To Breastfeed or not to Breastfeed? An Overview in the Time of the COVID-۱۹ Pandemic

Background: Despite the importance of breastfeeding for mothers and infants, many women refuse to breastfeed due to the lack of knowledge about the transmission of COVID-۱۹ through breast milk. The present study aimed to summarize the latest evidence about breastfeeding during the COVID-۱۹ pandemic. Materials and Methods: In this overview, two independent researchers screened all reviews, systematic reviews and meta-analyses, and scoping reviews that addressed breastfeeding in the context of the COVID-۱۹ pandemic in the Scopus, EMBASE, Cochrane, Web of Science, Medline, CIVILICA, and CINAHL databases available in full-text in Persian or English, without time restrictions up to August ۲۰۲۲. Results: Vertical transmission from a mother with COVID-۱۹ to her child cannot be confirmed or denied. There is no evidence of the virus in the amniotic fluid at the time of birth or in breast milk, so it is indicated that breastfeeding should be continued but under strict compliance with safety and hygiene measures. The World Health Organization still advises mothers suspected of or infected with COVID-۱۹ to continue breastfeeding, taking into account the significant benefits of breastfeeding compared to its possible risks. Conclusion: Breastfeeding is the best protective measure for healthy and at-risk infants and their mothers during the COVID-۱۹ pandemic. Adherence to health protocols can reduce the risk of transmission of COVID-۱۹ infection through breastfeeding from mother to baby.

Keywords:

Breastfeeding , Breast Milk , COVID-۱۹ , SARS-CoV-۲