COVID-19 Vaccination and Breastfeeding Mothers in Kahta District, Turkey
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- WHO. Breastfeeding. Available online: https://www.who.int/health-topics/breastfeeding#tab=tab_1 (accessed on 15 February 2023).
- Chantry, C.J.; Eglash, A.; Labbok, M. ABM Position on Breastfeeding-Revised 2015. Breastfeed Med. 2015, 10, 407–411. [Google Scholar] [CrossRef] [Green Version]
- Türkiye 2018 Nüfus ve Sağlık Araştırması. Available online: http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf (accessed on 15 February 2023).
- Berti, C.; Agostoni, C.; Davanzo, R.; Hyppönen, E.; Isolauri, E.; Meltzer, H.M.; Steegers-Theunissen, R.P.; Cetin, I. Early-life nutritional exposures and lifelong health: Immediate and long-lasting impacts of probiotics, vitamin D, and breastfeeding. Nutr. Rev. 2017, 75, 83–97. [Google Scholar] [CrossRef] [PubMed]
- WHO. Newborn Mortality. Available online: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021 (accessed on 15 February 2023).
- Rollins, N.; Minckas, N.; Jehan, F.; Lodha, R.; Raiten, D.; Thorne, C.; Van de Perre, P.; Ververs, M.; Walker, N.; Bahl, R.; et al. A public health approach for deciding policy on infant feeding and mother-infant contact in the context of COVID-19. Lancet Glob. Health 2021, 9, e552–e557. [Google Scholar] [CrossRef] [PubMed]
- Jayagobi, P.A.; Ong, C.; Thai, Y.K.; Lim, C.C.; Jiun, S.M.; Koon, K.L.; Wai, K.C.; Chan, J.K.Y.; Mathur, M.; Chien, C.M. Perceptions and acceptance of COVID-19 vaccine among pregnant and lactating women in Singapore: A cross-sectional study. medRxiv 2021. [Google Scholar] [CrossRef]
- Brown, A.; Shenker, N. Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Matern. Child Nutr. 2021, 17, e13088. [Google Scholar] [CrossRef] [PubMed]
- Nourazari, S.; Davis, S.R.; Granovsky, R.; Austin, R.; Straff, D.J.; Joseph, J.W.; Sanchez, L.D. Decreased hospital admissions through emergency departments during the COVID-19 pandemic. Am. J. Emerg. Med. 2021, 42, 203–210. [Google Scholar] [CrossRef]
- Tao, L.; Wang, R.; Han, N.; Liu, J.; Yuan, C.; Deng, L.; Han, C.; Sun, F.; Liu, M.; Liu, J. Acceptance of a COVID-19 vaccine and associated factors among pregnant women in China: A multi-center cross-sectional study based on health belief model. Hum. Vaccines Immunother. 2021, 17, 2378–2388. [Google Scholar] [CrossRef]
- Uslu, S.; Can, E.; Özdemir, H.; Bülbül, A. The Knowledge of Mothers About Breastfeeding in a Neonatal Unit. J. Child 2010, 10, 82–85. [Google Scholar] [CrossRef] [Green Version]
- Jensen, E. Participation in the Supplemental Nutrition Program for Women, Infants and Children (WIC) and breastfeeding: National, regional, and state level analyses. Matern. Child Health J. 2012, 16, 624–631. [Google Scholar] [CrossRef]
- Renfrew, M.J.; Craig, D.; Dyson, L.; McCormick, F.; Rice, S.; King, S.E.; Misso, K.; Stenhouse, E.; Williams, A.F. Breastfeeding promotion for infants in neonatal units: A systematic review and economic analysis. Health Technol. Assess. 2009, 13, 1–146. [Google Scholar] [CrossRef] [Green Version]
- Gokcay, G.; Keskindemirci, G. Breastmılk and COVID-19. J. Istanb. Fac. Med. 2020, 83, 286. [Google Scholar] [CrossRef]
- Fu, W.; Sivajohan, B.; McClymont, E.; Albert, A.; Elwood, C.; Ogilvie, G.; Money, D. Systematic review of the safety, immunogenicity, and effectiveness of COVID-19 vaccines in pregnant and lactating individuals and their infants. Int. J. Gynaecol. Obstet. 2022, 156, 406–417. [Google Scholar] [CrossRef] [PubMed]
- González-Block, M.Á.; Gutiérrez-Calderón, E.; Pelcastre-Villafuerte, B.E.; Arroyo-Laguna, J.; Comes, Y.; Crocco, P.; Fachel-Leal, A.; Noboa, L.; Riva-Knauth, D.; Rodríguez-Zea, B.; et al. Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates. PLoS ONE 2020, 15, e0243833. [Google Scholar]
- Bianchi, F.P.; Stefanizzi, P.; Di Gioia, M.C.; Brescia, N.; Lattanzio, S.; Tafuri, S. COVID-19 vaccination hesitancy in pregnant and breastfeeding women and strategies to increase vaccination compliance: A systematic review and meta-analysis. Expert Rev. Vaccines 2022, 21, 1443–1454. [Google Scholar] [CrossRef] [PubMed]
- Oluklu, D.; Goncu Ayhan, S.; Menekse Beser, D.; Uyan Hendem, D.; Ozden Tokalioglu, E.; Turgut, E.; Sahin, D. Factors affecting the acceptability of COVID-19 vaccine in the postpartum period. Hum. Vaccines Immunother. 2021, 17, 4043–4047. [Google Scholar] [CrossRef]
- Sutton, D.; D’Alton, M.; Zhang, Y.; Kahe, K.; Cepin, A.; Goffman, D.; Staniczenko, A.; Yates, H.; Burgansky, A.; Coletta, J.; et al. COVID-19 vaccine acceptance among pregnant, breastfeeding, and nonpregnant reproductive-aged women. Am. J. Obstet. Gynecol. MFM 2021, 3, 100403. [Google Scholar] [CrossRef]
- Skirrow, H.; Barnett, S.; Bell, S.; Riaposova, L.; Mounier-Jack, S.; Kampmann, B.; Holder, B. Women’s views on accepting COVID-19 vaccination during and after pregnancy, and for their babies: A multi-methods study in the UK. BMC Pregnancy Childbirth 2022, 22, 33. [Google Scholar] [CrossRef]
- Munter, A.C.; Ruijs, W.L.M.; Ruiter, R.A.C.; van Nimwegen, D.J.J.; Oerlemans, A.J.M.; Ginkel, R.V.; Hulscher, M.E.J.L.; Hautvast, J.L.A. Decision-making on maternal pertussis vaccination among women in a vaccine-hesitant religious group: Stages and needs. PLoS ONE 2020, 15, e0242261. [Google Scholar] [CrossRef]
- Kiefer, M.K.; Mehl, R.; Costantine, M.M.; Johnson, A.; Cohen, J.; Summerfield, T.L.; Landon, M.B.; Rood, K.M.; Venkatesh, K.K. Characteristics and perceptions associated with COVID-19 vaccination hesitancy among pregnant and postpartum individuals: A cross-sectional study. BJOG 2022, 129, 1342–1351. [Google Scholar] [CrossRef]
- Levy, A.T.; Singh, S.; Riley, L.E.; Prabhu, M. Acceptance of COVID-19 vaccination in pregnancy: A survey study. Am. J. Obstet. Gynecol. MFM 2021, 3, 100399. [Google Scholar] [CrossRef] [PubMed]
- Gencer, H.; Özkan, S.; Vardar, O.; Serçekuş, P. The effects of the COVID 19 pandemic on vaccine decisions in pregnant women. Women Birth. 2022, 35, 317–323. [Google Scholar] [CrossRef] [PubMed]
- Riad, A.; Jouzová, A.; Üstün, B.; Lagová, E.; Hruban, L.; Janků, P.; Pokorná, A.; Klugarová, J.; Koščík, M.; Klugar, M. COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study. Int. J. Environ. Res. Public Health 2021, 18, 13373. [Google Scholar] [CrossRef] [PubMed]
- Aisyah, R.D.; Fitriyani, F.; Pambudi, D.B. Determinant Factors Involved in Pregnant Women’s Willingness to Receive COVID-19 Vaccine. Interest J. Ilmu Kesehat. 2022, 231–239. [Google Scholar] [CrossRef]
Number | % | ||
---|---|---|---|
Maternal age | 18–24 age | 96 | 23.7 |
25–34 age | 282 | 69.6 | |
35 years of age and above | 27 | 6.7 | |
Educational status | Middle school and below | 233 | 57.5 |
High school and above | 172 | 42.5 | |
Economic situation | Good | 128 | 31.6 |
Medium | 190 | 46.9 | |
Bad | 87 | 21.5 | |
Number of children | 1 | 78 | 19.3 |
2 | 165 | 40.7 | |
3 and above | 162 | 40.0 | |
Age of the child breastfed | 0–6 month | 265 | 65.4 |
7–24 month | 140 | 34.6 | |
The status of having a new type of COVID-19 virus infection | Yes | 120 | 29.6 |
No | 285 | 70.4 | |
The status of having a new type of COVID-19 virus infection in their relatives | Yes | 347 | 85.7 |
No | 58 | 14.3 | |
Status of being vaccinated against COVID-19 virus | Yes | 334 | 82.5 |
No | 71 | 17.5 | |
COVID-19 virus vaccine information resource | Family practitioner | 178 | 44.0 |
Radio/TV | 71 | 17.5 | |
Internet | 86 | 21.2 | |
People around | 70 | 17.3 |
Agree (%) | Disagree (%) | Hesitant (%) | |
---|---|---|---|
Getting the COVID-19 virus vaccine is safe for breastfeeding mothers | 68.4 | 17.8 | 13.8 |
I breastfed my baby 3 h after getting the COVID-19 virus vaccine | 22.7 | 55.3 | 22.0 |
Breastfeeding mothers should be vaccinated | 39.5 | 39.5 | 21.0 |
It does not upset me that I cannot get the COVID-19 virus vaccine because I am breastfeeding a baby. | 33.3 | 46.9 | 19.8 |
COVID-19 virus vaccination of the breastfeeding mother also protects her baby | 33.3 | 33.3 | 33.3 |
To be vaccinated against COVID-19 virus, the baby must be expected to quit breast milk. | 38.8 | 42.0 | 19.3 |
I cannot get clear information from healthcare professionals about the vaccination of breastfeeding mothers. | 31.9 | 33.3 | 34.8 |
I cannot get clear information from my family doctor about the vaccination of breastfeeding mothers. | 44.0 | 34.8 | 21.2 |
Vaccinated | Not Vaccinated | p * | ||||
---|---|---|---|---|---|---|
Sayı | % | Sayı | % | |||
Maternal age | 18–24 age | 77 | 80.2 | 19 | 19.8 | 0.778 |
25–34 age | 235 | 83.3 | 47 | 16.7 | ||
35 years of age and plus | 22 | 81.5 | 5 | 18.5 | ||
Educational status | Middle school and below | 181 | 77.7 | 52 | 22.3 | 0.003 |
High school and above | 153 | 89.0 | 19 | 11.0 | ||
Economical situation | Good | 115 | 89.8 a | 13 | 10.2 | 0.008 |
Medium | 155 | 81.6 b | 35 | 18.4 | ||
Bad | 64 | 73.6 c | 23 | 26.4 | ||
Number of children | 1 | 66 | 84.6 | 12 | 15.4 | 0.210 |
2 | 141 | 85.5 | 24 | 14.5 | ||
3 and above | 127 | 78.4 | 35 | 21.6 | ||
Age of the child breastfed | 0–6 month | 227 | 85.7 | 38 | 14.3 | 0.020 |
7–24 month | 107 | 76.4 | 33 | 23.6 | ||
The status of having a new type of COVID-19 virus infection | Yes | 88 | 73.3 | 32 | 26.7 | 0.002 |
No | 246 | 86.3 | 39 | 13.7 | ||
The status of having a new type of COVID-19 virus infection in their relatives | Yes | 291 | 83.9 | 56 | 16.1 | 0.071 |
No | 43 | 74.1 | 15 | 25.9 | ||
COVID-19 virus vaccine information resource | Family practitioner | 156 | 87.6 a | 22 | 12.4 | 0.035 |
Radio/TV | 53 | 74.6 b | 18 | 25.4 | ||
Internet | 72 | 83.7 a | 14 | 16.3 | ||
People around | 53 | 75.7 b | 17 | 24.3 |
To Get the COVID-19 Virus Vaccine, the Baby Must Stop Breastfeeding. | ||||||
---|---|---|---|---|---|---|
Agree | Disagree-Hesitant | p * | ||||
Number | % | Number | % | |||
Maternal age | 18–24 age | 44 | 45.8 | 52 | 54.2 | 0.725 |
25–34 age | 119 | 42.2 | 163 | 57.8 | ||
35 years of age and plus | 13 | 48.1 | 14 | 51.9 | ||
Education | Middle school and below | 124 | 53.2 | 109 | 46.8 | <0.001 |
High school and above | 52 | 30.2 | 120 | 69.8 | ||
Economical situation | Good | 58 | 45.3 | 70 | 54.7 | 0.500 |
Medium | 85 | 44.7 | 105 | 55.3 | ||
Bad | 33 | 37.9 | 54 | 62.1 | ||
Number of children | 1 | 29 | 37.2 | 49 | 62.8 | 0.461 |
2 | 74 | 44.8 | 91 | 55.2 | ||
3 and plus | 73 | 45.1 | 89 | 54.9 | ||
Age of the child breastfed | 0–6 month | 109 | 41.1 | 156 | 58.9 | 0.194 |
7–24 month | 67 | 47.9 | 73 | 52.1 | ||
The status of having a new type of COVID-19 virus infection | Yes | 62 | 51.7 | 58 | 48.3 | 0.031 |
No | 114 | 40.0 | 171 | 60.0 | ||
The status of having a new type of COVID-19 virus infection in their relatives | Yes | 147 | 42.4 | 200 | 57.6 | 0.277 |
No | 29 | 50.0 | 29 | 50.0 | ||
Status of being vaccinated against COVID-19 virus | Yes | 134 | 40.1 | 200 | 59.9 | 0.003 |
No | 42 | 59.2 | 29 | 40.8 | ||
COVID-19 virus vaccine information resource | Family practitioner | 74 | 41.6 | 104 | 58.4 | 0.216 |
Radio/TV | 37 | 52.1 | 34 | 47.9 | ||
Internet | 40 | 46.5 | 6 | 53.5 | ||
People around | 25 | 35.7 | 45 | 64.3 |
Family Doctor | Radio/TV | Internet | People Around | p * | ||||||
---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | n | % | |||
Maternal age | 18–24 age | 50 | 52.1 | 18 | 18.8 | 19 | 19.8 | 9 | 9.4 | 0.109 |
25–34 age | 114 | 40.4 | 48 | 17.0 | 65 | 23.0 | 55 | 19.5 | ||
35 and above | 14 | 51.9 | 5 | 18.5 | 2 | 7.4 | 6 | 22.2 | ||
Educational status | Middle school and below | 80 | 34.3 a | 51 | 21.9 a | 56 | 24.0 a | 46 | 19.7 a | <0.001 |
High school and above | 98 | 57.0 b | 20 | 11.6 b | 30 | 17.4 a | 24 | 14.0 a | ||
Economical situation | Good | 58 | 45.3 | 26 | 20.3 | 26 | 20.3 | 18 | 14.1 | 0.887 |
Moderate | 84 | 44.2 | 30 | 15.8 | 41 | 21.6 | 35 | 18.4 | ||
Bad | 36 | 41.4 | 15 | 17.2 | 19 | 21.8 | 17 | 19.5 | ||
COVID-19 status | Yes | 78 | 65.0 a | 14 | 11.7 a | 19 | 15.8 a | 9 | 7.5 a | <0.001 |
No | 100 | 35.1 b | 57 | 20.0 b | 67 | 23.5 a | 61 | 21.4 b |
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Parlak, M.E.; Öz, E.; Küçükkelepçe, O. COVID-19 Vaccination and Breastfeeding Mothers in Kahta District, Turkey. Vaccines 2023, 11, 813. https://doi.org/10.3390/vaccines11040813
Parlak ME, Öz E, Küçükkelepçe O. COVID-19 Vaccination and Breastfeeding Mothers in Kahta District, Turkey. Vaccines. 2023; 11(4):813. https://doi.org/10.3390/vaccines11040813
Chicago/Turabian StyleParlak, Mehmet Emin, Erdoğan Öz, and Osman Küçükkelepçe. 2023. "COVID-19 Vaccination and Breastfeeding Mothers in Kahta District, Turkey" Vaccines 11, no. 4: 813. https://doi.org/10.3390/vaccines11040813
APA StyleParlak, M. E., Öz, E., & Küçükkelepçe, O. (2023). COVID-19 Vaccination and Breastfeeding Mothers in Kahta District, Turkey. Vaccines, 11(4), 813. https://doi.org/10.3390/vaccines11040813