Journal
JOURNAL OF WOMENS HEALTH
Volume 30, Issue 11, Pages 1546-1555Publisher
MARY ANN LIEBERT, INC
DOI: 10.1089/jwh.2020.8978
Keywords
COVID-19; SARS-CoV-2; breastfeeding; antibodies; postpartum psychological status
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Funding
- Doctoral Research Initiation Fund of Affiliated Hospital of Southwest Medical University
- National Natural Science Foundation of China [81703242]
- Fundamental Research Funds for the Central Universities [2020kfyXGYJ008]
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Research on mothers infected with COVID-19 showed no detection of the virus in breast milk, suggesting the safety of breastfeeding for newborns. The rate of breastfeeding increased in two follow-ups, while mothers' psychological status gradually became more positive.
Objective: The outbreak of Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) threatens a surging number of community groups within society, including women actively breastfeeding. Breastfeeding involves intimate behaviors, a major transmission route of SARS-CoV-2, and is integral to the close mother-baby relationship highly correlated with maternal psychological status. Materials and Methods: Twenty-three pregnant women and puerperae with either confirmed or suspected diagnoses of COVID-19 were enrolled in the study. The clinical characteristics and outcomes of the mothers and neonates were recorded. The presence of SARS-CoV-2, IgG, and IgM in breast milk, maternal blood, and infant blood, together with feeding patterns, was assessed within 1 month after delivery. Feeding patterns and maternal psychological status were also recorded in the second follow-up. Results: No positive detection of SARS-CoV-2 was found in neonates. All breast milk samples were negative for the detection of SARS-CoV-2. The presence of IgM for SARS-CoV-2 in breast milk was correlated with IgM presence in the maternal blood. The results of IgG detection for SARS-CoV-2 were negative in all breast milk samples. All infants were in a healthy condition in two follow-ups, and antibody tests for SARS-CoV-2 were negative. The rate of breast milk feeding increased during two follow-ups. All mothers receiving a second follow-up experienced negative psychological factors and status. Conclusions: Our findings support the feasibility of breastfeeding in women infected with SARS-CoV-2. The additional negative psychological status of mothers due to COVID-19 should also be considered during the puerperium period.
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