Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

Article Obstetrics & Gynecology

An initiative to evaluate the safety of maternal bonding in patients with SARS-CoV-2 infection

Liviu Cojocaru et al.

Summary: This study analyzed the maternal bonding in neonates born to mothers with SARS-CoV-2, and found that it appears to be safe.

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE (2022)

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Article Obstetrics & Gynecology

Breastfeeding supportive practices in European hospitals during the COVID-19 pandemic

Anne Merewood et al.

Summary: During the first year of the COVID-19 pandemic, international recommendations and guidelines on breastfeeding practices in hospitals were inconsistent and conflicting, with some recommending separation of mothers and infants while others still advocated for direct breastfeeding. Ongoing monitoring and potentially proactive investment may be needed to regain traditional practices in postnatal care amid the COVID-19 pandemic.

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE (2022)

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Article Obstetrics & Gynecology

Recommendations for SARS-CoV-2/COVID-19 during Pregnancy, Birth and Childbed - Update November 2021 (Long Version)

Janine Zoellkau et al.

Summary: The German professional societies have published recommendations for the management of SARS-CoV-2 positive pregnancies and neonates, based on scientific data and expert consensus. These recommendations aim to assist clinical decision-making, with ultimate therapeutic responsibility resting with the local medical team.

ZEITSCHRIFT FUR GEBURTSHILFE UND NEONATOLOGIE (2022)

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Letter Pediatrics

Neonatal outcome following maternal infection with SARS-CoV-2 in Germany: COVID-19-Related Obstetric and Neonatal Outcome Study (CRONOS)

Nadine Mand et al.

ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION (2022)

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Article Obstetrics & Gynecology

Gestational diabetes mellitus and COVID-19: results from the COVID-19-Related Obstetric and Neonatal Outcome Study (CRONOS)

Helmut J. Kleinwechter et al.

Summary: This study aimed to investigate whether gestational diabetes mellitus is an independent risk factor for adverse maternal and fetal and neonatal outcomes in pregnant women with COVID-19. The results showed that gestational diabetes mellitus combined with preconceptional overweight or obesity independently increased the risk of severe course of COVID-19 in pregnant women.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2022)

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Article Obstetrics & Gynecology

Assessment of Neonatal Cord Blood SARS-CoV-2 Antibodies after COVID-19 Vaccination in Pregnancy: A Prospective Cohort Study

Marina Sourouni et al.

Summary: The study aimed to investigate the transmission of COVID-19 antibodies from vaccinated pregnant women to their newborns and examine the effect of maternal characteristics on umbilical cord antibody levels. The results showed that vaccine-generated antibodies were present in all samples regardless of the type or timing of vaccination. There was no significant correlation between cord blood antibody levels and the variables of interest, including vaccination timing, interval between vaccination and delivery, age, and body mass index. No adverse outcomes, including fetal malformation, were reported, even after vaccination in the first trimester.

GEBURTSHILFE UND FRAUENHEILKUNDE (2022)

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Article Obstetrics & Gynecology

Antibody Response and Maternofetal Antibody Transfer in SARS-CoV-2-Positive Pregnant Women: A Multicenter Observational Study

Sabine Enengl et al.

Summary: This study examined the immune status of pregnant women with SARS-CoV-2 infection and the dynamics of placental antibody transfer. The findings suggest that vertical transmission of the virus is rare, but antibodies are transferred to the fetus soon after infection, which may have a protective value for neonatal immunization.

GEBURTSHILFE UND FRAUENHEILKUNDE (2022)

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Article Nursing

Rooming-In Practice During the Pandemic: Results From a Retrospective Cohort Study

Simonetta Costa et al.

Summary: This study aimed to evaluate the impact of rooming-in and separation management on exclusive breastfeeding rates and neonatal outcomes in mothers and newborn infants with COVID-19. The results showed that the rooming-in group had a higher rate of exclusive breastfeeding and a shorter length of hospital stay.

JOURNAL OF HUMAN LACTATION (2022)

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Article Obstetrics & Gynecology

The Effects of COVID-19 Hospital Practices on Breastfeeding Initiation and Duration Postdischarge

Lara Rostomian et al.

Summary: The perinatal hospital care practices implemented during the early stage of the COVID-19 pandemic, such as mother-infant separation and prevention of breastfeeding initiation, had adverse effects on breastfeeding outcomes postdischarge.

BREASTFEEDING MEDICINE (2022)

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Article Nursing

Impact of COVID-19 on breastfeeding intention and behaviour among postpartum women in five countries

Li-Yin Chien et al.

Women and Birth (2022)

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Review Obstetrics & Gynecology

Breastfeeding during the novel coronavirus (COVID-19) pandemic: guidelines and challenges

Dimitra Dimopoulou et al.

Summary: The COVID-19 pandemic has brought up questions regarding the management of pregnant women and newborns. Current guidelines recommend rooming-in and direct breastfeeding, but initial fears led to mother-newborn separation. As we gather more information about the possibility of virus transmission through breastfeeding, more definitive instructions can be given for breastfeeding practices.

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE (2022)

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Review Multidisciplinary Sciences

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

Elizabeth Centeno-Tablante et al.

Summary: Limited information is available on potential mother-to-child transmission of COVID-19, particularly through breast milk. Current evidence does not support the transmission of SARS-CoV-2 through breast milk. Further studies with longer follow-up periods are needed to gather data on infant feeding practices and viral presence in breast milk.

ANNALS OF THE NEW YORK ACADEMY OF SCIENCES (2021)

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Review Pediatrics

SARS-CoV-2 genome and antibodies in breastmilk: a systematic review and meta-analysis

Faith Zhu et al.

Summary: The presence of SARS-CoV-2 genome in breastmilk is rare and associated with mild symptoms in infants, while anti-SARS-CoV-2 antibodies are more commonly detected and may provide some level of protection for infants.

ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION (2021)

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Article Obstetrics & Gynecology

Maternal and Infant Outcomes Associated with Maternity Practices Related to COVID-19: The COVID Mothers Study

Melissa C. Bartick et al.

Summary: The study found that practices such as skin-to-skin care, direct breastfeeding, and rooming-in were associated with a decrease in hospitalization risk among newborns. Infants who did not experience these practices were more likely to not be exclusively breastfed in the first 3 months. Maternal symptoms were found to predict infant transmission or symptoms.

BREASTFEEDING MEDICINE (2021)

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Article Microbiology

Characterization of SARS-CoV-2 RNA, Antibodies, and Neutralizing Capacity in Milk Produced by Women with COVID-19

Ryan M. Pace et al.

Summary: This study did not detect SARS-CoV-2 RNA in breast milk samples, indicating no transmission of the virus through milk. Breast milk from infected mothers contains anti-SARS-CoV-2 IgA and IgG, which neutralizes the virus and supports the recommendation to continue breastfeeding during maternal COVID-19 illness.

MBIO (2021)

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Article Public, Environmental & Occupational Health

Anti-Infective, Anti-Inflammatory, and Immunomodulatory Properties of Breast Milk Factors for the Protection of Infants in the Pandemic From COVID-19

Pasqua Anna Quitadamo et al.

Summary: The study evaluates the potential role of breast milk in the COVID-19 pandemic, highlighting its antiviral, anti-inflammatory, and immunoregulatory effects due to its bioactive components. It demonstrates that human milk components can perform functions on various pathogenic events recognized in COVID-19, indicating that breast milk could be a valuable topic of research for new therapies in this epidemic.

FRONTIERS IN PUBLIC HEALTH (2021)

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Article Cell Biology

Selective functional antibody transfer into the breastmilk after SARS-CoV-2 infection

Krista M. Pullen et al.

Summary: Antibodies specific to SARS-CoV-2 are present in breastmilk, with IgA and IgM being the dominant types transferred from maternal serum. The antibodies in breastmilk show distinct functional characteristics compared to those in serum, indicating a selective transfer process for certain functional antibodies.

CELL REPORTS (2021)

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Article Obstetrics & Gynecology

Umfrage in Kliniken – Stillmanagement in der SARS-CoV-2-Pandemie: hohe Compliance zu den Empfehlungen der Fachgesellschaften in deutschen Frauenkliniken

Janine Zöllkau et al.

GEBURTSHILFE UND FRAUENHEILKUNDE (2021)

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Article Pediatrics

Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection The INTERCOVID Multinational Cohort Study

Jose Villar et al.

Summary: This study evaluated the risks associated with COVID-19 in pregnancy on maternal and neonatal outcomes compared with pregnant individuals without COVID-19, finding that pregnant individuals with COVID-19 were at higher risk for various complications such as preeclampsia, severe infections, and preterm birth. The findings emphasize the importance for pregnant individuals and clinicians to strictly implement recommended COVID-19 preventive measures.

JAMA PEDIATRICS (2021)

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Review Immunology

Breastfeeding and COVID-19: From Nutrition to Immunity

Emilia Vassilopoulou et al.

Summary: Breastfeeding plays a crucial role in fostering the bond between mother and child, while ongoing research aims to understand the potential transmission of SARS-CoV-2 through breastfeeding and the protective properties of breast milk during the COVID-19 pandemic.

FRONTIERS IN IMMUNOLOGY (2021)

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Article Obstetrics & Gynecology

The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study

Walusa Assad Goncalves-Ferri et al.

Summary: The majority of hospitals in Brazil have not followed recommendations to support breastfeeding during the COVID-19 outbreak, leading to difficulties in standardizing practices among hospitals in different regions and countries. The lack of guidance and disagreement with international guidelines have been major issues impacting maternal and infant care services during the pandemic.

INTERNATIONAL BREASTFEEDING JOURNAL (2021)

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Editorial Material Pediatrics