<?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>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152020000400161</article-id>
<article-id pub-id-type="doi">10.29352/mill0205e.16.00329</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Amamentação e COVID-19: contributos para práticas seguras]]></article-title>
<article-title xml:lang="en"><![CDATA[Breastfeeding and COVID-19: contributions to safe practices]]></article-title>
<article-title xml:lang="es"><![CDATA[Lactancia y COVID-19: contribuciones para practicas seguras]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galvão]]></surname>
<given-names><![CDATA[Dulce Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Ernestina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escola Superior de Enfermagem  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<numero>esp5</numero>
<fpage>161</fpage>
<lpage>168</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152020000400161&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152020000400161&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152020000400161&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: A amamentação do bebé de mães com COVID-19 pode associar-se a riscos de transmissão do vírus através do leite materno, justificando-se a adoção de práticas seguras.  Objetivos: Identificar as recomendações da OMS sobre amamentação e Covid-19.  Métodos: Revisão integrativa da literatura realizada em março de 2020 no sítio web da OMS, utilizando-se os descritores &#8220;breast feeding&#8221;, &#8220;pregnancy&#8221;, &#8220;childbirth&#8221;, &#8220;health knowledge, attitudes, practice&#8221; e &#8220;COVID-19&#8221;.  Resultados:  Existe evidência em sete documentos da OMS que em mulheres com COVID-19 a amamentação deve ser aconselhada, uma vez que o vírus não foi encontrado em amostras do líquido amniótico ou do leite materno, contudo é primordial apoiar a mãe a amamentar com segurança e com medidas de higiene respiratória, lavar as mãos antes e depois de tocar o bebé e higiene das superfícies com que contacta.  Conclusões: O conhecimento científico disponível sobre COVID-19 e amamentação encontra-se em constante evolução, devendo os profissionais de saúde apoiar a amamentação e gerir as dificuldades, tomando todas as precauções no sentido de prevenir e controlar o risco de infeção.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Breastfeeding the baby of mothers with COVID-19 may be associated with risks of virus transmission through breast milk, justifying the adoption of safe practices.  Objectives: To identify WHO recommendations on breastfeeding and Covid-19.  Methods:  Integrative literature review conducted in March 2020 on the WHO website using the descriptors &#8220;breast feeding&#8221;, &#8220;pregnancy&#8221;, &#8220;childbirth&#8221;, &#8220;health knowledge, attitudes, practice&#8221; and &#8220;COVID-19&#8221;.  Results:  There is evidence in seven WHO documents that in women with COVID 19 breastfeeding should be advised, since the virus was not found in samples of amniotic fluid or breast milk, however it is essential to support the mother to breastfeed with safety and with respiratory hygiene measures, wash the hands before and after touching the baby and hygiene of surfaces what she contacts.  Conclusions:  The scientific knowledge available on COVID-19 and breastfeeding is in constant evolution, and the health professionals should support breastfeeding and manage difficulties, taking all precautions in order to prevent and control the risk of infection.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Amamantar al bebé de madres con COVID-19 puede estar asociado con riesgos de transmisión de vírus a través de la leche materna, justificando la adopcion de prácticas seguras.  Objetivos:  Identificar las recomendaciones de la OMS sobre lactancia materna y Covid-19.  Métodos:  Revisión integral de la literatura realizada en marzo de 2020 en el sitio web de la OMS, utilizando los descriptores &#8220;breast feeding&#8221;, &#8220;pregnancy&#8221;, &#8220;childbirth&#8221;, &#8220;health knowledge, attitudes, practice&#8221; e &#8220;COVID-19&#8221;.  Resultados:  Hay evidencia en siete documentos de la OMS que en mujeres con COVID 19 se debe recomendar la lactancia materna, ya que el virus no se encontró en muestras de líquido amniótico o leche materna, sin embargo, es esencial ayudar a la madre a amamentar con seguridade y con medidas de higiene respiratoria, lavar las manos antes y después de tocar al bebé y higiene de las superfícies con la cual contacta.  Conclusiones:  El conocimiento científico disponible sobre COVID-19 y la lactancia materna esta en evolución constante, y los profesionales de la salud deben apoyar la lactancia materna y manejar las dificultades, tomando todas las precauciones para prevenir y controlar el riesgo de infección.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[aleitamento materno]]></kwd>
<kwd lng="pt"><![CDATA[gravidez]]></kwd>
<kwd lng="pt"><![CDATA[parto]]></kwd>
<kwd lng="pt"><![CDATA[conhecimentos, atitudes e prática em saúde]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[breast feeding]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[childbirth]]></kwd>
<kwd lng="en"><![CDATA[health knowledge, attitudes, practice]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[lactancia materna]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="es"><![CDATA[conocimientos, actitudes y práctica en salud]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Aleitamento materno como um fator preventivo da obesidade]]></source>
<year>2009</year>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>Direção Geral da Saúde</collab>
<source><![CDATA[Orientação: Infeção por SARS-CoV-2: Procedimentos de prevenção, controlo e vigilância em empresas]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<collab>Direção Geral da Saúde</collab>
<source><![CDATA[Orientação: Covid-19: Fase de mitigação: Gravidez e parto]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="">
<collab>Direção Geral da Saúde</collab>
<source><![CDATA[Plano nacional de preparação e resposta à doença por novo coronavírus]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galvão]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Amamentação bem sucedida: Alguns fatores determinantes]]></source>
<year>2006</year>
<publisher-loc><![CDATA[Loures, Portugal ]]></publisher-loc>
<publisher-name><![CDATA[Lusociência]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levy]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Bértolo]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual de aleitamento materno]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Comité português para o Fundo das Nações Unidas para a Infância /Comissão Nacional Iniciativa Hospital Amigo dos Bebés]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[A. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[A. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[M. S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fatores que levam ao desmame precoce com puérperas da unidade básica de saúde Palmeiras em Santa Inês Maranhão]]></article-title>
<source><![CDATA[XV Safety, Health and Environment World Congress, Porto, Portugal, 19-22 July 2015]]></source>
<year>2015</year>
<page-range>288-92</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Qiu]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study]]></article-title>
<source><![CDATA[Lancet Infect Dis]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[COVID-19: Gravidez e aleitamento materno]]></article-title>
<source><![CDATA[Da emergência de um novo vírus humano à disseminação global de uma nova doença: Doença por coronavírus 2019]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="">
<collab>Sociedad Española de Neonatología</collab>
<source><![CDATA[Recomendaciones para el manejo del recién nacido en relación con la infección por SARS-CoV-2]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="">
<collab>Sociedade Brasileira de Pediatria</collab>
<collab>Grupo Executivo do Programa Nacional de Reanimação Neonatal 2019-2021</collab>
<source><![CDATA[Recomendações para assistência ao recém-nascido na sala de parto de mãe com COVID-19 suspeita ou confirmada]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="">
<collab>Sociedade Portuguesa de Neonatologia</collab>
<source><![CDATA[Recomendações para a abordagem do Recém-Nascido em contacto com a infeção por SARS-CoV-2]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="">
<collab>Sociedade Portuguesa de Neonatologia</collab>
<source><![CDATA[Pandemia SARS-Cov-2: Extração, conservação e transporte de leite materno em tempo de pandemia]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="">
<collab>Sociedade Portuguesa de Obstetrícia e Medicina Materno Fetal</collab>
<source><![CDATA[Recomendações da sociedade portuguesa de obstetrícia e medicina materno fetal: Gravidez e coronavírus 2019: O que os obstetras precisam saber]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="">
<collab>Società Italiana di Neonatologia</collab>
<source><![CDATA[Allattamento e infezione da SARS-CoV-2: Indicazioni ad interim della Società Italiana di Neonatologia]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vitora]]></surname>
<given-names><![CDATA[C. G.]]></given-names>
</name>
<name>
<surname><![CDATA[Bahl]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[A. J.]]></given-names>
</name>
<name>
<surname><![CDATA[França]]></surname>
<given-names><![CDATA[G. V.]]></given-names>
</name>
<name>
<surname><![CDATA[Horton]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Kraesevec]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<collab>Lancet Breastfeeding Series Group</collab>
<article-title xml:lang=""><![CDATA[Breastfeeding in the 21st century: Epidemiology, mechanisms and lifelong effect]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2016</year>
<volume>387</volume>
<numero>10017</numero>
<issue>10017</issue>
<page-range>475-90</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[Global nutrition targets 2025: policy brief series (WHO/NMH/NHD/14.2)]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[10 facts on breastfeeding]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[3 in 5 babies not breastfed in the first hour of life breastfeeding within an hour after birth is critical for saving newborn lives]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Clinical management of severe acute respiratory infection when COVID-19 disease is suspected: Interim guidance]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Q&amp;A on COVID-19, pregnancy, childbirth and breastfeeding]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Coronavirus disease advice for the public: When and how to use masks]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Q&amp;A on COVID-19, HIV and antiretrovirals: Can pregnant or postpartum women living with HIV transmit the COVID-19 virus to their unborn child or infant?]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Q&amp;A on COVID-19, HIV and antiretrovirals: Should pregnant and breastfeeding women living with HIV with COVID-19 and their newborns be managed differently?]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Coronavirus disease advice for the public]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Q&amp;A on infection prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<collab>United Nations Children&#8217;s Fund</collab>
<source><![CDATA[Implementation guidance: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: The revised baby-friendly hospital initiative]]></source>
<year>2018</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
