Abstract

The COVID-19 pandemic has affected maternal and infant health globally both directly from infection with the SARS-CoV-2 virus and indirectly from changes in health care resulting from social, economic, and health care policies unique to each country. The developing countries have to share the disproportionate burden on maternal and infant health. In this review, we discuss the uncertainties resulting from SARS-CoV-2 infection in pregnancy, vertical transmission of the virus, and its effects on breastfeeding of the newborn. The problems of families and communities caring for mothers with COVID-19 and its impact on breastfeeding in newborns are discussed. The challenges posed by the pandemic have forced us to think and devise innovative solutions, including telemedicine help for antenatal counseling, breastfeeding education, and lactation support. Optimal utilization of resources and technology to find creative solutions at the individual and the community level will help in facilitating maternal–infant bonding soon after birth. Appropriate health care policies to support pregnant and lactating mothers will go a long way in meeting healthy child development goals.

Highlights

  • The coronavirus pandemic has affected every aspect of life and has virtually changed how humans lead their day-to-day lives [1]

  • The COVID-19 pandemic and the subsequent lockdown to prevent the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus have placed an additional burden on families

  • For infants infected with the SARS-CoV-2 virus, the parents should be encouraged to visit their infant in full PPE with airborne precautions until the infant is taken off COVID precautions

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Summary

Introduction

The coronavirus pandemic has affected every aspect of life and has virtually changed how humans lead their day-to-day lives [1]. One area that has been affected immensely is the delivery of health care, and, in that, a significant subsection of breastfeeding mothers has probably suffered [2]. As we navigate this forever-changed world, we need to reflect on the lessons being learned and how to capitulate on positive things and explore new frontiers to support breastfeeding in the year 2021 and beyond. Supportive Legislations Paid Parental Leave Supportive breastfeeding baws with enforcement and penalty powers. Pairing proactive virus surveillance with breastfeeding research

COVID Pandemic and Maternal–Infant Health
Uncertainties over Vertical Transmission of SARS-CoV-2
Breastfeeding and COVID-19 Infection
Breast Milk and Antibodies to SARS-CoV-2
COVID-19 and Kangaroo Mother Care
Uncertainties Regarding Discharge Planning and Homecare
Uncertainties Regarding Vaccination of Pregnant and Lactating Mothers
Comprehensive National Paid Maternity Leave Policy to Promote Breastfeeding
Maternal Health and Breastfeeding
NICU Visitation Policy and COVID-19
Contactless Delivery of Breast Milk
Antenatal Counseling and Breastfeeding Education
Evolution of the Lactation Consultant
Unanswered Questions and Further Research
Conclusions
40. Gynecologists ACOG
Findings
49. Centers for Disease C
Full Text
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