The World Health Organization (WHO) recommendations on infant feeding in the context of COVID-19 uphold standing recommendations for breastfeeding, non-separation, and skin-to-skin contact, including the use of donor human milk when mother’s own milk is not available. COVID-19 clinical management guidelines in seven countries in Southeast Asia are not aligned with WHO recommendations despite the lack of evidence of transmission through either breastmilk or breastfeeding. The use of safe donor human milk accessed through human milk banks is also insufficiently recommended, even in countries with an existing human milk bank, leading to a gap in evidence-based management of COVID-19. This highlights long-standing challenges as well as opportunities in the safe, equitable, and resilient implementation of human milk banks in the region. This statement reflects the expert opinion of the Regional Human Milk Bank Network for Southeast Asia and Beyond on the need to revisit national guidelines based on the best evidence for breastfeeding during the COVID-19 pandemic, to incorporate human milk bank services in national obstetric and newborn care guidelines for COVID-19 where possible, and to ensure that operations of human milk banks are adapted to meet the needs of the current pandemic and to sustain donor human milk supply in the long-term. The Network also recommends sustained engagement with the global human milk bank community.

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应对COVID-19的人乳库：东南亚及其他地区的人乳库网络的声明

世界卫生组织（WHO）关于COVID-19的母乳喂养建议，坚持母乳喂养，不分离和皮肤接触的长期建议，包括在没有母亲自己的母乳的情况下使用供体母乳。尽管缺乏通过母乳或母乳传播的证据，东南亚七个国家中的COVID-19临床管理指南与WHO的建议不一致。即使在拥有现有母乳库的国家中，也没有充分建议使用通过母乳库获取的安全供体母乳，这导致基于证据的COVID-19管理存在差距。这凸显了该地区安全，公平和有弹性地实施母乳库的长期挑战和机遇。该声明反映了东南亚及其他地区母乳库网络的专家意见，即有必要根据COVID-19大流行期间母乳喂养的最佳证据重新审视国家准则，以将母乳库服务纳入国家产科和新生儿尽可能对COVID-19进行护理，并确保母乳库的运作适应当前的大流行需求并长期维持捐助者的母乳供应。该网络还建议与全球人类牛奶银行界保持持续互动。将母乳库服务纳入COVID-19的国家产科和新生儿护理指南中，并确保对母乳库的运营进行调整以满足当前大流行的需求，并长期维持捐助者的母乳供应-学期。该网络还建议与全球人类牛奶银行界保持持续互动。将母乳库服务纳入COVID-19的国家产科和新生儿护理指南中，并确保对母乳库的运营进行调整以满足当前大流行的需求，并长期维持捐助者的母乳供应-学期。该网络还建议与全球人类牛奶银行界保持持续互动。