Breastfeeding self-efficacy and determinants among mothers with and without COVID-۱۹ infection during childbirth: an ambidirectional cohort study

Background and objective: Breastfeeding self-efficacy (BSE) refers to a mother's confidence in her ability to breastfeed her baby and it is a key factor during breastfeeding. This study aimed to investigate the relationship between BSE and its related factors with the history of covid-۱۹ infection during childbirth in breastfeeding mothers.Methods and materials: This ambidirectional cohort study was conducted on ۶۰ breastfeeding mothers referred to Shahid Sadoughi Hospital, Yazd, Iran in two case and control groups. Participants were selected randomly. BSE questionnaire and a checklist consisted of midwifery-demographic and baseline characteristics were completed through interview. Data were analyzed using descriptive and Chi-square tests. In this study, the significance level was p = ۰.۰۵.Findings: Both case and control groups were homogeneous in terms of midwifery-demographic and baseline characteristics (p>۰.۰۵). Breastfeeding self-efficacy score (BSES) was significantly lower in positive COVID-۱۹ than negative (p< ۰.۰۰۱). According to univariate logistic regression analysis, type of delivery, neonate hospitalization, and COVID -۱۹ infection was significantly related to poor BSE (p< ۰.۰۵). However, based on multiple regression analysis, a positive test result for Covid-۱۹ during childbirth was the only statistically significant predictor of BSES (p: ۰.۰۲).Conclusions: In the present study, positive test result for COVID-۱۹ was the only significant predictor of BSE during childbirth.

کلیدواژه ها:

COVID-۱۹ ، Breastfeeding ، Self-efficacy ، Pregnancy ، Childbirth