Evidence map›Paper›PMID 32458558›Full record

ArticleMaternal & child nutrition2020

When separation is not the answer: Breastfeeding mothers and infants affected by COVID-19.

Cecília Tomori, Karleen Gribble, Aunchalee E L Palmquist, Mija-Tesse Ververs, Marielle S Gross

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 3 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
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  13. Parenting through place-of-care disruptions: A qualitative study of parents' experiences of neonatal care.Health expectations : an international journal of public participation in health care and health policy · 2024
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  14. Article
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  17. Observational
  18. COVID-19: Implications for Nursing and Health Care in the United States.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023
    Article
  19. Review
  20. Article

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Cecília TomoriJohns Hopkins School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0003-4235-1821
Karleen GribbleSchool of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.ORCID 0000-0003-4774-1589
Aunchalee E L PalmquistGillings School of Global Public Health, Carolina Global Breastfeeding Institute, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0002-0848-6952
Mija-Tesse VerversJohns Hopkins Bloomberg School of Public Health, Center for Humanitarian Health, Johns Hopkins University, Baltimore, Maryland, USA.
Marielle S GrossJohns Hopkins Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA.
Johns Hopkins University · USUniversity of North Carolina at Chapel Hill · USWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organization (WHO) has provided detailed guidance on the care of infants of women who are persons under investigation (PUI) or confirmed to have COVID-19. The guidance supports immediate post-partum mother-infant contact and breastfeeding with appropriate respiratory precautions. Although many countries have followed WHO guidance, others have implemented infection prevention and control (IPC) policies that impose varying levels of post-partum separation and discourage or prohibit breastfeeding or provision of expressed breast milk. These policies aim to protect infants from the potential harm of infection from their mothers, yet they may fail to fully account for the impact of separation. Global COVID-19 data are suggestive of potentially lower susceptibility and a typically milder course of disease among children, although the potential for severe disease in infancy remains. Separation causes cumulative harms, including disrupting breastfeeding and limiting its protection against infectious disease, which has disproportionate impacts on vulnerable infants. Separation also presumes the replaceability of breastfeeding-a risk that is magnified in emergencies. Moreover, separation does not ensure lower viral exposure during hospitalizations and post-discharge, and contributes to the burden on overwhelmed health systems. Finally, separation magnifies maternal health consequences of insufficient breastfeeding and compounds trauma in communities who have experienced long-standing inequities and violence, including family separation. Taken together, separating PUI/confirmed SARS-CoV-2-positive mothers and their infants may lead to excess preventable illnesses and deaths among infants and women around the world. Health services must consider the short-andlong-term impacts of separating mothers and infants in their policies.

Indexed as

Breast FeedingPatient IsolationSARS-CoV-2COVID-19FemaleHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalMilk, HumanMother-Child RelationsMothersWorld Health OrganizationbreastfeedingCOVID-19mother-infant separationSARS-CoV-2

Identifiers

PMID32458558
PMCPMC7267086
OpenAlexW3029065950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.