1 0.04
How contact is/was made with healthcare professionals for postnatal breastfeeding support (Mark all that apply)
Never 25.8 27.2 26.9 26.3 0.95 34.2 27.8 22.7 21.1 < .0001
In person 51.5 56.1 56.1 58.2 0.21 47.7 54.6 59.8 61.9 < .0001
By phone 34.8 28.7 33.1 35.3 0.08 30.5 28.4 35.2 37.6 0.002
Video 7.8 5 10 10.2 0.001 10.1 6.7 9.1 8.3 0.14
Others 0.4 1 2.8 0.7 0.0003 2.4 1.1 2 1.3 0.25