Journal of Midwifery
Vol 7, No 2 (2022): Published on Desember 2022

Sars-Cov-2 RNA and Spesific Antibodies in Breast Milk, Should Mother Breastfeeding? : A Literature Review

Kalista Riski Sulistyaningsih (Airlangga University)
Dwi Izzati (Airlangga University)



Article Info

Publish Date
27 Dec 2022

Abstract

Introduction: Covid-19 is becoming a serious problem worldwide. The spread of disease occurs very quickly, viral mutations are fast and massive. Rules and guidelines change rapidly.  WHO and UNICEF recommend exclusive breastfeeding, even though mothers are confirmed because the benefits are considered greater than the risks. The aim of this study are to answer questions, about whether this virus can transmit vertically through breast milk, and how to properly guide the breastfeeding process in the pandemic. Methods: The source of this literature review is accessed through Scopus, PubMed, and various reputable websites published in 2019-2021. Article search by keyword usage, inclusion criteria and exclusion. Results: 508 articles filtered to prove that the source used is viable and relevant, finally determined 12 articles.  The prevalence of Covid-19 incidence in neonates from confirmed mothers was reported in some studies but there is no evidence that transmission is vertical through breast milk. SARS-CoV-2 RNA is found in some reports but there is nothing to confirm whether it is an active virus or just remnants of RNA that cannot infect. Beside RNA, Sars-Cov-2 specific antibodies were also found to protect neonates. Conclusion: Active transmission of Covid-19 vertically from breast milk has not been detected, should not be an indication of formula feeding or separation baby with mother. The findings of IgA, IgG, and IgM-specific antibodies can be passive protection, because until now no vaccination has been recommended for neonate groups.

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Journal Info

Abbrev

jom

Publisher

Subject

Medicine & Pharmacology Social Sciences

Description

The Journal of Midwifery (JoM) is a scientific periodical/journal maintained by Undergraduate Program of Midwifery, Faculty of Medicine, Universitas Andalas, Padang, Indonesia. This journal provides a venue for the publication of research relevant to midwives, midwifery practice and education. It ...