The Godmother Project: A Virtual Initiative to Support Pregnant and Postpartum Women in Brazil During the COVID-19 Pandemic

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FIGURE 1
The Godmother Project Ecosystem^a
^a Green box: staff members; yellow box: participants; blue boxes: material and activities.
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FIGURE 2
Monthly Number of Groups and Pregnant or Postpartum Women Participating in the Godmother Project
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FIGURE 3
Satisfaction^a of Participants With the Godmother Project (N=232)
^a How much respondent agreed with each statement (0: total disagreement, 10: total agreement). Numbers represent the percentage of participants who selected each score.

TABLE 1.

Characteristics of Survey Respondents Who Participated in the Godmother Project, São Paulo, Brazil

Characteristic	No. (%) (N=232)
Age, years
<25	13 (5.6)
25–34	93 (40.1)
35 or more	126 (54.3)
Race (self-reported)
White	143 (61.7)
Mixed^a	65 (28.0)
Asian	13 (5.6)
Black	11 (4.7)
Marital status
Married	185 (79.8)
Cohabitating	35 (15.1)
Other	12 (5.1)
Education
<12 years	4 (1.7)
12 years	21 (9.1)
>12 years	207 (89.2)
Current employment
Employed	160 (69.0)
Unemployed	33 (14.2)
On maternity leave	39 (16.8)
Current reproductive status
Pregnant	168 (72.4)
Postpartum	64 (27.6)
Gestational age, weeks (n=168)
<12	3 (1.8)
12–28	47 (28.0)
>28	118 (70.2)
Postpartum period, months (n=64)
1	38 (59.4)
2–3	26 (40.6)
Parity
0	82 (35.3)
1 or more	150 (64.7)
Previous cesarean delivery (n=150)
0	66 (44.0)
1	71 (47.3)
2 or more	13 (8.7)

TABLE 2.

Most Popular Topics Covered in the Godmother Project Among Survey Participants, São Paulo, Brazil

Topic	No. (%)^a (N=232)
Pregnancy
Development of the fetus	85 (36.6)
Care of breasts in pregnancy	73 (31.5)
Mental health in pregnancy	46 (19.8)
Antenatal care tests	41 (17.7)
Vaccines in pregnancy	36 (15.5)
Fathers’ role	27 (11.6)
Labor and delivery
Preparing for labor and vaginal birth	62 (26.7)
Uterine contractions	58 (25.0)
Analgesia and anesthesia for birth	32 (13.8)
Cesarean birth	28 (12.1)
Hospital routines	22 (9.5)
Postpartum
Breastfeeding	77 (33.2)
Mental health after delivery	22 (9.5)
Milk collection and storage	16 (6.9)
Going back to work	3 (1.3)
Neonatal/infant
Caring for the newborn baby	95 (40.9)
Baby’s clothes (layette)	63 (27.2)
Vaccines for the baby	44 (19.0)
Your babýs sleep	43 (18.5)
Preferred formats
Short written material	197 (84.9)
Short videos (up to 5 minutes)	148 (63.8)
Images/infographics	128 (55.2)
Podcasts	68 (29.3)
Live educational webinars	50 (21.6)

TABLE 3.

Most and Least Appreciated Features of the Godmother Project Among Survey Participants, São Paulo, Brazil

	No. (%)
Most appreciated aspects of the project (N=141 respondents)^a
Welcome, support, attention, and availability of the Godmothers	74 (52.5)
Information content	24 (17.0)
I can ask questions and get answers at any time	20 (14.2)
Interaction and sharing experiences with other women	19 (13.5)
Speed of Godmothers’ responses to women’s questions	4 (2.8)
Least appreciated aspects (N=32 respondents)^a
Inconvenient day/time of the live educational webinars	8 (25.0)
Some topics are missing	8 (25.0)
Excessive parallel conversions/messages between participants	7 (21.9)
Lack of interaction between participants	4 (12.5)
I want to interact more privately with my Godmother	3 (9.3)
Other^b	2 (6.3)

↵a Free-text answers grouped according to major themes.
↵b One participant each: “Informative texts are too long”, “My Godmother was substituted.”