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{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7727601","sourcedb":"PMC","sourceid":"7727601","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7727601","text":"Various organizations have promulgated COVID-19 guidance on care for pregnant women and newborns, which at times has been conflicting. The World Health Organization recommends that mothers with COVID-19 be able to practice skin-to-skin care, rooming-in, and direct breastfeeding while wearing a mask, unless they are too ill to do so**; similar guidance is supported by the American Academy of Family Physicians,†† and the American College of Obstetricians and Gynecologists§§ promotes shared decision-making with the mother and the health care team. On the other hand, when this survey was launched, CDC and AAP recommended temporary separation of newborns from mothers with suspected or confirmed COVID-19 (8). During data collection for this survey, CDC (August 3¶¶) and AAP (July 22***) updated their guidance, supporting maternal autonomy in decision-making. Changes in guidance reflect evolving knowledge about the virus and its potential impact on newborns. To date, there has been no definitive evidence of transmission of SARS-CoV-2 through breast milk. In addition, there have been reports of secretory immunoglobulin A against SARS-CoV-2 in breast milk samples of women with COVID-19, suggesting that breastfeeding might be particularly important for newborns of mothers with COVID-19 (9).","tracks":[{"project":"LitCovid-PubTator","denotations":[{"id":"117","span":{"begin":78,"end":83},"obj":"Species"},{"id":"118","span":{"begin":1031,"end":1041},"obj":"Species"},{"id":"119","span":{"begin":1138,"end":1148},"obj":"Species"},{"id":"120","span":{"begin":1175,"end":1180},"obj":"Species"},{"id":"121","span":{"begin":609,"end":612},"obj":"Chemical"},{"id":"122","span":{"begin":774,"end":777},"obj":"Chemical"},{"id":"123","span":{"begin":39,"end":47},"obj":"Disease"},{"id":"124","span":{"begin":194,"end":202},"obj":"Disease"},{"id":"125","span":{"begin":699,"end":707},"obj":"Disease"},{"id":"126","span":{"begin":1186,"end":1194},"obj":"Disease"},{"id":"127","span":{"begin":1287,"end":1295},"obj":"Disease"}],"attributes":[{"id":"A117","pred":"tao:has_database_id","subj":"117","obj":"Tax:9606"},{"id":"A118","pred":"tao:has_database_id","subj":"118","obj":"Tax:2697049"},{"id":"A119","pred":"tao:has_database_id","subj":"119","obj":"Tax:2697049"},{"id":"A120","pred":"tao:has_database_id","subj":"120","obj":"Tax:9606"},{"id":"A123","pred":"tao:has_database_id","subj":"123","obj":"MESH:C000657245"},{"id":"A124","pred":"tao:has_database_id","subj":"124","obj":"MESH:C000657245"},{"id":"A125","pred":"tao:has_database_id","subj":"125","obj":"MESH:C000657245"},{"id":"A126","pred":"tao:has_database_id","subj":"126","obj":"MESH:C000657245"},{"id":"A127","pred":"tao:has_database_id","subj":"127","obj":"MESH:C000657245"},{"subj":"117","pred":"source","obj":"LitCovid-PubTator"},{"subj":"118","pred":"source","obj":"LitCovid-PubTator"},{"subj":"119","pred":"source","obj":"LitCovid-PubTator"},{"subj":"120","pred":"source","obj":"LitCovid-PubTator"},{"subj":"121","pred":"source","obj":"LitCovid-PubTator"},{"subj":"122","pred":"source","obj":"LitCovid-PubTator"},{"subj":"123","pred":"source","obj":"LitCovid-PubTator"},{"subj":"124","pred":"source","obj":"LitCovid-PubTator"},{"subj":"125","pred":"source","obj":"LitCovid-PubTator"},{"subj":"126","pred":"source","obj":"LitCovid-PubTator"},{"subj":"127","pred":"source","obj":"LitCovid-PubTator"}],"namespaces":[{"prefix":"Tax","uri":"https://www.ncbi.nlm.nih.gov/taxonomy/"},{"prefix":"MESH","uri":"https://id.nlm.nih.gov/mesh/"},{"prefix":"Gene","uri":"https://www.ncbi.nlm.nih.gov/gene/"},{"prefix":"CVCL","uri":"https://web.expasy.org/cellosaurus/CVCL_"}]},{"project":"LitCovid-sentences","denotations":[{"id":"T103","span":{"begin":0,"end":134},"obj":"Sentence"},{"id":"T104","span":{"begin":135,"end":550},"obj":"Sentence"},{"id":"T105","span":{"begin":551,"end":712},"obj":"Sentence"},{"id":"T106","span":{"begin":713,"end":863},"obj":"Sentence"},{"id":"T107","span":{"begin":864,"end":964},"obj":"Sentence"},{"id":"T108","span":{"begin":965,"end":1062},"obj":"Sentence"},{"id":"T109","span":{"begin":1063,"end":1300},"obj":"Sentence"}],"namespaces":[{"prefix":"_base","uri":"http://pubannotation.org/ontology/tao.owl#"}],"attributes":[{"subj":"T103","pred":"source","obj":"LitCovid-sentences"},{"subj":"T104","pred":"source","obj":"LitCovid-sentences"},{"subj":"T105","pred":"source","obj":"LitCovid-sentences"},{"subj":"T106","pred":"source","obj":"LitCovid-sentences"},{"subj":"T107","pred":"source","obj":"LitCovid-sentences"},{"subj":"T108","pred":"source","obj":"LitCovid-sentences"},{"subj":"T109","pred":"source","obj":"LitCovid-sentences"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"LitCovid-PubTator","color":"#eccf93","default":true},{"id":"LitCovid-sentences","color":"#b593ec"}]}]}}