The recent COVID-19 pandemic has spread to Italy with heavy consequences on public health and economics. Besides the possible consequences of COVID-19 infection on a pregnant woman and the fetus, a major concern is related to the potential effect on neonatal outcome, the appropriate management of the mother-newborn dyad, and finally the compatibility of maternal COVID-19 infection with breastfeeding. The Italian Society on Neonatology (SIN) after reviewing the limited scientific knowledge on the compatibility of breastfeeding in the COVID-19 mother and the available statements from Health Care Organizations has issued the following indications that have been endorsed by the Union of European Neonatal & Perinatal Societies (UENPS). If a mother previously identified as COVID-19 positive or under investigation for COVID-19 is asymptomatic or paucisymptomatic at delivery, rooming-in is feasible, and direct breastfeeding is advisable, under strict measures of infection control. On the contrary, when a mother with COVID-19 is too sick to care for the newborn, the neonate will be managed separately and fed fresh expressed breast milk, with no need to pasteurize it, as human milk is not believed to be a vehicle of COVID-19. We recognize that this guidance might be subject to change in the future when further knowledge will be acquired about the COVID-19 pandemic, the perinatal transmission of SARS-CoV-2, and clinical characteristics of cases of neonatal COVID-19.

中文翻译：

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母乳喂养和冠状病毒病 - 2019：欧洲新生儿和围产期协会联盟认可的意大利新生儿学会的临时适应症。

最近的 COVID-19 大流行已蔓延到意大利，对公共卫生和经济造成了严重影响。除了 COVID-19 感染对孕妇和胎儿可能产生的后果外，一个主要问题是对新生儿结局的潜在影响、母婴二人组的适当管理，以及最后母亲 COVID-19 感染的相容性与母乳喂养。意大利新生儿学会 (SIN) 在审查了关于 COVID-19 母亲母乳喂养兼容性的有限科学知识以及医疗保健组织的现有声明后，发布了以下指示，并得到了欧洲新生儿和围产期联盟的认可社团（UENPS）。如果先前被确定为 COVID-19 阳性或正在接受 COVID-19 检测的母亲在分娩时无症状或仅有少数症状，则在严格的感染控制措施下，同室分娩是可行的，并且建议直接母乳喂养。相反，当患有 COVID-19 的母亲病情严重而无法照顾新生儿时，新生儿将被单独管理并喂养新鲜挤出的母乳，无需对其进行巴氏消毒，因为母乳不被认为是一种载体COVID-19。我们认识到，当进一步了解 COVID-19 大流行、SARS-CoV-2 的围产期传播以及新生儿 COVID-19 病例的临床特征时，该指南可能会在未来发生变化。