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   Table of Contents      
LETTER TO EDITOR
Year : 2022  |  Volume : 27  |  Issue : 3  |  Page : 250

Lactation and COVID-19 infection


1 Department of Community Health Nursing, University College of Nursing, Faridkot, Punjab, India
2 Department of Nursing, Railway Health Services, Bikaner, Rajasthan, India

Date of Submission01-Nov-2021
Date of Decision15-Dec-2021
Date of Acceptance19-Dec-2021
Date of Web Publication23-May-2022

Correspondence Address:
Shatrughan Pareek
North Western Railway Hospital, Bikaner - 334 001, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnmr.ijnmr_395_21

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How to cite this article:
Kaur H, Pareek S. Lactation and COVID-19 infection. Iranian J Nursing Midwifery Res 2022;27:250

How to cite this URL:
Kaur H, Pareek S. Lactation and COVID-19 infection. Iranian J Nursing Midwifery Res [serial online] 2022 [cited 2022 Jun 26];27:250. Available from: https://www.ijnmrjournal.net/text.asp?2022/27/3/250/345636



Dear Editor,

Breast milk is the most appropriate nutrition for the infant. Breast milk is enriched with anti-infection and anti-inflammation components, makes more vital in alleviating contagious circumstances. Feeding the neonate with the breast milk provides primary protection versus infectious conditions and develops a physical and mental relationship between neonate and her/his mother.[1] Through recent rapidly evolving global infection of COVID-19, pregnant women having doubtful or fixed COVID-19 and the newborns require urgent observations.[2] A study revealed that antibody titers followed by the vaccination were equal in breastfeeding mothers and pregnant women in contrast with females who are not pregnant. The levels of antibody titers followed by the vaccination were markedly increased compare to whom derived by the Covid-19 infection in gestation. The antibodies developed by vaccination process were available in each breast milk and birth cord specimen. Antibodies are transferred to neonates occurred from the placenta and breast milk.[3] Moreover, previous research work had highlighted that the Coronavirus is not transmitted via breast milk. The woman with COVID-19 infection has huge values of COVID-19antibodies in her breast milk. It coats the inner layers of baby's nasal and oral cavities to help decline the level of infection. Freshly drawn breast milk is absolute because of protective cells and provides significant coverage against infection.[4] The newborn and her mother must be kept together during the whole day and apply skin-to-skin contact, mainly just after the processes of birth, regardless mother or her baby has doubtful or confirmative COVID-19.[2] The samples of breast milk were evaluated and found nonreactive for the nucleic of the virus. Moreover, the samples of breast milk were assessed for antibodies and IgG was found negative. There are various negative consequences on the physical and psychological health of mother and baby because of separation.[1] The World Health Organization (WHO) has recommended that lactating women having doubtful or confirmative infections should be motivated to start or keep going with breastfeeding. The lactating women should be educated about the positive results of lactation substantially declining the chances of spread of the infection.[5] Vaccine-induced immunity was significantly higher than the response to the natural infection of COVID-19. We can conclude that Immunity transfer to neonates occurred via Placenta and breast milk. Mothers with CIVID-19 infection should be encouraged for breastfeeding their infants.

Financial support and sponsorship

Nil.

Conflicts of interest

Nothing to declare.



 
  References Top

1.
Hand IL, Noble L. Covid-19 and breastfeeding: What's the risk? J Perinatol 2020;40:1459-61.  Back to cited text no. 1
    
2.
Chawla D, Chirla D, Dalwai S, Deorari AK, Ganatra A, Gandhi A, et al. Federation of obstetric and gynaecological societies of India (FOGSI). Indian Pediatr 2020;57:536-48.  Back to cited text no. 2
    
3.
Gray K, Bordt E, Atyeo C, Deriso E, Akinwunmi B, Young N, et al. Coronavirus disease 2019 vaccine response in pregnant and lactating women: A cohort study. Am J Obstet Gynecol 2021;1:e1-17.  Back to cited text no. 3
    
4.
Sullivan SE, Thompson LA. Best practices for COVID-19-positive or exposed mothers-breastfeeding and pumping milk. JAMA Pediatr 2020;174:1228.  Back to cited text no. 4
    
5.
Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-Sci_Brief-Breastfeeding-2020.1 [Last accessed on 2021 Oct 15].  Back to cited text no. 5
    




 

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