Protecting Breastfeeding during the COVID-19 Pandemic
Ritu Cheema1, Elizabeth Partridge1, Laura R Kair2
1Division of Pediatric Infectious Disease, Department of Pediatrics, University of California, Davis, School of Medicine, Sacramento, California.
Mothers with COVID-19 can safely breastfeed their newborns. Breast milk is unlikely to transmit SARS-CoV-2 and may offer protective antibodies, making direct breastfeeding recommended with precautions.
Area of Science:
- Perinatology
- Infectious Diseases
- Neonatology
Background:
- The COVID-19 pandemic created uncertainty regarding breastfeeding for mothers with SARS-CoV-2.
- Initial recommendations varied, with some suggesting maternal-infant separation, impacting maternal and infant well-being.
Purpose of the Study:
- To clarify the role of breast milk in SARS-CoV-2 transmission.
- To provide evidence-based recommendations for breastfeeding mothers with COVID-19.
Main Methods:
- Review of current literature on SARS-CoV-2 in breast milk.
- Analysis of reported cases and expert society guidelines.
Main Results:
- Limited evidence suggests SARS-CoV-2 is not efficiently transmitted via breast milk.
- Breast milk may contain protective antibodies against SARS-CoV-2.
- Maternal-infant separation has negative health and emotional consequences.
Conclusions:
- Direct breastfeeding is recommended for mothers with suspected or confirmed COVID-19, with appropriate hygiene precautions.
- Breast milk offers significant nutritional, immunological, and developmental benefits and should not be withheld.
- Shared decision-making between mother and physician is crucial for personalized breastfeeding plans.
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