Background
The COVID-19 pandemic is disrupting normal life globally, every area of life is touched. The pandemic demands quick action and as new information emerges, reliable synthesises and guidelines for care are urgently needed. Breastfeeding protects mother and child; its health benefits are undisputed and based on evidence. To plan and support breastfeeding within the current pandemic, two areas need to be understood: 1) the clinical characteristics of COVID-19 as it applies to breastfeeding and 2) the protective properties of breastfeeding, including the practice of skin-to-skin care. This review aims to summarise how to manage breastfeeding during COVID-19. The summary was used to create guidelines for healthcare professionals and mothers.
Methods
Current publications on breastfeeding during the COVID-19 pandemic were reviewed to inform guidelines for clinical practice.
Results
Current evidence states that the Coronavirus is not transmitted via breastmilk. Breastfeeding benefits outweigh possible risks during the COVID-19 pandemic and may even protect the infant and mother. General infection control measures should be in place and adhered to very strictly.
Conclusions
Breastfeeding should be encouraged, mothers and infant dyads should be cared for together, and skin-to-skin contact ensured throughout the COVID-19 pandemic. If mothers are too ill to breastfeed, they should still be supported to express their milk, and the infant should be fed by a healthy individual. Guidelines, based on this current evidence, were produced and can be distributed to health care facilities where accessible information is needed.
BackgroundThe consequences of having an excessively crying infant in the family are acknowledged in research, yet to our knowledge, no literature review has been made regarding the overall consequences to the family and infant. This integrative review fills the gap with the aim to review and synthesise current research.AimsTo identify, describe and synthesise previous studies on the consequences of having an excessively crying infant in the family.DesignAn integrative review of literature published between January 2008 and April 2018. The search was conducted in the following databases: MEDLINE, CINAHL, PsycINFO, Medic and Journals@Ovid. Empirical literature reporting the consequences of having an excessively crying infant in the family was eligible for inclusion. Quality appraisal was performed using CASP tools and JBI checklists. The extracted data were analysed using thematic analysis.FindingsThirty‐one articles were included in the review. Ten themes were identified: The consequences of having an excessively crying infant in the family create desperation. It ruins everyday life, impairs breastfeeding, isolates and casts parents into loneliness, strains and breaks family relationships with feelings of failure as a parent. The excessively crying infant in the family brings a struggle that can lead to physical and mental exhaustion. The infant may have problems later in childhood. Parents are actively trying to solve the problem and to adjust. Time allows survival with traces of negative symptoms, feelings and memories.ConclusionsThe consequences of having an excessively crying infant in the family are harmful to relationships and health. Caring for the crying infant can lead to exhaustion, which might escalate into abuse. These findings help professionals understand this complex phenomenon and encourage actions for concrete support. Further research is required to explore evidence‐based interventions that can help excessively crying infants and their families.
A method is described for the synthesis of planar array antennas with prescribed contoured beams. The technique utilizes a transformation which divides the problem into two decoupled subproblems. One subproblem involves the determination of certain coefficients of the contour tramfonnat'on in order to achieve the rrequired footprint contours. The number of coefficients which need to be used depends on the complexity of the desired contour, but is very small in comparison to the number of planar array elements. The other subproblem consists of a linear array shaped beam synthesis, for which there already exist powerful methods for determining appropriate element excitations. The size required for this protoope linear m y depends on the number of contour transformation coefficients used and the size of the final planar array. Simple formulas then determine the final planar array excitations from the information forthcoming from the above two subproblem solutions.
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