{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:25Z","timestamp":1777852285298,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T00:00:00Z","timestamp":1694736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Krumme-Stiftung"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The SARS-CoV-2 pandemic and its influence on peripartum processes worldwide led to issues in breastfeeding support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>The aim of this study was to describe breastfeeding behavior and peripartum in-hospital management during the pandemic in Germany and Austria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was a descriptive study using a combination of secondary longitudinal data and a cross-sectional online survey. Registry data from the prospective multicenter COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) cohort study (longitudinal, medical records of 1,815 parent-neonate pairs with confirmed SARS-CoV-2 infection during pregnancy) and a cross-sectional online survey of CRONOS hospitals\u2019 physicians ( N\u2009=\u200967) were used for a descriptive comparison of feeding outcomes and postpartum management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In 93.7% (n\u2009=\u20091700) of the cases in which information on the neonate's diet was provided, feeding was with the mother\u2019s own milk. Among neonates not receiving their mother\u2019s own milk, 24.3% ( n\u2009=\u200926) reported SARS-CoV-2 infection as the reason. Peripartum maternal SARS-CoV-2 infection, severe maternal COVID-19 including the need for intensive care unit (ICU) treatment or invasive ventilation, preterm birth, mandatory delivery due to COVID-19, and neonatal ICU admission were associated with lower rates of breastfeeding. Rooming-in positively influenced breastfeeding without affecting neonatal SARS-CoV-2 frequency (4.2% vs. 5.6%). CRONOS hospitals reported that feeding an infant their mother\u2019s own milk continued to be supported during the pandemic. In cases of severe COVID-19, four of five hospitals encouraged breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Maintaining rooming-in and breastfeeding support services in the CRONOS hospitals during the pandemic resulted in high breastfeeding rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344231190623","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T07:48:14Z","timestamp":1694764094000},"page":"625-635","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1008-3714","authenticated-orcid":false,"given":"Janine","family":"Z\u00f6llkau","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Heimann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Hagenbeck","sequence":"additional","affiliation":[{"name":"Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Pecks","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Kiel University, Kiel, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Abou-Dakn","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, St. Joseph-Hospital, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolf","family":"Schl\u00f6sser","sequence":"additional","affiliation":[{"name":"Hospital for Children and Adolescents, University Hospital of Frankfurt, Frankfurt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Schohe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, St. Joseph-Hospital, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"Dressler-Steinbach","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sana Hospital Lichtenberg, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maike","family":"Manz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Darmstadt City Hospital, Darmstadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constanze","family":"Banz-Jansen","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Protestant Hospital of Bethel Foundation, Bielefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edith","family":"Reuschel","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology, The Hospital St. Hedwig of The Order of St. John, University of Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonella","family":"Iannaccone","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7091-2222","authenticated-orcid":false,"given":"Michael K.","family":"Bohlmann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, St. Elisabeth\u2019 Hospital, Loerrach, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4906-7620","authenticated-orcid":false,"given":"Katrina","family":"Kraft","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Munich Municipal Hospital, Harlaching, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Fill Malfertheiner","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology, The Hospital St. Hedwig of The Order of St. John, University of Regensburg, Regensburg, 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