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https://doi.org/10.1055/s-0040-1716506
Title: | Breastfeeding in COVID-19: A Pragmatic Approach. | Authors: | Ng, Yvonne Peng Mei Low, Yi Fen Goh, Xin Lei Fok, Doris Amin, Zubair |
Keywords: | Baby-Friendly Hospital Initiative Nurses Education Breastfeeding Knowledge sharing Attitude Confidence |
Issue Date: | 8-Sep-2020 | Publisher: | Georg Thieme Verlag KG | Citation: | Ng, Yvonne Peng Mei, Low, Yi Fen, Goh, Xin Lei, Fok, Doris, Amin, Zubair (2020-09-08). Breastfeeding in COVID-19: A Pragmatic Approach.. American Journal of Perinatology. ScholarBank@NUS Repository. https://doi.org/10.1055/s-0040-1716506 | Abstract: | The novel coronavirus disease 2019 (COVID-19) pandemic has resulted in changes to perinatal and neonatal care, concentrating on minimizing risks of transmission to the newborn and health care staff while ensuring medical care is not compromised for both mother and infant. Current recommendations on infant care and feeding when mother has COVID-19 ranges from mother-infant separation and avoidance of human milk feeding, to initiation of early skin-to-skin contact and direct breastfeeding. Health care providers fearing risks of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) maternal-infant transmission may veer toward restricted breastfeeding practices. We reviewed guidelines and published literature and propose three options for infant feeding depending on various scenarios. Option A involves direct breastfeeding with the infant being cared for by the mother or caregiver. In option B, the infant is cared for by another caregiver and receives mother's expressed milk. In the third option, the infant is not breastfed directly and does not receive mother's expressed milk. We recommend joint decision making by parents and the health care team. This decision is also flexible as situation changes. We also provide a framework for counseling mothers on these options using a visual aid and a corresponding structured training program for health care providers. Future research questions are also proposed. We conclude that evidence and knowledge about COVID-19 and breastfeeding are still evolving. Our options can provide a quick and flexible reference guide that can be adapted to local needs. KEY POINTS: · SARS-CoV-2 is unlikely transmitted via human milk.. · A shared decision making on infant feeding is the preferred approach.. · Mothers can safely breastfeed with appropriate infection control measures.. | Source Title: | American Journal of Perinatology | URI: | https://scholarbank.nus.edu.sg/handle/10635/176401 | ISSN: | 07351631 10988785 |
DOI: | 10.1055/s-0040-1716506 |
Appears in Collections: | Elements Staff Publications |
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Breastfeeding in Covid_19_AJP 2020.pdf | 201.29 kB | Adobe PDF | OPEN | Published | View/Download |
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