Exploring the maternal experiences of breastfeeding among covid-19 survivors in Malaysia

Abstract

Background: The impacts of COVID-19 on the health of the world population are widely recorded in the literature. However, little is known about the experiences and challenges faced by breastfeeding mothers in Malaysia during the pandemic. This qualitative study aimed to explore the maternal experiences of breastfeeding among COVID-19 survivors in Malaysia. Methods: Using a purposive sampling method, 22 online semi-structured interviews were conducted with Malaysian breastfeeding mothers who had given birth and had COVID-19 infection during the pandemic (from January 2020 to December 2022). The interviews were transcribed verbatim, and framework analysis was used to analyse the data. Findings: Three themes were identified, namely, living with COVID-19, lactation preference, and coping mechanisms. Discussion: Meanwhile, some mothers believed that inadequate health care and social support impacted their breastfeeding journey. Others described that the quarantine period helps more one-on-one time with their newborn, allowing the establishment of breastfeeding and a strong mother-infant attachment. Receiving virtual lactation support and knowledge was generally seen as an effective strategy to motivate them to continue breastfeeding. Conclusion: The study provides insight into the emotional well-being of mothers due to being temporarily separated from their children during the pandemic, which affects their breastfeeding choice. The findings serve as fundamental knowledge to be considered by healthcare professionals and policymakers in developing a plan of action to support breastfeeding mothers in Malaysia during the pandemic.