Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

Wesołowska, Aleksandra; Orczyk-Pawiłowicz, Magdalena; Bzikowska‐Jura, Agnieszka; Gawrońska, Małgorzata; Walczak, Bartłomiej

doi:10.3390/ijerph19063347

Cited by 7 publications

(5 citation statements)

References 124 publications

(470 reference statements)

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“…If the diagnosis of infection in the newborn is confirmed, isolation from the mother is no longer necessary. Breastfeeding is encouraged in these cases if maternal and neonatal health allow it [ 30 ]. In the three cases presented, the newborns were moved together with the mothers after establishing the diagnosis of infection in neonates because the symptoms were minor or moderate.…”

Section: Discussionmentioning

confidence: 99%

First Neonates with Vertical Transmission of SARS-CoV-2 Infection in Late Pregnancy in West Part of Romania: Case Series

et al. 2022

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The Coronavirus disease 2019 (COVID-19) pandemic has exposed the vulnerable neonatal population to unknown risks. Given that herd immunity is has not been reached, the entire population is susceptible to Severe Acute Respiratory Syndrome Coronavirus 2 Virus(SARS-CoV-2) infection. The arising concern about the vertical transmission of neonatal complications caused by the novel coronavirus is a continuous challenge for managing newborns, considering the rare cases and unclear guidelines. Therefore, a retrospective study was conducted in a tertiary unit from Timisoara, Romania. Of the 283 newborns born during the study period, only 3 neonates were diagnosed with SARS-CoV-2 infection in the first 24 h of life (DOL-0). The present study plans to identify the findings, including clinical features, laboratory characteristics, and outcomes of newborns with vertical transmission of SARS-CoV-2. All infected neonates were confirmed with COVID-19 by Reverse-Transcriptase Polymerase Chain Reaction (RT-PCR) from nasal aspirates and were isolated in the neonatology department. They were the first and the only neonate infected at birth from the West part of Romania. The clinical findings were unremarkable except for one neonate who developed mild respiratory distress syndrome. Elevated IgG-specific anti-SARS-CoV-2 serum levels were found in one newborn. Swab samples in DOL-0 strengthened the awareness of vertical transmission, although peripartum SARS-CoV-2 infection does not seem responsible for severe symptoms. We conclude that vertical transmission is rare in late pregnancy. Even if the studied newborns showed mild forms of COVID-19, it is essential to note that newborns represent a particular category of patients. More studies are needed to complete the observations of this study.

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Section: Discussionmentioning

confidence: 99%

First Neonates with Vertical Transmission of SARS-CoV-2 Infection in Late Pregnancy in West Part of Romania: Case Series

et al. 2022

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“…Different studies have shown that the coronavirus pandemic has exerted a significant impact on delivery care and breastfeeding, highlighting the global benefits of ensuring that mothers and newborns are not separated despite the uncertainty and limited knowledge about COVID-19, along with the essential support for breastfeeding mothers, which allows achieving science-based results. The presence of barriers and/or difficulties in the provision of Nursing and Obstetrics care was also evident during the COVID-19 pandemic, including breastfeeding support (1,28,29,30,31,32,33,34,35).…”

Section: Fear and Apprehension During Hospitalization Of A Childmentioning

confidence: 99%

Educational Strategy for Breastfeeding Maintenance During the COVID-19 Post-Pandemic Period in Popayán

Quiñones Zúñiga,

Vivas Chacón,

Velasco-Restrepo

et al. 2023

Aquichan

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Introduction: The scientific literature indicates that the COVID-19 pandemic has exerted an important impact on delivery care and breastfeeding, such as abandoning practices like skin-to-skin contact and early breastfeeding initiation, which offer major benefits for maternal-child health. Objective: To know the experiences undergone by mothers of hospitalized breastfeeding infants regarding educational strategies for breastfeeding maintenance during the COVID-19 post-pandemic period. Materials and methods: A qualitative study with a phenomenological approach. The population was comprised of 39 mothers of newborns hospitalized in the neonatal unit of the Susana López de Valencia hospital, Popayán (Cauca). Semi-structured interviews and a discussion group consisting of randomly selected mothers who did not know each other were employed as techniques to obtain the information. The semi-structured interviews eased an in-depth search for information until reaching data saturation. Results: Five categories emerged from the analysis: 1) The mothers’ knowledge about breastfeeding; 2) Barriers identified by the mothers in the educational process; 3) Nurses’ willingness to provide support, listen and help; 4) The best strategy concerning breastfeeding education; and 5) The pandemic as a factor that increases fear and apprehension during hospitalization of a child. Conclusions: Knowing the experiences undergone by mothers of hospitalized children regarding breastfeeding allows us to get closer to proposing an educational strategy that includes their needs, previous knowledge, facilitating elements and barriers, to maintain breastfeeding during hospitalization.

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“…Preporuke većeg broja zemalja, koje su se odnosile na SSC tokom pandemije kovida 19, u većini studija opisane su kao nošenje hirurške maske, dezinfekcija ruku i kontaktnih površina. Iako je uglavnom bilo dozvoljeno sprovođenje SSC tokom pandemije, predlagano je pojedinačno ispitivanje postojanja kliničkih i administrativnih uslova za sprovođenje same metode (46).…”

Section: Kovid 19 I Sscunclassified

The effect of the early "skin-to-skin" contact method on breastfeeding

Miolski¹,

Raus²,

Radusinović³

et al. 2022

Medicinski časopis

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The task of public health is to encourage the mother to initiate and maintain breastfeeding of her child. The main proponents of early breastfeeding should be pediatricians and gynecologists in maternity hospitals. Early "skin-to-skin" contact means that after birth, in the first ten minutes, the newborn is placed in close contact with the mother. After it is born and cries, it is transferred to the bare chest of the mother, who is comfortably placed in bed with her head elevated. The child is placed in a longitudinal position in relation to her, between and above her breasts. The child's head is turned to the side with mandatory monitoring of breathing, and both are covered with a clean, dry sheet. The basis of the mechanism is hormonal. With this kind of mutual contact, oxytocin is released in the mother, and catecholamine concentrations increase in the newborn. The first two hours after birth, the newborn is awake, active, sensitive to touch, smell and temperature simulations that he receives from the mother, which is why this period is the best for starting breastfeeding. The advantages of this method for the mother are: easier and faster stopping of bleeding after childbirth, earlier expulsion of the placenta, greater calmness and relaxation, as well as greater self-efficacy in breastfeeding. The advantages for the newborn are: reduction of postpartum stress and anxiety, less crying, better control of reaching optimal body temperature, importance in establishing microcolonization of the intestinal flora and more effective breastfeeding with earlier discharge from the hospital to home. The application of this method is simple and economically profitable, and short-term and long-term effects are achieved for both the mother and the child.

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Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

Cited by 7 publications

References 124 publications

First Neonates with Vertical Transmission of SARS-CoV-2 Infection in Late Pregnancy in West Part of Romania: Case Series

First Neonates with Vertical Transmission of SARS-CoV-2 Infection in Late Pregnancy in West Part of Romania: Case Series

Educational Strategy for Breastfeeding Maintenance During the COVID-19 Post-Pandemic Period in Popayán

The effect of the early "skin-to-skin" contact method on breastfeeding

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