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Throughout the pandemic, expecting mothers and new mothers have been faced with a slew of concerns and questions about the virus and the entire vaccination process. And as the months have passed, this concern has been evident in lactating mothers as well. As a Lactation Consultant, I am often asked questions related to breastfeeding and the pandemic, breastfeeding and vaccination and so on. Here is my take on the pandemic for all the lactating mothers:
A: Transmission of active COVID-19 (virus that can cause infection) through breast milk and breastfeeding has not been detected to date. There is no reason to avoid or stop breastfeeding.
A: Yes. Women with confirmed or suspected COVID-19 can breastfeed if they wish to do so. They should:
It is important to replace medical masks as soon as they become damp and dispose of them immediately. Masks should not be reused or touched in the front.
A: Yes. Immediate and continued skin-to-skin care, including kangaroo mothercare, maintains the body temperature of newborns and is associated with improved survival among newborn babies. Placing the newborn close to the mother also enables early initiation of breastfeeding. Both these can help in decreasing neonatal mortality.
Answer : If a mother is too unwell to breastfeed her baby due to COVID-19 or has other complications or is separated from the baby, she should be supported to safely provide her baby with breast milk in a way possible, available, and acceptable to her.
This could include:
If expressing breast milk or providing donor human milk is not possible, then options of wet nursing (another woman breastfeeds the child) or infant formula milk (with measures to ensure that it is feasible, correctly prepared, safe and sustainable) can be explored
Answer: As per the new ICMR guidelines released on July 2, 2021, breastfeeding mothers should get themselves vaccinated against COVID-19 without any hesitation. The antibodies that are developed in the mother as a result of the vaccination get passively transferred to the baby while breastfeeding and could be helpful to the child. Recent evidence and studies suggest that after vaccination, antibodies are found in breast milk, which may help protect the baby against COVID-19. The numerous benefits of skin-to-skin contact and breastfeeding substantially outweigh the potential risks of transmission and illness associated with COVID-19.
Answer: WHO recommends that mothers with suspected or confirmed COVID-19 should be encouraged to initiate or continue to breastfeed. Mothers should be counseled that the benefits of breastfeeding substantially outweigh the potential risks for transmission.
Mother and infant should be enabled to remain together while rooming-in throughout the day and night and to practice skin-to-skin contact, including kangaroo mother care, especially immediately after birth and during establishment of breastfeeding, whether they or their infant