Virolactia in an Asymptomatic Mother with COVID-19

Baştuğ, Aliye; Hanifehnezhad, Alireza; Tayman, Cüneyt; Özkul, Aykut; Ozbay, Orkun; Kazancıoğlu, Sümeyye; Bodur, Hürrem

doi:10.1089/bfm.2020.0161

Cited by 56 publications

(82 citation statements)

References 6 publications

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“…Twenty-eight case reports, [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][32][33][34][36][37][38][39][40]42,43,45 and nine retrospective case series. [27][28][29][30][31]35,41,44,46 These report articles were included for narrative analysis.…”

Section: Study Designsmentioning

confidence: 99%

“…The included studies were reports from Australia (n = 1), 32 Belgium (n = 1), 33 Canada (n = 1), 34 China (n = 21), 12,13,[18][19][20][22][23][24][25][26][27][28][29][30][31][41][42][43][44][45][46] Germany (n = 2), 14,35 Italy (n = 6), 10,11,21,[36][37][38] Jordan (n = 1), 39 Singapore (n = 1), 17 Turkey (n = 2), 16,40 and the Republic of Korea (n = 1). 15 No additional information was available on the setting characteristics of the cases described.…”

Section: Settingsmentioning

confidence: 99%

“…35 One study assessed breast milk samples for viral infection from five women with COVID-19 but did not report on infant health outcomes or feeding practices for the corresponding five infants. 41 Of the 19 positive children, 10 cases were reported to be breastfed and four mix-fed from a woman with COVID-19, 10,14,15,17,19,21,24,25,[33][34][35] two cases 12,22,32,40 were described to be fed with a breast milk substitute (infant formula), and two cases that did not provide a description of infant feeding practices. 11,14 Infection outcomes are summarized in Tables 1 and 2.…”

Section: Participantsmentioning

confidence: 99%

See 2 more Smart Citations

Transmission of SARS‐CoV‐2 through breast milk and breastfeeding: a living systematic review

Centeno‐Tablante

Medina‐Rivera

Finkelstein

et al. 2020

Annals of the New York Academy of Sciences

146

123

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The pandemic of coronavirus disease 2019 (COVID-19) is caused by infection with a novel coronavirus strain, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). At present, there is limited information on potential transmission of the infection from mother to child, particularly through breast milk and breastfeeding. Here, we provide a living systematic review to capture information that might necessitate changes in the guidance on breast milk and breastfeeding given the uncertainty in this area. Our search retrieved 19,414 total records; 605 were considered for full-text eligibility and no ongoing trials were identified. Our review includes 340 records, 37 with breast milk samples and 303 without. The 37 articles with analyzed breast milk samples reported on 77 mothers who were breastfeeding their children; among them, 19 of 77 children were confirmed COVID-19 cases based on RT-PCR assays, including 14 neonates and five older infants. Nine of the 68 analyzed breast milk samples from mothers with COVID-19 were positive for SARS-CoV-2 RNA; of the exposed infants, four were positive and two were negative for COVID-19. Currently, there is no evidence of SARS-CoV-2 transmission through breast milk. Studies are needed with longer follow-up periods that collect data on infant feeding practices and on viral presence in breast milk.

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Section: Study Designsmentioning

confidence: 99%

Section: Settingsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

See 1 more Smart Citation

Transmission of SARS‐CoV‐2 through breast milk and breastfeeding: a living systematic review

Centeno‐Tablante

Medina‐Rivera

Finkelstein

et al. 2020

Annals of the New York Academy of Sciences

146

123

View full text Add to dashboard Cite

show abstract

“…8,9 Whether this virus can be transmitted vertically during pregnancy remains under investigation; however, its presence in the placenta and breast milk has been documented in a few recent studies. [10][11][12][13][14] The mechanisms underlying the effects of COVID-19 on pregnant women are also unknown and are under investigation.…”

Section: Severe Acute Respiratory Syndromecoronavirus 2 (Sars-cov-2mentioning

confidence: 99%

SARS‐CoV2 and pregnancy: An invisible enemy?

Verma

Carter

Mysorekar

2020

American J Rep Immunol

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Coronavirus disease 2019 or COVID-19 is an emerging viral disease caused by a member of the betacoronavirus family, SARS-CoV-2. Since its' emergence in December 2019, it has rapidly caused close to half a million fatalities globally. Data regarding the impact of COVID-19 on pregnancy are limited. Here, we review pathological findings in placentas from women who tested positive for SARS-CoV-2 as well as information on pregnancy outcomes associated with related and highly pathogenic coronaviruses (ie, severe acute respiratory syndrome (SARS-COV) and the Middle East respiratory syndrome, MERS). We present immune-inflammatory correlates of COVID-19 in pregnancy and review the role of the Renin Angiotensin System in the pathogenesis of COVID-19 in pregnancy. Greater understanding of the pathogenesis of SARS-CoV-2 in the placenta will yield important insight into potential therapeutic interventions for pregnant women with COVID-19.

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“…In contrast, the Centers for Disease Control and Prevention, while encouraging the continuation of breastfeeding in general, stated, "temporary separation of the newborn from a mother with con rmed or suspected COVID-19 should be strongly considered to reduce the risk of transmission to the neonate". 42…”

Section: Breastfeeding and Infant Contactmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Maternal and Perinatal Health: A Scoping Review

Kotlar

Gerson

Petrillo

et al. 2020

Preprint

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Introduction: Maternal health is a critical public health issue, and the Coronavirus Disease 2019 (COVID-19) pandemic has had a multifaceted impact on the health and wellbeing of pregnant individuals and mothers. Methods: A scoping review was conducted to compile evidence on direct and indirect impacts of the pandemic on maternal health and provide an overview of the most significant outcomes thus far. Working papers and news articles were considered appropriate evidence along with peer-reviewed publications in order to capture rapidly evolving updates. Narrative descriptions were written about subject areas for which the authors found the most evidence.Results: While the search yielded numerous publications, most studies were methodologically weak. Pregnant individuals were not found to experience more severe symptoms than the general population, and intrauterine, vertical, and breastmilk transmission were unlikely. Labor, delivery, and breastfeeding guidelines for COVID-19 positive patients varied. Severe increases in maternal mental health issues, such as clinically relevant anxiety and depression, were reported. Domestic violence appeared to spike. Prenatal care visits decreased, healthcare infrastructure was strained, and potentially harmful policies implemented with little evidence. Women were more vulnerable to losing their income due to the pandemic than men, and working mothers struggled with increased childcare demands. Conclusion:Pregnant women and mothers were not found to be at higher risk for COVID-19 than the general population, however they seem to face disproportionate adverse socio-economic consequences. High income and low- and middle-income countries alike faced significant struggles. Further resources should be directed towards quality epidemiological studies.

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Virolactia in an Asymptomatic Mother with COVID-19

Cited by 56 publications

References 6 publications

Transmission of SARS‐CoV‐2 through breast milk and breastfeeding: a living systematic review

Transmission of SARS‐CoV‐2 through breast milk and breastfeeding: a living systematic review

SARS‐CoV2 and pregnancy: An invisible enemy?

The Impact of the COVID-19 Pandemic on Maternal and Perinatal Health: A Scoping Review

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