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

Autor:	van Goudoever JB; Emma Children's Hospital, Amsterdam University Medical Centers, Amsterdam, Netherlands., Spatz DL; University of Pennsylvania School of Nursing & Children's Hospital of Philadelphia, Philadelphia, PA, United States., Hoban R; The Hospital for Sick Children (SickKids), University of Toronto, Toronto, ON, Canada., Dumitriu D; Columbia University Irving Medical Center, New York, NY, United States., Gyamfi-Bannerman C; Columbia University Irving Medical Center, New York, NY, United States., Berns M; Charité - Universitätsmedizin, Klink für Neonatologie, Berlin, Germany., McKechnie L; Leeds Centre for Newborn Care, Leeds Teaching Hospitals, Leeds, United Kingdom., Davanzo R; Institute for Maternal and Child Health Institute, IRCCS 'Burlo Garofolo', Trieste, Italy.
Jazyk:	angličtina
Zdroj:	Frontiers in pediatrics [Front Pediatr] 2022 Apr 26; Vol. 10, pp. 867540. Date of Electronic Publication: 2022 Apr 26 (Print Publication: 2022).
DOI:	10.3389/fped.2022.867540
Abstrakt:	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. Competing Interests: JG serves as member of the National Health Council and is also director of the Dutch National Human Milk Bank. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 van Goudoever, Spatz, Hoban, Dumitriu, Gyamfi-Bannerman, Berns, McKechnie and Davanzo.)
Databáze:	MEDLINE
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