Breastfeeding in covid-19 times: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7074

Keywords:

Coronavirus infection; COVID-19; SARS-CoV-2; Breast feeding.

Abstract

Objective: to realize a bibliographic survey in search of the association between the act of breastfeeding and the possibility of the vertical transmission of the SARS-CoV-2. Methodology: This is an integrative literature review and its leading question is “Is the breast milk able to transmit the SARS-CoV-2?”. In this way, in the period of 2020 June, indexed scientific publications were searched. Finally, 8 articles were included for satisfactorily respond to the leading question and, therefore, they composed the final group of this review analysis. Results: 37,5% of the studies reported no evidence of the presence of the SARS-CoV-2 in breast milk samples; 12,5% described about the non-transmissibility of the virus from infected mothers to their newborns through breastfeeding; 12,5% demonstrated indifference between the COVID-19 infection rate in children, who were breastfed or not; and, lastly, 37,5% revealed, in total, the presence of the SARS-CoV-2  in three breast milk samples from two patients Conclusions: Based on the findings, it was possible to observe that there is not any actual evidences in literature that proves the vertical transmission of the SARS-CoV-2 to newborns through the breastfeeding yet. As stated in the main current recommendations, the benefits of the breast milk overcome the possible risks of contamination, thus, the breastfeeding must be encouraged in COVID-19 infected mothers, since they adopt respiratory and personal adequate hygiene measures.

Author Biographies

Laiza Paula Cândido de Melo, Universidade de Pernambuco

Medical Student, Faculty of Medicine - Campus Serra Talhada, University of Pernambuco

Maria Eduarda da Silva Dias, Universidade de Pernambuco

Medical Student, Faculty of Medicine - Campus Serra Talhada, University of Pernambuco

Marília Soares Santana, Universidade de Pernambuco

Medical Student, Faculty of Medicine - Campus Serra Talhada, University of Pernambuco

Pollyana Rodrigues Diniz, Universidade de Pernambuco

Medical Student, Faculty of Medicine - Campus Serra Talhada, University of Pernambuco

Pauliana Valéria Machado Galvão, Universidade de Pernambuco

Assistant Professor at the Faculty of Medicine (Campus Serra Talhada), University of Pernambuco (UPE).

PhD in Epidemiology in Public Health, Sergio Arouca National School of Public Health (ENSP), Oswaldo Cruz Foundation (Fiocruz)

Master in Forensic Skills, Faculty of Dentistry in Pernambuco (FOP), UPE.

Specialist in Public Health Management, Integrated Colleges of the Northwest of Minas (FINOM).

Dental Surgeon, FOP, UPE.

Patrícia de Moraes Soares Santana, Universidade de Pernambuco

Professor at the Faculty of Medicine (Serra Talhada campus), University of Pernambuco (UPE).

Medical residency in Preventive and Social Medicine. University of Pernambuco, UPE, Brazil.

Medical residency in Pediatrics. University of Pernambuco, UPE, Brazil.

Specialization in global education, human intelligence and building citizenship.
University of the Future, Educational Sciences and the Construction of Citizenship, UNIFUTURO, Brazil.

Graduation in Medicine. University of Pernambuco, UPE, Brazil.

References

Del Ciampo, L. A., & Del Ciampo, I. R. L. (2018). Breastfeeding and the Benefits of Lactation for Women's Health. Revista Brasileira de Ginecologia e Obstetrícia, 40(06), 354-359. doi: https://doi.org/10.1055/s-0038-1657766.

Duran, P., Berman, S., Niermeyer, S., Jaenisch, T., Forster, T., Gomez Ponce de Leon, R., ... & Serruya, S. (2020). COVID-19 and newborn health: systematic review. Revista Panamericana de Salud Pública, 44, e54. doi: https://doi.org/10.26633/RPSP.2020.54.

Fernández-Carrasco, F. J., Vázquez-Lara, J. M., González-Mey, U., Gómez-Salgado, J., Parrón-Carreño, T., & Rodríguez-Díaz, L. (2020). Coronavirus Covid-19 infection and breastfeeding: an exploratory review. Revista Española de Salud Pública, 94, e202005055.

Fox, A., Marino, J., Amanat, F., Krammer, F., Hahn-Holbrook, J., Zolla-Pazner, S., & Powell, R. L. (2020). Evidence of a significant secretory-IgA-dominant SARS-CoV-2 immune response in human milk following recovery from COVID-19. medRxiv. doi: 10.1101/2020.05.04. 20089995.

Guan, W. J., Ni, Z. Y., Hu, Y., Liang, W. H., Ou, C. Q., He, J. X., ... & Du, B. (2020a). Clinical characteristics of coronavirus disease 2019 in China. New England Journal of Medicine, 382(18), 1708-1720. doi: 10.1056 / NEJMoa2002032.

Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... & Cheng, Z. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497-506. doi: 10.1016 / S0140-6736 (20) 30183-5.

Lackey, K. A., Pace, R. M., Williams, J. E., Bode, L., Donovan, S. M., Järvinen, K. M., & McGuire, M. K. (2020). SARS‐CoV‐2 and human milk: What is the evidence?. Maternal & Child Nutrition, e13032. doi: 10.1111 / mcn.13032.

Martins-Filho, P. R., Santos, V. S., & Santos Jr, H. P. (2020). To breastfeed or not to breastfeed? Lack of evidence on the presence of SARS-CoV-2 in breastmilk of pregnant women with COVID-19. Revista Panamericana de Salud Pública, 44, e59. doi: 10.26633 / RPSP.2020.59.

Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.

Pereira, A., Cruz‐Melguizo, S., Adrien, M., Fuentes, L., Marin, E., & Perez‐Medina, T. (2020). Clinical course of Coronavirus Disease‐2019 (COVID‐19) in pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 99(7), 839-847. doi: https:doi.org/10.1111/aogs.13921.

Rodrigues, C., Baía I., Domingues, R., & Barros, H. Da emergência de um novo vírus humano à disseminação global de uma nova doença—Doença por Coronavírus 2019 (COVID-19). Fortaleza: Secretaria da Saúde do Estado do Ceará-SESA/CE.

Shi, Y., Wang, G., Cai, X. P., Deng, J. W., Zheng, L., Zhu, H. H., & Chen, Z. (2020). An overview of COVID-19. Journal of Zhejiang University. Science. B, 21(5), 343-360. doi: 10.1631/jzus.B2000083.

Souza, M. T. Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer? Einstein, 8(1): 102-106. doi: 10.1590/s1679-45082010rw1134.

Tam, P. C., Ly, K. M., Kernich, M. L., Spurrier, N., Lawrence, D., Gordon, D. L., & Tucker, E. C. (2020). Detectable severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in human breast milk of a mildly symptomatic patient with coronavirus disease 2019 (COVID-19). Clinical Infectious Diseases, ciaa673. doi: 10.1093/cid/ciaa673.

Walker, K. F., O'Donoghue, K., Grace, N., Dorling, J., Comeau, J. L., Li, W., & Thornton, J. G. (2020). Maternal transmission of SARS-COV-2 to the neonate, and possible routes for such transmission: A systematic review and critical analysis. BJOG: an International Journal of Obstetrics and Gynaecology, 10.1111/1471-0528.16362. doi: 10.1111/1471-0528.16362.

Wu, Y., Liu, C., Dong, L., Zhang, C., Chen, Y., Liu, J., & Dennis, C. L. (2020). Coronavirus disease 2019 among pregnant Chinese women: Case series data on the safety of vaginal birth and breastfeeding. BJOG: An International Journal of Obstetrics & Gynaecology. doi: 10.1111 / 1471-0528.16276.

Yu, Y., Xu, J., Li, Y., Hu, Y., & Li, B. (2020). Breast milk-fed infant of COVID-19 pneumonia mother: A case report. Research Square. doi: 10.21203 / rs.3.rs-20792 / v1.

Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., & Niu, P. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine, 382(8), 727-733. doi: 10.1056 / NEJMoa2001017.

Published

14/08/2020

How to Cite

MELO, L. P. C. de .; DIAS, M. E. da S. .; SANTANA, M. S. .; DINIZ, P. R. .; GALVÃO, P. V. M.; SANTANA, P. de M. S. . Breastfeeding in covid-19 times: an integrative review. Research, Society and Development, [S. l.], v. 9, n. 9, p. e129997074, 2020. DOI: 10.33448/rsd-v9i9.7074. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7074. Acesso em: 16 nov. 2024.

Issue

Section

Review Article