Aros-Vera Felipe, Chertok Ilana R Azulay, Melnikov Semyon
Department of Industrial and Systems Engineering, Ohio University, 1 Ohio University, Athens, OH, 45701, USA.
Associate Director of Nursing Research and Scholarship, Ohio University, 1 Ohio University, Athens, OH, 45701, USA.
Int J Disaster Risk Reduct. 2021 Nov;65:102532. doi: 10.1016/j.ijdrr.2021.102532. Epub 2021 Aug 25.
The COVID-19 pandemic has produced an unprecedented global health crisis. Vulnerable populations, such as breastfeeding mother-infant dyads, are in a particularly delicate situation. Before, during, and after birth mothers and their infants could be exposed to the virus. Due to fear of infection transmission, there has been an increase in separation of COVID-positive mothers and their infants and a decline in breastfeeding, despite research supporting the provision of mother's milk for her infant. During this crisis, evidence-based education counseling and resources can support healthful infant feeding which is necessary for short- and long-term infant growth and development. Using a framework of disaster preparedness and response, we delineate operational guidelines and policy recommendations to support maternal-infant dyads during the COVID pandemic outbreak. Key recommendations include promotion of breastfeeding and milk expression, avoiding the use of formula, engaging healthcare providers in supporting lactation, and incorporating evidence-based breastfeeding and lactation protocols and practices in disaster preparedness and disaster response plans.
新冠疫情引发了一场前所未有的全球健康危机。弱势群体，如母乳喂养的母婴对，处境尤为微妙。在分娩前、分娩期间和分娩后，母亲及其婴儿都可能接触到病毒。由于担心感染传播，新冠病毒检测呈阳性的母亲与其婴儿分离的情况有所增加，母乳喂养率也有所下降，尽管有研究支持为婴儿提供母乳。在这场危机期间，基于证据的教育咨询和资源可以支持健康的婴儿喂养，这对婴儿的短期和长期生长发育至关重要。我们利用灾难准备和应对框架，制定了操作指南和政策建议，以在新冠疫情爆发期间支持母婴对。主要建议包括促进母乳喂养和挤奶、避免使用配方奶、让医疗服务提供者参与支持母乳喂养，以及将基于证据的母乳喂养和哺乳方案及做法纳入灾难准备和灾难应对计划。
