Breastfeeding during the COVID-19 pandemic - a literature review for clinical practice

Background The COVID-19 pandemic is disrupting normal life globally, every area of life is touched. The pandemic demands quick action and as new information emerges, reliable synthesises and guidelines for care are urgently needed. Breastfeeding protects mother and child; its health benefits are undisputed and based on evidence. To plan and support breastfeeding within the current pandemic, two areas need to be understood: 1) the clinical characteristics of COVID-19 as it applies to breastfeeding and 2) the protective properties of breastfeeding, including the practice of skin-to-skin care. This review aims to summarise how to manage breastfeeding during COVID-19. The summary was used to create guidelines for healthcare professionals and mothers. Methods Current publications on breastfeeding during the COVID-19 pandemic were reviewed to inform guidelines for clinical practice. Results Current evidence states that the Coronavirus is not transmitted via breastmilk. Breastfeeding benefits outweigh possible risks during the COVID-19 pandemic and may even protect the infant and mother. General infection control measures should be in place and adhered to very strictly. Conclusions Breastfeeding should be encouraged, mothers and infant dyads should be cared for together, and skin-to-skin contact ensured throughout the COVID-19 pandemic. If mothers are too ill to breastfeed, they should still be supported to express their milk, and the infant should be fed by a healthy individual. Guidelines, based on this current evidence, were produced and can be distributed to health care facilities where accessible information is needed.</div

Detached double-lined eclipsing binaries as critical tests of stellar evolution : Age and metallicity determinations from the HR diagram

Detached, double-lined spectroscopic binaries which are also eclipsing provide the most accurate determinations of stellar mass, radius, temperature and distance-independent luminosity for each of their individual components, and hence constitute a stringent test of single-star stellar evolution theory. We compile a large sample of 60 non interacting, well-detached systems mostly with typical errors smaller than 2% for mass and radius and smaller than 5% for effective temperature, and compare them with the properties predicted by stellar evolutionary tracks from a minimization method. To assess the systematic errors introduced by a given set of tracks, we compare the results obtained using three widely-used independent sets of tracks, computed with different physical ingredients (the Geneva, Padova and Granada models). We also test the hypothesis that the components of these systems are coeval and have the same metallicity, and compare the derived ages and metallicities with the ones obtained by fitting a single isochrone to the system. Overall, there is a good agreement among the different determinations, and we provide a comprehensive discussion on the sub-sample of systems which either present problems or have estimated metallicities. Although within the errors the published tracks can fit most of the systems, a large degeneracy between age and metallicity remains. The power of the test is thus limited because the metallicities of most of the systems are unknown.Comment: 33 pages, 25 figures, Astronomy & Astrophysics, in pres

ISOCAM observations of Galactic Globular Clusters: mass loss along the Red Giant Branch

Deep images in the 10 micron spectral region have been obtained for five massive Galactic globular clusters, NGC 104 (=47 Tuc), NGC 362, NGC 5139 (omega Cen), NGC 6388, NGC 7078 (=M15) and NGC 6715 (=M54) in the Sagittarius Dwarf Spheroidal using ISOCAM in 1997. A significant sample of bright giants have an ISOCAM counterpart but only < 20% of these have a strong mid-IR excess indicative of dusty circumstellar envelopes. From a combined physical and statistical analysis we derive mass loss rates and frequency. We find that i) significant mass loss occurs only at the very end of the Red Giant Branch evolutionary stage and is episodic, ii) the modulation timescales must be greater than a few decades and less than a million years, and iii) mass loss occurrence does not show a crucial dependence on the cluster metallicity.Comment: 26 pages, 9 figure

Breastfeeding during the COVID-19 pandemic : a literature review for clinical practice

Background The COVID-19 pandemic is disrupting normal life globally, every area of life is touched. The pandemic demands quick action and as new information emerges, reliable synthesises and guidelines for care are urgently needed. Breastfeeding protects mother and child; its health benefits are undisputed and based on evidence. To plan and support breastfeeding within the current pandemic, two areas need to be understood: 1) the clinical characteristics of COVID-19 as it applies to breastfeeding and 2) the protective properties of breastfeeding, including the practice of skin-to-skin care. This review aims to summarise how to manage breastfeeding during COVID-19. The summary was used to create guidelines for healthcare professionals and mothers. Methods Current publications on breastfeeding during the COVID-19 pandemic were reviewed to inform guidelines for clinical practice. Results Current evidence states that the Coronavirus is not transmitted via breastmilk. Breastfeeding benefits outweigh possible risks during the COVID-19 pandemic and may even protect the infant and mother. General infection control measures should be in place and adhered to very strictly. Conclusions Breastfeeding should be encouraged, mothers and infant dyads should be cared for together, and skin-to-skin contact ensured throughout the COVID-19 pandemic. If mothers are too ill to breastfeed, they should still be supported to express their milk, and the infant should be fed by a healthy individual. Guidelines, based on this current evidence, were produced and can be distributed to health care facilities where accessible information is neede

Breastfeeding during the COVID-19 pandemic – a literature review for clinical practice

Abstract Background The COVID-19 pandemic is disrupting normal life globally, every area of life is touched. The pandemic demands quick action and as new information emerges, reliable synthesises and guidelines for care are urgently needed. Breastfeeding protects mother and child; its health benefits are undisputed and based on evidence. To plan and support breastfeeding within the current pandemic, two areas need to be understood: 1) the clinical characteristics of COVID-19 as it applies to breastfeeding and 2) the protective properties of breastfeeding, including the practice of skin-to-skin care. This review aims to summarise how to manage breastfeeding during COVID-19. The summary was used to create guidelines for healthcare professionals and mothers. Methods Current publications on breastfeeding during the COVID-19 pandemic were reviewed to inform guidelines for clinical practice. Results Current evidence states that the Coronavirus is not transmitted via breastmilk. Breastfeeding benefits outweigh possible risks during the COVID-19 pandemic and may even protect the infant and mother. General infection control measures should be in place and adhered to very strictly. Conclusions Breastfeeding should be encouraged, mothers and infant dyads should be cared for together, and skin-to-skin contact ensured throughout the COVID-19 pandemic. If mothers are too ill to breastfeed, they should still be supported to express their milk, and the infant should be fed by a healthy individual. Guidelines, based on this current evidence, were produced and can be distributed to health care facilities where accessible information is needed. </jats:sec