COVID-19 and breastfeeding, what medical organizations explain by Maternatal

The presence of coronavirus in everyday life has raised countless questions. One of them is to know what is going on with feeding the newborn babies of positive mothers in COVID-19

The presence of coronavirus in everyday life has raised countless questions. One of them is to know what is going on with feeding the newborn babies of positive mothers in COVID-19.

There is no scientific evidence about the transmission of the virus through breast milk. Now, if the mother decides to feed her baby through this method, Sara Cañamero, Matron and IBCLC Certified Breastfeeding Advisor (International Board Certified Lactation Consultant) insists that the following precautions should be taken:

- Consider that another healthy person administers breast milk previously extracted.

- If you decide to breast-feed directly the mother must be informed of the risks of contact.

- Always carry masks.

- Wash your hands before and after the shot.

- Sterilize the bottles and potholes in case of use.

The Spanish Society of Neonatology, based on the experience of China, discourages breastfeeding until it is confirmed that not only the mother, but also the milk, has given negative for COVID-19. The mother will extract milk to stimulate and where possible the milk bank will be used.

The last publication of The Lancet recommends the separation of the positive mother and the newborn for 14 days.

Lactation and coronavirus, together but not stirred.- The different authorities maintain different positions in relation to coronavirus and breastfeeding:

- For the World Health Organization (WHO)WHO), an exception can be made in the case of a breast-feeding mother. Considering the benefits of breastfeeding and that the presence of viruses in milk has not been tested, the mother may continue breastfeeding, but taking the precautionary measures mentioned above.

- According UNICEFIf the mother is sick, it is recommended to extract the milk and administer it to the baby by glass or spoon, noting that all conditions of asepsia are maintained.

- The Milk League She insists that breastfeeding should not be interrupted if it is positive for COVID-19, as that baby has already been exposed to the virus and will benefit from breastfeeding.

- Stop. e-lactancia.org, since the initial symptoms are very similar to a common or asymptomatic cold, it is considered ineffective to isolate the mother. Considering the benefits of breastfeeding, the mother may continue to breastfeed, as she does in the presence of other respiratory viruses. Korean Beauty

- This also coincides AELAMAwhich recommends not to separate the baby ' s mother, as well as to maintain breastfeeding in cases of infected mothers, taking measures to minimize contagion.

Measures to mitigate contagion
After the calculations made based on the behavior of the COVID-19 infectivity to date and considering that it is a virus that mutates, and its behavior changes, it seems that 60% of the population will become infected.

There are still doubts about letality (it is estimated to be similar to flu) and also about infectiousness, as it is unknown if people can transmit the infection asymptomatic. It seems that infected people can start transmitting the disease 1 or 2 days before symptoms occur. In addition, it is known that 80% of the population will have mild or moderate symptoms (many will not even know that they have suffered the disease) so that control based on symptoms is insufficient or uneffective.

Another unknown is how long the period of infectiousness lasts, which, at the moment, has been established in 10 days since the incubation period.

The main objectives of mitigation are to minimize morbidity and associated mortality, to avoid an epidemic peak that exceeds medical care services, to keep the effects on the economy within manageable levels and to flatten the epidemic curve while waiting for the development and manufacture of large-scale vaccines and antiviral therapy.

Since the vaccine or the development of a medicine that reduces symptoms still seems to be far away, it seems that the following measures can be developed:

- Mandatory quarantine, suspension of mass meetings, closure of educational institutes or workplaces where the infection and isolation of homes, towns or cities has been identified.

The closure of schools was an important pillar in the response to flu A. However, in this case, it is unlikely that it will be effective given the apparent low rate of infection among children, although the data remains low.

Avoiding large gatherings of people will reduce the number of super-disseminated events. However, if prolonged contact is required for transmission, this measure could only reduce a small proportion of contagions.

The only two measures that have been taken in China and have shown that they control the spread of the pandemic have been the social separation and isolation of infected persons.

COVID-19 and breastfeeding, what medical organizations explain by Maternatal

The presence of coronavirus in everyday life has raised countless questions. One of them is to know what is going on with feeding the newborn babies of positiv

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2024-05-20

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