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CLC number: R511; R473.71

On-line Access: 2020-05-19

Received: 2020-02-29

Revision Accepted: 2020-03-09

Crosschecked: 2020-05-08

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Journal of Zhejiang University SCIENCE B 2020 Vol.21 No.5 P.405-407

http://doi.org/10.1631/jzus.B2000095


Can SARS-CoV-2-infected women breastfeed after viral clearance?


Author(s):  Guan-Jing Lang, Hong Zhao

Affiliation(s):  Department of Infectious Diseases, State Key Laboratory for the Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for the Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding email(s):   zjuzhaohong@zju.edu.cn

Key Words:  SARS-CoV-2, Breastfeeding, Pregnant woman, Pathogenesis, Maternal-fetal transmission


Guan-Jing Lang, Hong Zhao. Can SARS-CoV-2-infected women breastfeed after viral clearance?[J]. Journal of Zhejiang University Science B, 2020, 21(5): 405-407.

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Abstract: 
The recently emerged novel coronavirus pneumonia, named the coronavirus disease 2019 (COVID-19), shares several clinical characteristics with severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), and spread rapidly throughout China in December of 2019 (Huang et al., 2020). The pathogen 2019 novel coronavirus (2019-nCoV) is now named SARS coronavirus 2 (SARS-CoV-2) and is highly infectious. As of Apr. 9, 2020, over 80 000 confirmed cases had been reported, with an estimated mortality rate of 4.0% (Chinese Center for Disease Control and Prevention, 2020). Person-to-person transmission and familial clustering have been reported (Chan et al., 2020; Nishiura et al., 2020; Phan et al., 2020). However, there is no evidence of fetal intrauterine infection in pregnant women who have been infected with SARS-CoV-2 in their third trimester (Chen et al., 2020). It is unclear whether breastfeeding transmits the virus from previously infected and recovered mothers to their babies. Here we report the clinical course of a pregnant woman with COVID-19. In order to determine whether SARS-CoV-2 can be transmitted to newborns through breastfeeding, we measured viral RNA in the patient’s breastmilk samples at different time points after delivery.

新型冠状病毒感染后治愈的女性可以进行母乳喂养吗?

概要:浙江大学医学院附属第一医院感染科收治一名新型冠状病毒(SARS-CoV-2)感染的妊娠晚期孕妇.在其住院期间,患者进行了剖腹产术,新生儿被证实无SARS-CoV-2感染.结合已有的相关文献报道,SARS-CoV-2通过母婴垂直传播的依据不足,同时乳汁的病毒检测阴性,因此目前不能证明SARS-CoV-2病毒能通过乳汁传播.通过研究,我们建议感染SARS-CoV-2的孕妇,在治愈出院后,应经过两周隔离观察,并且病毒复查结果为阴性,才可以进行母乳喂养.
关键词:新型冠状病毒(SARS-CoV-2);孕妇;哺乳;母婴传播

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

[1]Assiri A, Abedi GR, al Masri M, et al., 2016. Middle East respiratory syndrome coronavirus infection during pregnancy: a report of 5 cases from Saudi Arabia. Clin Infect Dis, 63(7):951-953.

[2]Chan JFW, Yuan SF, Kok KH, et al., 2020. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet, 395(10223):514-523.

[3]Chen HJ, Guo JJ, Wang C, et al., 2020. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet, 395(10226):809-815.

[4]Chinese Center for Disease Control and Prevention, 2020. Update on the new coronavirus pneumonia outbreak as of 24:00 on 8 April. http://www.chinacdc.cn/jkzt/crb/zl/szkb_11803/jszl_11809/202004/t20200409_215861.html [Accessed on Apr. 9, 2020] (in Chinese).

[5]Da S, 2020. An analysis of 38 pregnant women with COVID-19, their newborn infants, and maternal-fetal transmission of SARS-CoV-2: maternal coronavirus infections and pregnancy outcomes. Arch Pathol Lab Med, in press.

[6]Huang CL, Wang YM, Li XW, et al., 2020. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223):497-506.

[7]Huang JW, Zhou XY, Lu SJ, et al., 2020. Dialectical behavior therapy-based psychological intervention for woman in late pregnancy and early postpartum suffering from COVID-19: a case report. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 21(5):394-399.

[8]Maxwell C, McGeer A, Tai KFY, et al., 2017. No. 225-management guidelines for obstetric patients and neonates born to mothers with suspected or probable severe acute respiratory syndrome (SARS). J Obstet Gynaecol Can, 39(8):e130-e137.

[9]Nishiura H, Jung SM, Linton NM, et al., 2020. The extent of transmission of novel coronavirus in Wuhan, China, 2020. J Clin Med, 9(2):330.

[10]Payne DC, Iblan I, Alqasrawi S, et al., 2014. Stillbirth during infection with Middle East respiratory syndrome coronavirus. J Infect Dis, 209(12):1870-1872.

[11]Phan LT, Nguyen TV, Luong QC, et al., 2020. Importation and human-to-human transmission of a novel coronavirus in Vietnam. N Engl J Med, 382(9):872-874.

[12]Robertson CA, Lowther SA, Birch T, et al., 2004. SARS and pregnancy: a case report. Emerg Infect Dis, 10(2):345-348.

[13]Schneider E, Duncan D, Reiken M, et al., 2004. SARS in pregnancy. AWHONN Lifelines, 8(2):122-128.

[14]Schwarz EB, Nothnagle M, 2015. The maternal health benefits of breastfeeding. Am Fam Physician, 91(9):603-604.

[15]Stockman LJ, Lowther SA, Coy K, et al., 2004. SARS during pregnancy, United States. Emerg Infect Dis, 10(9):1689-1690.

[16]Takahashi N, Kitajima H, Kusuda S, et al., 2011. Pandemic (H1N1) 2009 in neonates, Japan. Emerg Infect Dis, 17(9):1763-1765.

[17]Wong SF, Chow KM, Leung TN, et al., 2004. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol, 191(1):292-297.

[18]Xu KJ, Cai HL, Shen YH, et al., 2020. Management of corona virus disease-19 (COVID-19):the Zhejiang experience. J Zhejiang Univ: Med Sci, in press (in Chinese).

[19]Zhou P, Yang XL, Wang XG, et al., 2020. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579(7798):270-273.

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