Abstract
Objective: to analyze the general recommendations for the practice of breastfeeding in the face of infection by the new coronavirus. Method: integrative literature review, carried out in the LILACS and Pubmed databases, from March to May 2020. The searches took place with the following combinations of descriptors “Coronavirus”, “Lactation” and “Breastfeeding”. The limitation regarding the year of publication of the articles during the searches carried out was from 2019 to 2020. Results: the search in the data sources allowed the inclusion of ten articles, two from Brazilian journals, found in the LILACS database, and eight of international origin, selected in the PubMed database. Conclusion: From this review, it became evident that most studies addressed the recommendation to maintain the practice of breastfeeding in women with COVID-19. These studies reinforce the importance of counseling, the necessary care during the act of breastfeeding, in addition to recognizing the benefits of breastfeeding. The large number of research on the subject defends and favors breastfeeding for women suspected or diagnosed with COVID-19, which limits the discussion with similar articles.
Highlights
The disease caused by the severe acute respiratory syndrome (SARS)-CoV-2 coronavirus, called COVID-19, presents a clinical picture that varies from asymptomatic infections to severe respiratory conditions (OMS, 2019; Ma et al, 2020)
The guiding question of this study was the following: What are the general recommendations for the practice of breastfeeding in the face of infection with the new coronavirus? The construction of the question involved the acronym PICO (Brasil, 2012), being ‘P’ for population; Intervention ‘I’; Control ‘C’; ‘O’ for outcomes
We categorized the evidence according to the type of breastfeeding practice recommendation: “breastfeeding is not recommended for mothers infected with SARS-CoV-2” and “breastfeeding is recommended for mothers infected with SARSCoV-2”
Summary
The disease caused by the SARS-CoV-2 coronavirus, called COVID-19, presents a clinical picture that varies from asymptomatic infections to severe respiratory conditions (OMS, 2019; Ma et al, 2020). Due to the large number of patients infected by this new virus, the World Health Organization (WHO) declared a COVID-19 pandemic. With the advent of the pandemic, millions of people around the world became sick and millions more died. There is a paucity of data on the repercussions of COVID-19 on pregnancy and on the transmission of its agent vertically, through breastfeeding. There are rare contraindications to breastfeeding, just systematic screening recommendations for any suspected COVID-19 infection during pregnancy. Prolonged follow-up of the mother and fetus/baby is a recommendation if infection is present (Favre et al, 2020)
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