BREASTFEEDING

After birth, breastfeeding is initiated by the newborn if he/she is in direct and uninterrupted skin-to-skin contact with the mother for at least one hour after birth.

Breastfeeding provides both short- and long-term benefits to the child and the mother.

For the child, breastfeeding provides optimal nutrition and reduces incidence of disease and death. Breastfeeding, particularly exclusive breastfeeding, protects children from diarrhea and pneumonia, the two leading causes of death among children under age five. Other infections, including otitis media, Haemophilus influenzae meningitis, and urinary tract infections, are less common and less severe in infants who are breastfed.

The Ten Steps involve changes in maternity services. Every facility providing maternity services
should have a breastfeeding policy and carry out structural changes and train all health care staff in skills necessary to implement this policy. They are aimed to protecting, promoting, and supporting breastfeeding in facilities that provide maternity services.

The Baby-Friendly Hospital Initiative (BFHI) was launched in 1991 by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) with the aim of protecting, promoting, and supporting breastfeeding in maternity care facilities, ensuring they follow the WHO/UNICEF "Ten Steps to Successful Breastfeeding" and adhere to the 1981 International Code of Marketing of Breast-milk Substitutes.

To date, active COVID-19 (virus that can cause infection) has not been detected in the breastmilk of any mother with confirmed/suspected COVID-19. It appears unlikely, therefore, that COVID-19 would be transmitted through breastfeeding or by giving breastmilk that has been expressed by a mother who is confirmed/suspected to have COVID-19

Mothers with confirmed or suspected COVID-19 are advised to wear a medical mask, but even if this is not possible, breastfeeding should be continued.
It is important to replace medical masks as soon as they become damp and dispose of them immediately. Masks should not be reused or touched in the front but to remove it from behind.
It is important to follow other infection prevention measures, such as washing hands, cleaning surfaces, and covering the mouth and nose with a tissue when sneezing or coughing.

In all socio-economic settings, breastfeeding improves survival and provides lifelong health and development advantages to newborns and infants. Breastfeeding also improves the health of mothers. Transmission of active COVID-19 (virus that can cause infection) through breast milk and breastfeeding has not been detected to date. Therefore, there is no reason to avoid or discontinue breastfeeding.

Prolonged skin-to-skin contact of newborns with their mother during the first postnatal hour favours the initiation of breastfeeding and subsequent support.

Early skin-to-skin contact, without interruptions, immediately after birth, favors the initiation and subsequent support of breastfeeding.

During the first hour after birth, babies have the ability to initiate suckling at the breast on their own. This is possible if, at their reception, after gently drying their skin and evaluating their breathing, they are placed in prone position directly on the skin of the mother's abdomen and chest, without interfering with contact. To achieve this, newborns require time, around 45 minutes to 2 hours after birth.