<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542022000300206</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v31.i3.21503</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Breastfeeding during the COVID-19 pandemic: Experience of a Neonatology Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Aleitamento materno durante a pandemia de COVID-19: Experiência de uma Unidade de Neonatologia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaz]]></surname>
<given-names><![CDATA[Ana Sofia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueiredo]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Taborda]]></surname>
<given-names><![CDATA[Adelaide]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar e Universitário de Coimbra Maternidade Bissaya Barreto Department of Neonatology]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>31</volume>
<numero>3</numero>
<fpage>206</fpage>
<lpage>211</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542022000300206&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542022000300206&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542022000300206&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The novel coronavirus disease (COVID-19) has originated a remarkable global health crisis and posed important challenges to the management of mothers and neonates. The scarcity of robust evidence on the effects of the infection on pregnancy and infants has led clinicians to question long-acquired practices, such as rooming-in and breastfeeding. The authors report the results of the follow-up of neonates born to COVID-19-infected mothers in a level III Neonatology Unit, mainly focusing on the type of feeding implemented.  Material and methods:  A longitudinal study was performed based on the registry of all cases of infants born to mothers with confirmed SARS-CoV-2 infection during seven months (April 1&#9472;October 31, 2020). The institution&#8217;s clinical guidance was updated throughout the study period. Obstetric and perinatal data concerning the considered time period were recorded, and follow-up of the mother and child after discharge was performed during the first month through a weekly teleconsultation.  Results:  Fourteen dyads of SARS-CoV-2-infected mothers and neonates were managed according to the institution&#8217;s clinical guidance. At discharge, half of the neonates were breastfed, and half were receiving infant formula (almost all due to initial separation between mother and newborn). At one-month follow-up, 71% of neonates were breastfed, 80% of which exclusively.  Discussion:  The rates of breastfeeding at discharge were influenced by the institution&#8217;s management phase. At one-month follow-up, these rates were below some national data, possibly reflecting difficulties in supporting breastfeeding during the pandemic.  Conclusion:  The continuous support and promotion of breastfeeding during and after discharge should be a permanent concern of health teams, even in challenging times such as those imposed by the pandemic.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A doença pelo novo coronavírus (COVID-19) originou uma crise de saúde global, desafiando a abordagem de mães e recém-nascidos. A falta de evidência robusta acerca dos efeitos da infeção na gravidez e no recém-nascido colocou em causa práticas estabelecidas, como o alojamento conjunto e o aleitamento materno. Os autores apresentam os resultados do seguimento de recém-nascidos de mães com infeção por SARS-CoV-2 numa Unidade de Neonatologia de nível III, com especial enfoque no tipo de alimentação implementado.  Material e métodos:  Foi realizado um estudo longitudinal baseado no registo de recém-nascidos de mães com infeção confirmada por SARS-CoV-2 durante sete meses (1 de abril&#9472;31 outubro 2020). As orientações da instituição foram atualizadas durante esse período. Foram registados dados obstétricos e neonatais e efetuado o seguimento da mãe e recém-nascido durante o primeiro mês após a alta através de teleconsulta semanal.  Resultados:  Catorze díades de recém-nascidos/mães SARS-CoV-2-positivas foram abordadas de acordo com as orientações clínicas vigentes na instituição. Na alta, metade dos recém-nascidos encontrava-se a receber aleitamento materno exclusivo e outra metade leite de fórmula (quase todos devido à separação inicial entre mãe e recém-nascido). A 1 mês de seguimento, 71% dos recém-nascidos estavam sob aleitamento materno, 80% dos quais em exclusivo.  Discussão:  As taxas de aleitamento materno na alta foram influenciadas pela fase de abordagem da instituição. Um mês após a alta, estas taxas foram inferiores a alguns resultados nacionais, possivelmente refletindo dificuldades no apoio ao aleitamento materno durante a pandemia.  Conclusão:  O apoio e promoção do aleitamento materno de forma contínua deve ser uma preocupação das equipas de saúde, mesmo em tempos desafiantes como os da pandemia.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[breastfeeding]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Neonatology]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="pt"><![CDATA[aleitamento materno]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Neonatologia]]></kwd>
<kwd lng="pt"><![CDATA[SARS-CoV-2]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<collab>Lopes de Sousa AF.Carvalho H.Oliveira LB.Schneider G.Camargo E.Watanabe E</collab>
<article-title xml:lang=""><![CDATA[Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis What Is the Evidence?. Int J Environ Res Public]]></article-title>
<source><![CDATA[Health]]></source>
<year>2020</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>4176</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Seo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Warty]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Payne]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Salih]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Chin]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal and neonatal outcomes associated with COVID-19 infection A systematic review]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2020</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Carrasco]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez-Lara]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[González-Mey]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Salgado]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Parrón-Carreño]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Díaz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infección por coronavirus Covid-19 y lactancia materna una revisión exploratoria [Coronavirus Covid-19 infection and breastfeeding: an exploratory review]. Rev Esp Salud]]></article-title>
<source><![CDATA[Publica]]></source>
<year>2020</year>
<volume>94</volume>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Favre]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pomar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Qi]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Nielsen-Saines]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Musso]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Baud]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines for pregnant women with suspected SARS-CoV-2 infection]]></article-title>
<source><![CDATA[Lancet Infect Dis]]></source>
<year>2020</year>
<volume>20</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>652-3</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Duan]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Fan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection [published correction appears in Int J Gynaecol]]></article-title>
<source><![CDATA[Obstet]]></source>
<year>2020</year>
<volume>150</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>136</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lang]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Can SARS-CoV-2-infected women breastfeed after viral clearance . J Zhejiang Univ Sci]]></article-title>
<source><![CDATA[]]></source>
<year>2020</year>
<volume>21</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>405-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davanzo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Moro]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sandri]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Agosti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Moretti]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mosca]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Breastfeeding and coronavirus disease-2019: Ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal &amp; Perinatal Societies]]></article-title>
<source><![CDATA[Matern Child Nutr]]></source>
<year>2020</year>
<volume>16</volume>
<numero>3</numero>
<edition>e13010</edition>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Covid-19 and pregnancy]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2020</year>
<volume>369</volume>
<page-range>m1672</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<collab>Portugal. Ministério da Saúde</collab>
<source><![CDATA[Direção-Geral da Saúde Orientação nº 026/2020 de 19/05/2020]]></source>
<year>2020</year>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amatya]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Corr]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
<name>
<surname><![CDATA[Gandhi]]></surname>
<given-names><![CDATA[CK]]></given-names>
</name>
<name>
<surname><![CDATA[Glass]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Kresch]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mujsce]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of newborns exposed to mothers with confirmed or suspected COVID-19]]></article-title>
<source><![CDATA[J Perinatol]]></source>
<year>2020</year>
<volume>40</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>987-96</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
