Mistakes from the HIV pandemic should inform the COVID-19 response for maternal and newborn care.
Betacoronavirus
Breast Feeding
COVID-19
Coronavirus Infections
/ epidemiology
HIV Infections
/ epidemiology
Health Policy
Humans
Infectious Disease Transmission, Vertical
/ prevention & control
Mother-Child Relations
Object Attachment
Pandemics
Patient Isolation
Pneumonia, Viral
/ epidemiology
Risk Factors
SARS-CoV-2
World Health Organization
COVID-19
HIV
Infant and young child feeding in emergencies
Policy development
Prevention of mother-to-child-transmission
Journal
International breastfeeding journal
ISSN: 1746-4358
Titre abrégé: Int Breastfeed J
Pays: England
ID NLM: 101251562
Informations de publication
Date de publication:
25 07 2020
25 07 2020
Historique:
received:
19
05
2020
accepted:
09
07
2020
entrez:
27
7
2020
pubmed:
28
7
2020
medline:
6
8
2020
Statut:
epublish
Résumé
In an effort to prevent infants being infected with SARS-CoV-2, some governments, professional organisations, and health facilities are instituting policies that isolate newborns from their mothers and otherwise prevent or impede breastfeeding. Such policies are risky as was shown in the early response to the HIV pandemic where efforts to prevent mother to child transmission by replacing breastfeeding with infant formula feeding ultimately resulted in more infant deaths. In the COVID-19 pandemic, the risk of maternal SARS-CoV-2 transmission needs to be weighed against the protection skin-to-skin contact, maternal proximity, and breastfeeding affords infants. Policy makers and practitioners need to learn from the mistakes of the HIV pandemic and not undermine breastfeeding in the COVID-19 pandemic. It is clear that in order to maximise infant health and wellbeing, COVID-19 policies should support skin-to-skin contact, maternal proximity, and breastfeeding.
Sections du résumé
BACKGROUND
In an effort to prevent infants being infected with SARS-CoV-2, some governments, professional organisations, and health facilities are instituting policies that isolate newborns from their mothers and otherwise prevent or impede breastfeeding.
WEIGHING OF RISKS IS NECESSARY IN POLICY DEVELOPMENT
Such policies are risky as was shown in the early response to the HIV pandemic where efforts to prevent mother to child transmission by replacing breastfeeding with infant formula feeding ultimately resulted in more infant deaths. In the COVID-19 pandemic, the risk of maternal SARS-CoV-2 transmission needs to be weighed against the protection skin-to-skin contact, maternal proximity, and breastfeeding affords infants.
CONCLUSION
Policy makers and practitioners need to learn from the mistakes of the HIV pandemic and not undermine breastfeeding in the COVID-19 pandemic. It is clear that in order to maximise infant health and wellbeing, COVID-19 policies should support skin-to-skin contact, maternal proximity, and breastfeeding.
Identifiants
pubmed: 32711567
doi: 10.1186/s13006-020-00306-8
pii: 10.1186/s13006-020-00306-8
pmc: PMC7381860
doi:
Types de publication
Letter
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
67Subventions
Organisme : Bill and Melinda Gates Foundation
ID : OPP50838
Pays : International
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