Fernández-Carrasco Francisco Javier, Vázquez-Lara Juana María, González-Mey Urbano, Gómez-Salgado Juan, Parrón-Carreño Tesifón, Rodríguez-Díaz Luciano
Departamento de Ginecología y Obstetricia. Grupo Hospiten. Hospiten Estepona. Málaga. España.
Departamento de Ginecología y Obstetricia. Hospital Universitario de Ceuta. Unidad Docente de Matronas. Universidad de Granada. Granada-Ceuta. España.
Rev Esp Salud Publica. 2020 May 27;94:e202005055.
The new coronavirus disease is an infectious disease caused by the SARS-Cov-2 virus, considered by the World Health Organization (WHO) an international public health emergency that may have negative consequences during breastfeeding. The objective of this work is to investigate the action plan on breastfeeding in postpartum women with SARS-CoV-2 and her newborn.
A literature search has been conducted through the Medline, Web of Science, Scopus, BVS, and Cuiden databases. The methodological quality of the articles has been assessed using the "Grading of Recommendations Assessment, Development and Evaluation" (GRADE). This study has not been registered in PROSPERO.
A total of 14 documents have been found, of which 9 are observational empirical studies. Most of the studies were conducted in China, Italy, the USA, and Australia. A total of 114 mothers infected with coronavirus with their respective newborns have been assessed. The analyzed investigations state that it is best for the newborn to be breastfed; given that mother's milk samples were analyzed, detecting the presence of antibodies of the coronavirus in them, being a protective factor against infection.
Breastfeeding in postpartum women with SARS-CoV-2 is highly recommended for the newborn, if the health of the mother and newborn allow it. When direct breastfeeding is favoured, the appropriate respiratory hygiene measures always have to be considered. Whether the mother's health does not permit direct breastfeeding, her breast milk should be previously extracted and kept unpasteurized. To secure the newborn feeding, milk banks are also an appropriate option.
新型冠状病毒病是由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒引起的一种传染病，世界卫生组织（WHO）认为这是一场国际公共卫生突发事件，可能会在母乳喂养期间产生负面影响。这项工作的目的是调查针对感染SARS-CoV-2的产后妇女及其新生儿的母乳喂养行动计划。
通过Medline、科学网、Scopus、BVS和Cuiden数据库进行了文献检索。使用“推荐分级评估、制定和评价”（GRADE）对文章的方法学质量进行了评估。本研究未在国际前瞻性系统评价注册库（PROSPERO）中注册。
共检索到14篇文献，其中9篇为观察性实证研究。大多数研究在中国、意大利、美国和澳大利亚进行。共评估了114名感染冠状病毒的母亲及其各自的新生儿。分析的调查表明，新生儿最好进行母乳喂养；鉴于对母乳样本进行了分析，检测到其中存在冠状病毒抗体，这是预防感染的一个保护因素。
如果母亲和新生儿的健康状况允许，强烈建议感染SARS-CoV-2的产后妇女对新生儿进行母乳喂养。当倾向于直接母乳喂养时，始终必须考虑适当的呼吸道卫生措施。如果母亲的健康状况不允许直接母乳喂养，应事先挤出她的母乳并保持未巴氏杀菌状态。为确保新生儿的喂养，母乳库也是一个合适的选择。
