Breastfeeding during the COVID-19 pandemic: Suggestions on behalf of woman study group of AMD

Giuliani, Chiara; Volsi, Patrizia Li; Brun, E.; Chiambretti, Anna; Giandalia, Annalisa; Tonutti, Laura; Bartolo, Paolo Di; Napoli, Angela

doi:10.1016/j.diabres.2020.108239

Cited by 31 publications

(36 citation statements)

References 24 publications

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“…At the time of this report, several centers around the world have published their experiences and recommendations surrounding management of SARS-CoV-2–positive mother–newborn dyads during the pandemic. 17 , 18 , 19 Data on the impact of separation of infected mother–newborn dyads on breastfeeding outcomes has been lacking, however. In a commentary outlining the key literature opposing separation of mother–newborn dyads, the authors highlighted the absence of evidence demonstrating a negative effect of separation during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

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Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth

Popofsky

Noor

Leavens-Maurer

et al. 2020

The Journal of Pediatrics

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Objective To assess the impact of separation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive mother-newborn dyads on breastfeeding outcomes. Study design This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19). Results Of the 160 mother-newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P < .001) and at home (P = .012). Only 2 mothers in each group reported expressed breast milk as the hospital feeding source (5.6% of unseparated vs 4.1% of separated). COVID-19 was more commonly cited as the reason for change in the separated group (49.0% vs 16.7%; P < .001). When the dyads were further stratified by symptom status into 4 groups-asymptomatic separated, asymptomatic unseparated, symptomatic separated, and symptomatic unseparated-the results remained unchanged. Conclusions In the setting of COVID-19, separation of mother-newborn dyads impacts breastfeeding outcomes, with lower rates of breastfeeding both during hospitalization and at home following discharge compared with unseparated mothers and infants. No evidence of vertical transmission was observed; 1 case of postnatal transmission occurred from an unmasked symptomatic mother who held her infant at birth.

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Section: Discussionmentioning

confidence: 99%

“…he novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), responsible for coronavirus disease-2019 (COVID- 19), has spread globally, reaching pandemic status on March 11, 2020. 1 Cases of COVID-19 in New York State reached a peak in April 2020, with more than 386 000 cases and 24 000 deaths recorded by June 2020.…”

mentioning

confidence: 99%

Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth

Popofsky

Noor

Leavens-Maurer

et al. 2020

The Journal of Pediatrics

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“…La Covid-19 neonatal parece tener una transmisión horizontal (B3b). 12, 18,19 Hasta el momento no hay evidencia de transmisión vía alimentación al seno materno, por lo que se considera que las trabajadoras permanecerán en casa únicamente durante el periodo cubierto por su incapacidad temporal por maternidad en cualquiera de las etapas de la pandemia. La Organización Mundial de la Salud (OMS) recomienda que las madres con sospecha o confirmación de Covid-19 deben ser alentadas a continuar amamantando.…”

Section: Lactanciaunclassified

Criterios de retorno al trabajo y determinación del valor de vulnerabilidad por Covid-19

et al. 2020

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Objetivo. Establecer criterios médicos de retorno al trabajo en personal con riesgo de complicaciones por Covid-19. Material y métodos. Se realizó una revisión sistemática para identificar las condiciones y las características clínicas que influyen en el riesgo de desarrollar Covid-19 grave. Resultados. Se ha demostrado incremento del riesgo en obesidad, edad >60 años, diabetes mellitus, hipertensión arterial, enfermedad pulmonar obstructiva crónica, enfermedad cardiovascular, enfermedad renal crónica y cáncer. Solamente en diabetes se ha estudiado si el control previo influye. Se proponen condiciones específicas y el nivel de riesgo epidemiológico para el retorno al trabajo. Conclusiones. El retorno laboral de estos grupos debe priorizarse buscando favorecer el control de la enfermedad, identificando el estado de salud que incrementa el riesgo y protegiendo el derecho al trabajo. Se presentan recomendaciones para guiar la reincorporación al trabajo.

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“…Evidences that guide maintaining breastfeeding Twelve statements [6,10,[41][42][43][44][45][46][47][48][49][50], advised to maintain breastfeeding in con rmed cases of SARS-CoV-2 infection. WHO (43) issued guidelines on breastfeeding in cases con rmed by SARS-CoV-2, highlighting the effectiveness of breastfeeding against infectious diseases, in addition to strengthening the newborn's immune system.…”

Section: Evidences Without Consensus On Breastfeedingmentioning

confidence: 99%

“…Giuliani, 2020 [49] Italy Suggestions It is recommended that mothers suspected of or con rmed by infection should be encouraged to breastfeed, following transmission prevention measures.…”

Section: Talakrishnanmentioning

confidence: 99%

Breastfeeding for children of mothers who are infected with SARS-CoV-2: a systematic scoping review

Faria¹,

Silva²,

Duarte³

et al. 2020

Preprint

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Abstract The aim of the present study was to perform a systematically review the literature in order to clarify whether breastfeeding is safe for babies of mothers infected with coronavirus, called SARS-CoV-2. The searches were carried out on MEDLINE (via PubMed), EMBASE and government statements and publications and manual search of reference lists on 5 July. The title, abstracts and full text were read in duplicate by two independent researchers to verify the eligibility criteria. From 2723 records, 17 citations were included. Eleven citations guide avoiding breastfeeding in cases of maternal infection confirmed by SARS-CoV-2. Fourteen citations did not present consensus on breastfeeding and twelve citations recommended to maintain breastfeeding. Conclusion : Through the evidence found so far, it is emphasized that the mother / child separation in the neonatal period is discouraged, as it harms the maternal bond, in addition to interfering considerably in breastfeeding. Therefore, the evidence found so far is extremely low in quality and does not present quantitative evidence in one way or another with regard to vertical transmission of SARS-CoV-2, there is no way to recommend, avoid or even guarantee that there will be no infection, but it is recommended to continue breastfeeding.

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Breastfeeding during the COVID-19 pandemic: Suggestions on behalf of woman study group of AMD

Cited by 31 publications

References 24 publications

Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth

Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth

Criterios de retorno al trabajo y determinación del valor de vulnerabilidad por Covid-19

Breastfeeding for children of mothers who are infected with SARS-CoV-2: a systematic scoping review

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