International Perspectives Concerning Donor Milk Banking During the SARS-CoV-2 (COVID-19) Pandemic

Marinelli, Kathleen A.

doi:10.1177/0890334420917661

Cited by 39 publications

(53 citation statements)

References 6 publications

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“…10,26,27 If direct breastfeeding cannot occur, or donated breast milk is used, recommendations have been provided to reduce the risk of contagion through fomites and ensure that babies can receive breast milk. 28,29 However, this is not always feasible, mainly due to organisational issues at hospitals. Information about how infected mothers feed their newborn infants with breast milk or formula during the immediate neonatal period is scarce.…”

Section: Discussionmentioning

confidence: 99%

Multicentre Spanish study found no incidences of viral transmission in infants born to mothers with COVID‐19

et al. 2020

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Aim: Our aim was to describe the clinical features of mothers infected with COVID-19 and examine any potential vertical mother to newborn transmission. We also assessed how effective the discharge recommendations were in preventing transmission during the first month of life. Methods: This multicentre descriptive study involved 16 Spanish hospitals. We reviewed the medical records of 42 pregnant women diagnosed with COVID-19 from March 13, 2020, to March 29, 2020, when they were in their third trimester of pregnancy. They and their newborn infants were monitored until the infant was 1 month old. Results: Over half (52.4%) of the women had a vaginal delivery. The initial clinical symptoms were coughing (66.6%) and fever (59.5%), and one mother died due to thrombo-embolic events. We admitted 37 newborn infants to the neonatal unit (88%), and 28 were then admitted to intermediate care for organisational virus-related reasons. No infants died, and no vertical transmission was detected during hospitalisation or follow-up. Only six were exclusively breastfed at discharge.

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Section: Discussionmentioning

confidence: 99%

Multicentre Spanish study found no incidences of viral transmission in infants born to mothers with COVID‐19

et al. 2020

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“…If that is not possible, other alternatives can be considered, such as the use of certified donor milk bank services, designed to protect the incoming milk supply by rigorous screening criteria for milk donors. 21,22 The current WHO recommendations indicate that mothers should provide exclusive breastfeeding to their babies during the first 6 months of life. 23,24 After the addition of solid food, mothers are advised to continue breastfeeding for at least 6 additional months and, if possible, to continue this practice up to the age of 2 years and beyond.…”

Section: How To Manage the Risk Of Infection In Breastfed Infantsmentioning

confidence: 99%

The Importance of Continuing Breastfeeding during Coronavirus Disease-2019: In Support of the World Health Organization Statement on Breastfeeding during the Pandemic

Williams

Namazova-Baranova²,

Weber

et al. 2020

The Journal of Pediatrics

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here are many questions and concerns about the coronavirus disease 2019 (COVID-19), including its implications for breastfeeding. 1 This commentary draws on a statement and recommendations recently issued by the Regional Office for Europe of the World Health Organization with the contribution of the European Pediatric Association-Union of National European Pediatric Societies and Associations and other main European pediatric organizations. 1 Our aim is to provide pediatricians with further guidance on breastfeeding and related safety measures during COVID-19, particularly in instances where a mother has or may have COVID-19. The COVID-2019 epidemic, caused by severe acute respiratory syndrome coronavirus 2, was first identified in Hubei Province China in December 2019, and has subsequently spread globally, placing extensive pressure on health systems and posing a major public health challenge worldwide. 2 On March 11, 2020, the World Health Organization (WHO) declared the outbreak a pandemic. 3 At the time, little was known about COVID-19 or its effects on the general population, and even less was known about how it could influence specific populations such as pregnant women, infants, or children. Reports show that children at all ages are sensitive to COVID-19, with no significant gender difference. 4 Clinical manifestations of children's COVID-19 cases are less severe than in adults' patients, and a review of 72 314 cases by the Chinese Center for Disease Control and Prevention showed that <1% of the cases were in children <10 years of age. 5 Additional information about COVID-19 infection among children is increasing over time, but questions remain, including questions about breastfeeding, particularly in instances when a mother may be infected with COVID-19. 6,7 The protection, promotion, and support of breastfeeding are a priority for public health and WHO has been continuously compiling evidence on the effect of COVID on mothers and children. 3,8,9

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“…Additionally, if viable SARS-CoV-2 were present in human milk, temperatures near those used in Holder pasteurization (62.5°C for 30 minutes) have been found to inactivate the virus. 30 This would allay the fears about safety of donor human milk from milk banks. Paradoxically, pasteurization is believed to be counterproductive as it would inactivate other immunological properties of milk that might protect the neonates from SARS-CoV-2 and other pathogens.…”

Section: Biological Properties and Transmission Modes Of Sars-cov-2mentioning

confidence: 99%

Breastfeeding in COVID-19: A Pragmatic Approach

Low

Goh

et al. 2020

Am J Perinatol

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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

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International Perspectives Concerning Donor Milk Banking During the SARS-CoV-2 (COVID-19) Pandemic

Cited by 39 publications

References 6 publications

Multicentre Spanish study found no incidences of viral transmission in infants born to mothers with COVID‐19

Multicentre Spanish study found no incidences of viral transmission in infants born to mothers with COVID‐19

The Importance of Continuing Breastfeeding during Coronavirus Disease-2019: In Support of the World Health Organization Statement on Breastfeeding during the Pandemic

Breastfeeding in COVID-19: A Pragmatic Approach

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