Những sai lầm từ đại dịch HIV cần được rút kinh nghiệm cho phản ứng COVID-19 trong việc chăm sóc mẹ và trẻ sơ sinh

International Breastfeeding Journal - Tập 15 - Trang 1-5 - 2020
Karleen Gribble1, Roger Mathisen2, Mija-tesse Ververs3, Anna Coutsoudis4
1School of Nursing and Midwifery, Western Sydney University, Penrith, Australia
2Alive and Thrive Southeast Asia, FHI 360, Hanoi, Vietnam
3Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
4Department of Pediatrics and Child Health, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa

Tóm tắt

Nhằm ngăn ngừa trẻ sơ sinh bị nhiễm SARS-CoV-2, một số chính phủ, tổ chức chuyên môn và cơ sở y tế đang thực hiện các chính sách cách ly trẻ sơ sinh khỏi mẹ và ngăn cản hoặc cản trở việc cho con bú. Các chính sách như vậy tiềm ẩn rủi ro, điều này đã được chứng minh trong phản ứng sớm trước đại dịch HIV, khi các nỗ lực ngăn ngừa lây truyền từ mẹ sang con bằng cách thay thế việc cho con bú bằng việc cho trẻ uống sữa bột đã dẫn đến nhiều trường hợp tử vong ở trẻ sơ sinh hơn. Trong đại dịch COVID-19, cần phải cân nhắc nguy cơ lây truyền SARS-CoV-2 từ mẹ sang con so với lợi ích mà tiếp xúc da-khắc (skin-to-skin contact), sự gần gũi của mẹ và việc cho con bú mang lại cho trẻ sơ sinh. Các nhà hoạch định chính sách và các chuyên gia cần học hỏi từ những sai lầm trong đại dịch HIV và không làm tổn hại đến việc cho con bú trong đại dịch COVID-19. Rõ ràng là để tối ưu hóa sức khỏe và sự phát triển của trẻ sơ sinh, các chính sách liên quan đến COVID-19 nên hỗ trợ tiếp xúc da-khắc, sự gần gũi của mẹ và việc cho con bú.

Từ khóa

#SARS-CoV-2 #HIV #chăm sóc trẻ sơ sinh #chính sách y tế #cho con bú

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