Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report
Abstract Background In China, mothers with confirmed or suspected COVID-19 pneumonia are recommended to stop breastfeeding. However, the evidence to support this guidance is lacking. There have been relatively few cases reported about direct breastfeeding an infant by a mother with SARS-CoV-2 pneumo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-020-00305-9 |
| _version_ | 1818317711263924224 |
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| author | Yuanyuan Yu Youjiang Li Yingying Hu Bin Li Jian Xu |
| author_facet | Yuanyuan Yu Youjiang Li Yingying Hu Bin Li Jian Xu |
| author_sort | Yuanyuan Yu |
| collection | DOAJ |
| description | Abstract Background In China, mothers with confirmed or suspected COVID-19 pneumonia are recommended to stop breastfeeding. However, the evidence to support this guidance is lacking. There have been relatively few cases reported about direct breastfeeding an infant by a mother with SARS-CoV-2 pneumonia. Therefore, it is necessary to assess the safety of breastfeeding and the possible protective effects of breast milk on infants. Case presentation This report analyzes the case of a mother who continued breastfeeding her 13 month-old child when both were diagnosed with confirmed COVID-19 pneumonia. We describe the clinical presentation, diagnosis, treatment, and outcome. The presence of SARS-CoV-2 nucleic acid was determined in maternal serum, breast milk, nasopharyngeal (NP) swabs and feces, and in infant serum, NP swabs and feces. IgM and IgG antibodies against SARS-CoV-2 were assessed in maternal serum and breast milk and in infant serum. SARS-CoV-2 nucleic acid was not detected in the breast milk, and antibodies against SARS-CoV-2 were detected in the mother’s serum and milk. Conclusions The present case further confirms that the possibility of mother-to-child transmission about SARS-CoV-2 via breast milk alone was very small, and breast milk is safe for direct feeding of infants. |
| first_indexed | 2024-12-13T09:41:40Z |
| format | Article |
| id | doaj.art-5a84b56e8e7c46d8929f9fd3ad1d3316 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-13T09:41:40Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-5a84b56e8e7c46d8929f9fd3ad1d33162022-12-21T23:52:10ZengBMCInternational Breastfeeding Journal1746-43582020-08-011511610.1186/s13006-020-00305-9Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case reportYuanyuan Yu0Youjiang Li1Yingying Hu2Bin Li3Jian Xu4Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital Zhejiang University School of MedicineDepartment of Clinical Laboratory, The Fourth Affiliated Hospital Zhejiang University School of MedicineDepartment of Obstetrics and Gynecology, The Fourth Affiliated Hospital Zhejiang University School of MedicineDepartment of Infectious Diseases, The Fourth Affiliated Hospital Zhejiang University, School of MedicineDepartment of Obstetrics and Gynecology, The Fourth Affiliated Hospital Zhejiang University School of MedicineAbstract Background In China, mothers with confirmed or suspected COVID-19 pneumonia are recommended to stop breastfeeding. However, the evidence to support this guidance is lacking. There have been relatively few cases reported about direct breastfeeding an infant by a mother with SARS-CoV-2 pneumonia. Therefore, it is necessary to assess the safety of breastfeeding and the possible protective effects of breast milk on infants. Case presentation This report analyzes the case of a mother who continued breastfeeding her 13 month-old child when both were diagnosed with confirmed COVID-19 pneumonia. We describe the clinical presentation, diagnosis, treatment, and outcome. The presence of SARS-CoV-2 nucleic acid was determined in maternal serum, breast milk, nasopharyngeal (NP) swabs and feces, and in infant serum, NP swabs and feces. IgM and IgG antibodies against SARS-CoV-2 were assessed in maternal serum and breast milk and in infant serum. SARS-CoV-2 nucleic acid was not detected in the breast milk, and antibodies against SARS-CoV-2 were detected in the mother’s serum and milk. Conclusions The present case further confirms that the possibility of mother-to-child transmission about SARS-CoV-2 via breast milk alone was very small, and breast milk is safe for direct feeding of infants.http://link.springer.com/article/10.1186/s13006-020-00305-9COVID-19 pneumoniaSARS-CoV-2Breastfeeding |
| spellingShingle | Yuanyuan Yu Youjiang Li Yingying Hu Bin Li Jian Xu Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report International Breastfeeding Journal COVID-19 pneumonia SARS-CoV-2 Breastfeeding |
| title | Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report |
| title_full | Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report |
| title_fullStr | Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report |
| title_full_unstemmed | Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report |
| title_short | Breastfed 13 month-old infant of a mother with COVID-19 pneumonia: a case report |
| title_sort | breastfed 13 month old infant of a mother with covid 19 pneumonia a case report |
| topic | COVID-19 pneumonia SARS-CoV-2 Breastfeeding |
| url | http://link.springer.com/article/10.1186/s13006-020-00305-9 |
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