Table 2.
List of core themes and sub-themes for optimal breastfeeding practices emerging from inductive data analysis and their code prevalence according to the different groups of recently delivered mothers.
Core theme | Sub-themes | Code prevalence * | |||
---|---|---|---|---|---|
Healthy (COVID-19 -ve) RDM with healthy newborn (N = 18) | RDM with COVID-19 and |
Total (N = 45) |
|||
Healthy newborn (N = 19) | Sick newborn (N = 8) | ||||
Perceived barriers | Compromised newborn care | Many | Most | All | Most |
Anxiety related to COVID-19 | Many | Many | Some | Many | |
Difficulty in breastfeeding or expressing breastmilk | Many | Many | Many | Many | |
Inadequate counseling on IPC for newborn care | Many | Few | Some | Some | |
Inadequate knowledge on breastfeeding | Some | Few | Many | Some | |
Management and logistic issues | Some | Some | Many | Some | |
Delayed or unsatisfactory inpatient care services | Some | Some | Some | Some | |
Rooming in avoided | Few | Some | All | Some | |
Mother and newborn were discharged separately | Few | Some | Few | Few | |
RDMs lacked support as attendants entry into the wards was restricted | Few | Many | Some | Some | |
Problems faced during admission for delivery | Few | None | Few | ||
Inadequate/ lack of support with follow-up care | Few | Few | Few | ||
Lack of privacy for RDMs | Few | Few | |||
Referral transfer between hospitals for COVID | Some | Many | Few | ||
Perceived enablers | Counseling on breastfeeding | Most | Many | Most | Many |
Counseling on COVID-19 to allay fear | Few | Many | Some | Some | |
Optimizing time for discharge from hospital for mother–newborn dyads | Few | Few | Few | Few | |
Infrastructural modifications and “zoning” during COVID | Few | Some | Few | Some | |
Additional measures were undertaken for control of infection and anxiety among patients and providers | Many | Few | Some | Some | |
No help required to the RDM in feeding the newborn | Many | Some | Many | Some | |
Support from family for follow-up care | Some | Some | Some | Some | |
Support from family members during hospital stay | Some | Some | None | Some | |
Support from hospital and doctor for follow-up treatment | Some | Some | Many | Some | |
Support received in inpatient care | Many | Most | Most | Most | |
Received comprehensive advice on newborn care & infection control practices | Many | Most | Most | Many | |
Family members advised RDM to breastfeed | Few | Many | Few | ||
Infrastructural modifications for better support | Some | Few | |||
Support to RDMs during isolation | Some | Many | Some | ||
Support from the hospital staff with feeding of the baby | Some | Most | Some | ||
No help with follow-up care required | Few | Few | |||
Prompt care of the newborn received | Many | Few |
Percentages grouped as: “None (0%); Few (below 25%); Some (25–49%); Many (50–74%); Most (74–99%); All (100%)”.
HOD, heads of department/unit of Neonatology, Pediatrics, Obstetrics; RDM, Recently Delivered Mother, COVID, Coronavirus disease.