Protecting Breastfeeding during the COVID-19 Pandemic.

American Journal of Perinatology
Ritu CheemaDean Blumberg

Abstract

The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) pandemic has impacted all patient populations including pregnant mothers. There is an incomplete understanding of SARS-CoV-2 pathogenesis and transmission potential at this time and the resultant anxiety has led to variable breastfeeding recommendations for suspected or confirmed mothers with novel coronavirus disease 2019 (COVID-19). Due to the potential concern for transmission of infection from maternal respiratory secretions to the newborn, temporary separation of the maternal-baby dyad, allowing for expressed breast milk to be fed to the infant, was initially recommended but later revised to include breastfeeding by the American Academy of Pediatrics in contrast to international societies, which recommend direct breastfeeding. This separation can have negative health and emotional implications for both mother and baby. Only two publications have reported SARS-CoV-2 in human breast milk but the role of breast milk as a vehicle of transmission of COVID-19 to the newborns still remains unclear and may indeed be providing protective antibodies against SARS-CoV-2 infection even in infected neonates. Other modes of transmission of infection to neonates from infecte...Continue Reading

Citations

Oct 14, 2020·Nature Communications·Claudio FeniziaValeria Savasi
Jan 21, 2021·Viruses·Monica Cruz-Lemini On Behalf Of The Spanish Obstetric Emergency Group
Feb 9, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Jogender KumarPraveen Kumar
Feb 11, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Melissa C BartickLori Feldman-Winter
Feb 9, 2021·Journal of Perinatal Medicine·Asli Okbay GunesGuner Karatekin
Feb 23, 2021·Frontiers in Pediatrics·Diane L SpatzLars Bode
Mar 17, 2021·American Journal of Perinatology·Jayme L CongdonUNKNOWN Better Outcomes through Research for Newborns (BORN) Network
May 2, 2021·NeoReviews·Deepika SankaranSatyan Lakshminrusimha
Aug 13, 2021·Frontiers in Immunology·Laura Sánchez GarcíaAdelina Pellicer

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