Maternal resilience in crisis: breastfeeding experiences during COVID-19 in Pakistan

Background/Aims Breastfeeding is important for the health of both infants and mothers. The COVID-19 pandemic amplified concerns around sustaining breastfeeding, particularly regarding safety when the mother was infected. This study aimed to explore the experiences of lactating mothers in Pakistan who were COVID-19 positive, and the impact of the infection on their decision to breastfeed. Methods This qualitative study involved interviews with 12 purposively sampled lactating mothers. Data were analysed thematically. Results Two major themes emerged: the effects of COVID-19 on breastfeeding and apprehensions relating to COVID-19. Despite challenges, some mothers continued breastfeeding, while others faced separation and could not initiate it, which heightened anxiety and affected bonding. Conclusions Prioritising and protecting the bond between mother and infant during a pandemic is vital. Implications for practice This study underscores the importance of proactive midwifery interventions, including evidence-based breastfeeding education, emotional support and continuity of lactation services during health crises.