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Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era

The COVID-19 pandemic has impacted breastfeeding and lactation globally, with clinical practices implemented early in the pandemic being mostly anti-breastfeeding, e.g., separation of mothers from their infants, and not evidence based. As the pandemic has progressed, evidence has emerged reconfirmin...

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Autores principales: van Goudoever, Johannes B., Spatz, Diane L., Hoban, Rebecca, Dumitriu, Dani, Gyamfi-Bannerman, Cynthia, Berns, Monika, McKechnie, Liz, Davanzo, Riccardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9086708/
https://www.ncbi.nlm.nih.gov/pubmed/35558372
http://dx.doi.org/10.3389/fped.2022.867540
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author van Goudoever, Johannes B.
Spatz, Diane L.
Hoban, Rebecca
Dumitriu, Dani
Gyamfi-Bannerman, Cynthia
Berns, Monika
McKechnie, Liz
Davanzo, Riccardo
author_facet van Goudoever, Johannes B.
Spatz, Diane L.
Hoban, Rebecca
Dumitriu, Dani
Gyamfi-Bannerman, Cynthia
Berns, Monika
McKechnie, Liz
Davanzo, Riccardo
author_sort van Goudoever, Johannes B.
collection PubMed
description The COVID-19 pandemic has impacted breastfeeding and lactation globally, with clinical practices implemented early in the pandemic being mostly anti-breastfeeding, e.g., separation of mothers from their infants, and not evidence based. As the pandemic has progressed, evidence has emerged reconfirming the value of human milk and the importance of protecting and supporting breastfeeding, especially the initiation of lactation. However, it is clear that COVID-19 has changed the clinical care paradigm around breastfeeding and lactation support and, as such, it is imperative that practices adapt and evolve to maintain the emphasis on lactation support. We participated in a round table conference aiming to rescue and develop protocols and practices that support breastfeeding during the COVID-19 pandemic. One key area to target will be to maximize the use of the antenatal period. The early identification of lactation risk factors together with the development of person-centered methods to deliver breastfeeding information and education to parents-to-be will be critical. In addition, the establishment of a hospital culture that values breastfeeding and prioritizes the use of human milk will be integral for the motivation of health care professionals. That culture will also support active management of the initiation of lactation and the development of a 'back-up plan' toolkit to support the mother experiencing lactation difficulties. Post-discharge support will also be crucial with the development of both in-person and virtual lactation support programs, in particular for the immediate post-discharge period to benefit mothers who experience an early discharge process. These measures will allow for a new, adapted framework of practice that acknowledges the current COVID-19 paradigm and maintains the emphasis on the need to protect and support breastfeeding and the use of human milk.
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spelling pubmed-90867082022-05-11 Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era van Goudoever, Johannes B. Spatz, Diane L. Hoban, Rebecca Dumitriu, Dani Gyamfi-Bannerman, Cynthia Berns, Monika McKechnie, Liz Davanzo, Riccardo Front Pediatr Pediatrics The COVID-19 pandemic has impacted breastfeeding and lactation globally, with clinical practices implemented early in the pandemic being mostly anti-breastfeeding, e.g., separation of mothers from their infants, and not evidence based. As the pandemic has progressed, evidence has emerged reconfirming the value of human milk and the importance of protecting and supporting breastfeeding, especially the initiation of lactation. However, it is clear that COVID-19 has changed the clinical care paradigm around breastfeeding and lactation support and, as such, it is imperative that practices adapt and evolve to maintain the emphasis on lactation support. We participated in a round table conference aiming to rescue and develop protocols and practices that support breastfeeding during the COVID-19 pandemic. One key area to target will be to maximize the use of the antenatal period. The early identification of lactation risk factors together with the development of person-centered methods to deliver breastfeeding information and education to parents-to-be will be critical. In addition, the establishment of a hospital culture that values breastfeeding and prioritizes the use of human milk will be integral for the motivation of health care professionals. That culture will also support active management of the initiation of lactation and the development of a 'back-up plan' toolkit to support the mother experiencing lactation difficulties. Post-discharge support will also be crucial with the development of both in-person and virtual lactation support programs, in particular for the immediate post-discharge period to benefit mothers who experience an early discharge process. These measures will allow for a new, adapted framework of practice that acknowledges the current COVID-19 paradigm and maintains the emphasis on the need to protect and support breastfeeding and the use of human milk. Frontiers Media S.A. 2022-04-26 /pmc/articles/PMC9086708/ /pubmed/35558372 http://dx.doi.org/10.3389/fped.2022.867540 Text en Copyright © 2022 van Goudoever, Spatz, Hoban, Dumitriu, Gyamfi-Bannerman, Berns, McKechnie and Davanzo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
van Goudoever, Johannes B.
Spatz, Diane L.
Hoban, Rebecca
Dumitriu, Dani
Gyamfi-Bannerman, Cynthia
Berns, Monika
McKechnie, Liz
Davanzo, Riccardo
Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era
title Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era
title_full Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era
title_fullStr Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era
title_full_unstemmed Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era
title_short Updating Clinical Practices to Promote and Protect Human Milk and Breastfeeding in a COVID-19 Era
title_sort updating clinical practices to promote and protect human milk and breastfeeding in a covid-19 era
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9086708/
https://www.ncbi.nlm.nih.gov/pubmed/35558372
http://dx.doi.org/10.3389/fped.2022.867540
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