{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T22:41:53Z","timestamp":1776638513690,"version":"3.51.2"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Investigation"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>During the coronavirus disease 2019 (COVID\u201019) lockdown, changes in the visiting rules in neonatal units might have affected the initiation and continuation of breastfeeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the effects of the implementation of the COVID\u201019 lockdown in the UK on mother's own milk (MOM) feeding in hospital and at the time of discharge in two UK neonatal units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study using routinely recorded data from electronic patient records. Data were retrieved from two neonatal services in the UK East Midlands region. Adjusted logistic regression was used to compare the odds of MOM feeding before, and after the implementation of the UK lockdown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 2073 infants, after adjusting for maternal and infant characteristics and underlying trends over time, there were no differences in the odds of infants receiving any MOM during admission; any MOM at discharge or exclusive MOM at discharge before and after the imposition of the lockdown. Infants with birthweight &lt;1000 g were three times less likely to receive any MOM at discharge compared to those with birthweight &gt;2500\u00a0g (adjusted odds ratio [OR] 0.33, 95% confidence interval [CI]: 0.22\u20130.50). Younger mothers were less likely, and Black British mothers more likely, to be feeding MOM to their infants at discharge, while women in the least deprived Index of Multiple Deprivation (IMD) quintiles were 2\u20134 times more likely to do so, compared to those in the most deprived IMD quintile (adjusted OR 2.78, 95% CI: 1.97\u20133.90).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Despite the difficulties faced during COVID\u201019 pandemic\u2010induced restrictions, infants in the participating neonatal units continued to receive MOM in similar proportions as before the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ped4.12337","type":"journal-article","created":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T11:31:26Z","timestamp":1657798286000},"page":"189-196","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of the coronavirus disease 2019 pandemic on breastfeeding during and at discharge from neonatal care: An observational cohort study"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1321-891X","authenticated-orcid":false,"given":"Haslina Binti","family":"Abdul Hamid","sequence":"first","affiliation":[{"name":"Lifespan and Population Health School of Medicine University of Nottingham  Nottingham UK"},{"name":"Dietetic Programme Faculty of Health Sciences Universiti Kebangsaan Malaysia  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Szatkowski","sequence":"additional","affiliation":[{"name":"Lifespan and Population Health School of Medicine University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Budge","sequence":"additional","affiliation":[{"name":"Lifespan and Population Health School of Medicine University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shalini","family":"Ojha","sequence":"additional","affiliation":[{"name":"Lifespan and Population Health School of Medicine University of Nottingham  Nottingham UK"},{"name":"Neonatal Unit University Hospitals of Derby and Burton NHS Trust  Derby UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"NHS Maternity Statistics England 2017\u201318. Maternity and Breastfeeding.https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/nhs\u2010maternity\u2010statistics\/2017\u201018. Accessed November 4 2020."},{"key":"e_1_2_6_3_1","unstructured":"The Royal College of Paediatrics and Child Health. National Neonatal Audit Programme (NNAP) 2019 annual report on 2018 data.2019.https:\/\/www.rcpch.ac.uk\/sites\/default\/files\/2020\u201001\/NNAP%202019%20annual%20report%20on%202018%20data%2009.01.20.pdf. Accessed September 2 2020."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010018\u20101260\u20102"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo\u20102020\u2010000899"},{"key":"e_1_2_6_6_1","unstructured":"Prime Minister's Office. Prime Minister's statement on coronavirus (COVID\u201019): March 23 2020.https:\/\/www.gov.uk\/government\/speeches\/pm\u2010address\u2010to\u2010the\u2010nation\u2010on\u2010coronavirus\u201023\u2010march\u20102020. Accessed September 15 2020."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010054410"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13650"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006\u2010021\u201000382\u20104"},{"key":"e_1_2_6_10_1","unstructured":"World Health Organization (WHO). WHO Breastfeeding and COVID\u201019.https:\/\/www.who.int\/news-room\/commentaries\/detail\/breastfeeding-and-covid-19. Accessed September 15 2020."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20104642(20)30235\u20102"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2020.0071"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010002765"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.179564"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12485"},{"key":"e_1_2_6_16_1","unstructured":"BLISS and BAPM. Family Integrated Care for COVID\u201019 \u2013 Frequently Asked Questions.https:\/\/hubble\u2010live\u2010assets.s3.amazonaws.com\/bapm\/redactor2_assets\/files\/422\/FAQs_\u2010_FIC_Covid19_\u2010_version_2.docx.pdf. Accessed March 20 2021."}],"container-title":["Pediatric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ped4.12337","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ped4.12337","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ped4.12337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T01:57:40Z","timestamp":1692237460000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ped4.12337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,14]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1002\/ped4.12337"],"URL":"https:\/\/doi.org\/10.1002\/ped4.12337","archive":["Portico"],"relation":{},"ISSN":["2574-2272","2574-2272"],"issn-type":[{"value":"2574-2272","type":"print"},{"value":"2574-2272","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,14]]},"assertion":[{"value":"2022-03-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}