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      The Use of Higher Secretory Immune Response of IgG And IgA in Breast Milk and Blood as a Donor Therapy in COVID-19 Survivor Mothers

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          Abstract

          Introduction

          The breast milk of mothers recovering from COVID-19 has elevated levels of secretory-type antibodies, such as IgG and IgA. Furthermore, these antibodies serve as immunity, which can be passed on to the baby through breastfeeding.

          Objective

          This study aimed to analyze the relationship between IgG and IgA levels in breast milk and blood of breastfeeding mothers who recovered from COVID-19 and assess other determinants.

          Methods

          This was an analytical study, which was carried out using 54 participants who were equally divided into two groups, namely case and control. The case group consisted of individuals who were exposed to COVID-19, while the controls were not exposed. Blood and breast milk (each 5 CC) were then collected to determine the levels of IgG and IgA using the Eliza method. Furthermore, the test used 27 blood and 18 breast milk samples.

          Results

          The statistical analysis showed that there were significant differences in the levels of IgG and IgA in the breast milk and blood of the case and control groups. The average IgA in the blood and breast milk of the control was greater compared to the case group. Furthermore, the average IgG in the breast milk of the case group was greater compared to the controls. Based on the results, there was no difference in mean IgG in breast milk in both groups.

          Conclusion

          The results showed that there were differences in mean IgA in the breast milk of both groups. The average IgA in the blood of the controls was greater than the case group, but the IgG in breast milk was lower.

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          Most cited references25

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          Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records

          Summary Background Previous studies on the pneumonia outbreak caused by the 2019 novel coronavirus disease (COVID-19) were based on information from the general population. Limited data are available for pregnant women with COVID-19 pneumonia. This study aimed to evaluate the clinical characteristics of COVID-19 in pregnancy and the intrauterine vertical transmission potential of COVID-19 infection. Methods Clinical records, laboratory results, and chest CT scans were retrospectively reviewed for nine pregnant women with laboratory-confirmed COVID-19 pneumonia (ie, with maternal throat swab samples that were positive for severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) who were admitted to Zhongnan Hospital of Wuhan University, Wuhan, China, from Jan 20 to Jan 31, 2020. Evidence of intrauterine vertical transmission was assessed by testing for the presence of SARS-CoV-2 in amniotic fluid, cord blood, and neonatal throat swab samples. Breastmilk samples were also collected and tested from patients after the first lactation. Findings All nine patients had a caesarean section in their third trimester. Seven patients presented with a fever. Other symptoms, including cough (in four of nine patients), myalgia (in three), sore throat (in two), and malaise (in two), were also observed. Fetal distress was monitored in two cases. Five of nine patients had lymphopenia (<1·0 × 10⁹ cells per L). Three patients had increased aminotransferase concentrations. None of the patients developed severe COVID-19 pneumonia or died, as of Feb 4, 2020. Nine livebirths were recorded. No neonatal asphyxia was observed in newborn babies. All nine livebirths had a 1-min Apgar score of 8–9 and a 5-min Apgar score of 9–10. Amniotic fluid, cord blood, neonatal throat swab, and breastmilk samples from six patients were tested for SARS-CoV-2, and all samples tested negative for the virus. Interpretation The clinical characteristics of COVID-19 pneumonia in pregnant women were similar to those reported for non-pregnant adult patients who developed COVID-19 pneumonia. Findings from this small group of cases suggest that there is currently no evidence for intrauterine infection caused by vertical transmission in women who develop COVID-19 pneumonia in late pregnancy. Funding Hubei Science and Technology Plan, Wuhan University Medical Development Plan.
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            Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect.

            The importance of breastfeeding in low-income and middle-income countries is well recognised, but less consensus exists about its importance in high-income countries. In low-income and middle-income countries, only 37% of children younger than 6 months of age are exclusively breastfed. With few exceptions, breastfeeding duration is shorter in high-income countries than in those that are resource-poor. Our meta-analyses indicate protection against child infections and malocclusion, increases in intelligence, and probable reductions in overweight and diabetes. We did not find associations with allergic disorders such as asthma or with blood pressure or cholesterol, and we noted an increase in tooth decay with longer periods of breastfeeding. For nursing women, breastfeeding gave protection against breast cancer and it improved birth spacing, and it might also protect against ovarian cancer and type 2 diabetes. The scaling up of breastfeeding to a near universal level could prevent 823,000 annual deaths in children younger than 5 years and 20,000 annual deaths from breast cancer. Recent epidemiological and biological findings from during the past decade expand on the known benefits of breastfeeding for women and children, whether they are rich or poor.
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              Immunogenicity of COVID-19 mRNA Vaccines in Pregnant and Lactating Women

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                Author and article information

                Journal
                TONURSJ
                Open Nurs J
                The Open Nursing Journal
                Open Nurs. J.
                Bentham Science Publishers
                1874-4346
                12 October 2023
                2023
                : 17
                : e187443462309210
                Affiliations
                [1 ] Departmentof Nursing, Poltekes Ministry of Health East, Kalimantan, Indonesia
                [2 ] deptFaculty of Medicine , Airlangga University , Surabaya, , Indonesia
                [3 ] deptDepartment of Technology, Laboratory, Medicine , Poltekkes Ministry of Health , East Kalimantan, , Indonesia,
                Author notes
                [* ]Address correspondence to this author at the Departmentof Nursing, Poltekes Ministry of Health East, Kalimantan, Indonesia; E-mail: endahwahyutri@ 123456poltekkes-kaltim.ac.id
                Article
                e187443462309210
                10.2174/0118744346265373230920053839
                094ea134-96a4-4a21-85f4-356ed49399ea
                © 2023 The Author(s). Published by Bentham Open.

                This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 02 June 2023
                : 24 July 2023
                : 26 July 2023
                Categories
                Health Care

                Medicine,Chemistry,Life sciences
                Breast milk donation,Blood,Breast milk,IgA,IgG,Breastfeeding,COVID-19
                Medicine, Chemistry, Life sciences
                Breast milk donation, Blood, Breast milk, IgA, IgG, Breastfeeding, COVID-19

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