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To Breastfeed or not to Breastfeed? An Overview in the Time of the COVID-19 Pandemic

Document Type : Review Article

Authors
1 Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 MSc of Operating Room, Department of Operative Room and Anesthetics, School of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran.
3 Student Research Committee, School of Nursing and Midwifery, Sirjan University of Medical Sciences, Sirjan, Iran.
4 Department of Midwifery, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
5 MD, Pediatric Nephrologist, Assistant Professor, Department of Pediatrics, Division of Nephrology, Dr. Sheikh Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
10.22034/hp.2022.368456.1026
Abstract
Background: Despite the recognized benefits of breastfeeding for both mothers and infants, many women opt not to breastfeed due to insufficient knowledge regarding the transmission of COVID-19 through breast milk. This study aims to summarize the most recent evidence concerning breastfeeding during the COVID-19 pandemic.
Materials and Methods: In this overview, two independent researchers screened all reviews, systematic reviews, meta-analyses, and scoping reviews that addressed breastfeeding in the context of the COVID-19 pandemic. They searched the Scopus, EMBASE, Web of Science, Medline, CIVILICA, and CINAHL databases for full-text articles available in Persian or English, without any time restrictions up to November 2022.
Results: Vertical transmission of COVID-19 from a mother to her child cannot be confirmed or denied. Currently, there is no evidence of the virus being present in the amniotic fluid at the time of birth or in breast milk, indicating that breastfeeding should continue with strict adherence to safety and hygiene measures. The World Health Organization advises mothers suspected of or infected with COVID-19 to continue breastfeeding, considering the significant benefits of breastfeeding in relation to the potential risks.
Conclusion: Breastfeeding is the most effective protective measure for both healthy and at-risk infants, as well as their mothers, during the COVID-19 pandemic. Adhering to health protocols can mitigate the risk of COVID-19 transmission from mother to baby through breastfeeding.
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