Last update: Oct. 31, 2020
Minimal risk for breastfeeding and infant.
Flaviviruses are mainly transmitted by the bite of Aedes mosquitoes (Ae. aegypti and Ae. albopictus or Tiger mosquito) from infected reservoirs that are mostly humans but may also be various animals.
The viral infection is asymptomatic in 75% of cases. Only one out of four infected persons generally develop benign symptoms with few complications in adults and children and even infants, with rare admission of patients (AAP 2018 p894).
It has been documented sporadically transmission by sexual intercourse (Musso 2015, Foy 2011) and vertically from the mother to the child, transplacental and perinatal (AAP 2018 p894). Also of concern is a possible transmission by blood transfusion (Musso 2014).
Two infants had positive test for the virus, presumably after perinatal transmission, one remained asymptomatic and the other one with mild symptoms that doubtfully were due to the virus. Both, as well as their mothers evolved favorably (Besnard, 2014). Zika virus RNA has been detected in breast milk from two mothers with confirmed Zika virus infection, but no replicative virus was identified in cell culture (WHO 2016, Besnard, 2014)
Transmission of the infection through breastfeeding has not been documented (AAP 2018 p119, Runge 2019, CDC 2016, WHO 2016).
Since the health benefits of breastfeeding from breastfeeding are considered greater than the unproven potential risk of transmission, experts, expert committees and the World Health Organization recommend that mothers with possible or confirmed infection or exposure to Zika virus continue to breastfeed, even in endemic areas (Mann 2018, AAP 2018 p119 y 225, WHO 2016, CDC 2016).
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.
Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Academy of Breastfeeding Medicine - 2015 from United States of America
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM