Mistakes from the HIV pandemic should inform the COVID-19 response for maternal and newborn care

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

In an effort to prevent infants being infected with SARS-CoV-2, some governments, professional organisations, and health facilities are instituting policies that isolate newborns from their mothers and otherwise prevent or impede breastfeeding. Such policies are risky as was shown in the early response to the HIV pandemic where efforts to prevent mother to child transmission by replacing breastfeeding with infant formula feeding ultimately resulted in more infant deaths. In the COVID-19 pandemic, the risk of maternal SARS-CoV-2 transmission needs to be weighed against the protection skin-to-skin contact, maternal proximity, and breastfeeding affords infants. Policy makers and practitioners need to learn from the mistakes of the HIV pandemic and not undermine breastfeeding in the COVID-19 pandemic. It is clear that in order to maximise infant health and wellbeing, COVID-19 policies should support skin-to-skin contact, maternal proximity, and breastfeeding.

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