If you're a mother or expecting, it is only natural to have questions about what is safest for your baby during the COVID-19 pandemic.

In particular many new mothers are concerned about passing COVID-19 to their babies via breastfeeding. However, the transmission of COVID-19 through breastfeeding or by giving breastmilk has not been detected. Breastfeeding and skin-to-skin contact helps your baby to thrive and provides lifelong health benefits.

Here are some answers to common questions from new and expecting mothers to help provide the safest experience for you and your baby, whether you’re feeling healthy or experiencing signs and symptoms of COVID.

Should I breastfeed during COVID-19?

Yes. There is no evidence to date that the COVID-19 virus is transmitted through breastfeeding.

Breastmilk provides antibodies that give babies everywhere a healthy boost and protect them against many infections. Antibodies and bio-active factors in breastmilk may fight against COVID-19 infection, if a baby is exposed.

Can you pass COVID-19 to your baby by breastfeeding?

To date, active COVID-19 (virus that can cause infection) has not been detected in the breastmilk of any mother with COVID-19, so it is unlikely that COVID-19 can be transmitted through breastmilk. Researchers are continuing to test breastmilk from mothers with confirmed and suspected COVID-19.

Should I breastfeed if I have or suspect I have COVID-19?

Yes, continue breastfeeding with appropriate precautions. These include wearing a mask, washing your hands with soap and water or with an alcohol-based hand rub before and after touching your baby, and routinely cleaning and disinfecting surfaces you have touched. Your chest only needs to be washed if you have just coughed on it. Otherwise, your breast does not need to be washed before every feeding.

Should I get the COVID-19 vaccine if I'm breastfeeding or providing expressed milk?

Yes, COVID-19 vaccines are recommended for healthy individuals who are lactating or expressing milk.

Is it safe to continue breastfeeding after receiving a COVID-19 vaccine?

Yes, you should continue breastfeeding after vaccination to protect your baby. None of the WHO-approved COVID-19 vaccines currently being used contain the live virus, so there is no risk of passing the virus to your baby through breastmilk.

What should I do if I’m too unwell to breastfeed?

If you are feeling too sick to nurse, try to find other ways to safely provide your child with breastmilk. Speak to your doctor, midwife or a healthcare professional about the options available to you.

Expressing breastmilk is also important to sustain milk production so you can breastfeed your child again when you feel well enough to do so. There is no fixed time interval to wait after confirmed or suspected COVID-19.

If expressing milk isn't possible, then consider infant formula milk provided it is correctly prepared, safe and readily available.

Should I breastfeed if my child is sick?

Continue to breastfeed your child if she becomes ill. Whether your little one contracts COVID-19 or another illness, it is important to continue nourishing her with breastmilk. Breastfeeding boosts your baby’s immune system, and your antibodies are passed to her through breastmilk, helping her to fight infections.

What precautions should I take when breastfeeding?

Make sure to follow handwashing guidelines. Your hands should be washed with soap and water before and after touching your baby. You may also use an alcohol-based hand rub. It is also important to clean and disinfect any surfaces that you have touched.

Wash breastmilk pumps, milk storage containers and feeding utensils after every use as usual.

what covid-19 means for breastfeeding

[© UNICEF]