Manajemen Laktasi di Masa Pandemi COVID-19

Authors

  • Fabiola Vania Felicia Fakultas Kedokteran Universitas Katolik Atma Jaya, Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v47i9.568

Keywords:

Air susu ibu, ASI, COVID-19, menyusui, neonatus, SARS-CoV-2

Abstract

Pandemi infeksi severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) sudah terbukti dapat menyerang seluruh kelompok masyarakat
termasuk ibu hamil dan neonatus. Angka kejadian anak di bawah usia 10 tahun <1% kasus. Neonatus dengan coronavirus disease 2019 (COVID-19) kebanyakan asimtomatik atau klinis ringan. Hingga saat ini, risiko transmisi infeksi SARS-CoV-2 melalui air susu ibu (ASI) masih belum jelas dan belum dapat disingkirkan. Hal ini menyebabkan munculnya keraguan terhadap praktik pemberian ASI. WHO merekomendasikan ibu suspek atau terkonfirmasi COVID-19 untuk tetap menyusui. Manfaat ASI dibandingkan dengan potensi risiko infeksi COVID-19 pada neonatus perlu diketahui, sehingga dapat mendukung berlangsungnya praktik menyusui di masa pandemi ini.

Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection pandemic has affected all populations including pregnant women and neonates. Clinical features of neonates with coronavirus disease (COVID-19) are generally mild or asymptomatic. Cases of COVID-19 in children younger than 10 years old were <1 %. To date, the possibility of COVID-19 virus transmission from mothers to their newborns through breastmilk still cannot be ruled out. WHO recommends every mother with confirmed or suspected SARS-CoV-2 infection should be supported to continue or initiate breastfeeding. Mothers should know the advantages of breastfeeding compared to potential risks of COVID-19 transmission, so that continuation of breastfeeding practice could be maintained during pandemic.

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References

World Health Organization (WHO). Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. WHO;2017.

American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatr 2005;115(2):496-506. doi: 10.1542/peds.2004-2491

World Health Organization (WHO). Health topics: Breastfeeding overview [Internet]. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_120/03/2020

Victora CG, Bahl R, Barros AJD, Franca GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet 2016;387:475-90.

Rebhan B, Kohlhuber M, Schwegler U, Fromme H, Abou-Dakn M, Koletzko BV. Breastfeeding duration and exclusivity associated with infants’ health and growth: data from a prospective cohort study in Bavaria, Germany. Acta Paediatr. 2009;98:974–80

Williams J, Namazova-Baranova L, Weber M, Vural M, Mestrovic J, Carrasco-Sanz A, et al. The importance of continuing breastfeeding during coronavirus disease-2019: In support of the World Health Organization statement on breastfeeding during the pandemic. J Pediatr. 2020;223:234-6. doi:10.1016/j.jpeds.2020.05.009

World Health Organization (WHO). WHO coronavirus disease (COVID-19) dashboard [Internet]. 2020 Sept 09 [cited 2020 Sept 9]. Available from: https://covid19.who.int/

De Rose DU, Piersigilli F, Ronchetti MP, Santisi A, Bersani I, Dotta A, et al. Novel coronavirus disease (COVID-19) in newborns and infants: What we know so far. Ital J Pediatr 2020;46:56. https://doi.org/10.1186/s13052-020-0820-x

De Bernardo G, Giordano M, Zollo G, Chiatto F, Sordino D, De Santis R, et al. The clinical course of SARS-CoV-2 positive neonates. J Perinatol. 2020;40(10):1462-9. https://doi.org/10.1038/s41372-020-0715-0

Dumpa V, Kamity R, Vinci AN, Noyola E, Noor A. Neonatal coronavirus 2019 (COVID-19) infection: A case report and review of literature. Cureus 2020;12(5):8165.doi:10.7759/cureus.8165

Gupta M, Zupancic JAF, Pursley DM. Caring for newborns born to mothers with COVID-19: More questions than answers. Pediatrics 2020;146(2):e2020001842. https://doi.org/10.1542/peds.2020-001842.

World Health Organization (WHO). Breastfeeding and COVID-19 [Internet]. 2020 Jun 22 [cited 2020 Sept 10]. Available from: https://www.who.int/publications/i/item/10665332639

United Nations Children’s Fund (UNICEF). Breastfeeding during coronavirus (COVID-10) [Internet]. 2020 May 4 [cited 2020 Sept 10]. Available from: https://www.unicef.org/indonesia/stories/breastfeeding-during-coronavirus-covid-19

Davanzo R, Moro G, Sandri F, Agosti M, Moretti C, Mosca F. Breastfeeding and coronavirus disease-2019: Ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal & Perinatal Societies. Matern Child Nutr 2020;16(03):13010

Centers for Disease Control and Prevention (CDC). Evaluation and management considerations for neonates at risk for COVID-19 [Internet]. 2020 August 3 [cited 2020 Sept 10]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-newborns.html

Cheema R, Partridge E, Kair LR, Kuhn-Riordon KM, Silva AI, Bettinelli ME, et al. Protecting breastfeeding during the COVID-19 pandemic. Am J Perinatology [Internet]. 2020. Available from: https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0040-1714277. https://doi.org/10.1055/s-0040-1714277.

Bastug A, Hanifehnezhad A, Tayman C, Ozkul A, Ozbay O, Kazancioglu S, et al. Virolactia in an asymptomatic mother with COVID-19. Breastfeeding Medicine 2020;15(8):488-91. DOI: 10.1089/bfm.2020.0161

Calil VMLT, Krebs VLJ, de Carvalho WB. Guidance on breastfeeding during the Covid-19 pandemic. Rev Assoc Med Bras. 2020;66(4):541-6. http://dx.doi.org/10.1590/1806-9282.66.4.541

Giuliani C, Volsi PL, Brun E, Chiambretti A, Giandalia A, Tonutti L, et al. Breastfeeding during the COVID-19 pandemic: Suggestions on behalf of woman study group of AMD. Diabetes Res Clin Pract. 2020;165:108239. https://doi.org/10.1016/j.diabres.2020.108239

Centers for Disease Control and Prevention (CDC). Caring for breastfeeding.

Simões e Silva AC, Leal CRV. Is SARS-CoV-2 vertically transmitted? Front Pediatr 2020;8:276. doi: 10.3389/fped.2020.00276.

Anatolitou F. Human milk benefits and breastfeeding. J Pediatr Neonat Individual Med. 2012;1(1):11-8. doi: 10.7363/010113.

Fox A, Marino J, Amanat F, Krammer F, Hahn-Holbrook J, Zolla-Pazner S, et al. Evidence of a significant secretory-IgA-dominant SARS-CoV-2 immune response in human milk following recovery from COVID-19. medRxiv [Internet]. 2020. Available from: https://www.medrxiv.org/content/10.1101/2020.05.04.20089995v1. doi:https://doi.org/10.1101/2020.05.04.20089995.

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Published

02-11-2020

How to Cite

Felicia, F. V. (2020). Manajemen Laktasi di Masa Pandemi COVID-19. Cermin Dunia Kedokteran, 47(9), 691–693. https://doi.org/10.55175/cdk.v47i9.568

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