母乳如何保护新生儿 How Breast Milk Protects Newborns

With permission from Jack Newman to post in LLL-China

经过杰克纽曼医生的同意翻译和转发到国际母乳会网站

From Dr Jack Newman (HUGE lactation supporter and doctor):

来自杰克•纽曼医生

Coronavirus

冠状病毒

The photos below show how, when a mother is exposed to an infection, her body reacts to produce immune factors in her milk in order to protect the baby from getting sick. The whole article, written by me, is in Scientific American from 1995

https://www.dropbox.com/s/4v85fdtjv5u7o3j/Scientific American 1995%2C how bf protects.pdf?dl=0

下面的照片显示,当母亲受到感染时,她的身体如何在母乳中产生免疫因子,以保护婴儿不生病。我写的整篇文章发布在1995年的《科学美国人》https://www.dropbox.com/s/4v85fdtjv5u7o3j/Scientific American 1995%2C how bf protects.pdf?dl=0

There is a lot of concern about what to do about breastfeeding when either the baby or the mother has been exposed to coronavirus. The answer is to continue breastfeeding and keep the mother and baby together. Indeed, one can sense a panic about this virus which is new, and therefore few if any people in the world has been exposed to it. And many breastfeeding mothers have been told that they should not breastfeed if they have been exposed or actually have the infection.

当婴儿或母亲暴露在冠状病毒下,人们对于母乳喂养有很多担忧。但答案就是继续母乳喂养,让母婴在一起。确实,人们可能对这种病毒感觉到恐慌,尤其当它是新型的,因为这意味着世界上了解这种病毒的人还很少(译注:所以还没有详细的事后总结资料)。许多母乳喂养的母亲被告知,如果她们有暴露在或实际感染了新冠病毒,就不应该母乳喂养。

Other than being “new”, there is nothing particularly special about this virus and the same principles apply as with other viruses. And mothers or babies who have been exposed to it should continue breastfeeding. Mothers and babies spend time TOGETHER. They are exposed to viruses and other pathogens TOGETHER. When either the mother or the baby is exposed to a virus, there is an incubation period before the onset of symptoms. In other words, the mother or baby are already infectious without knowing they are sick or feeling sick. And breastmilk with its dozens if not hundreds of immune factors (not just antibodies) are present to protect the baby.

实际上,除了是“新型”,这个病毒没有非常特别之处。适用于其他病毒的原理也同样适用于它。接触过病毒的母亲或婴儿应继续母乳喂养。妈妈和宝宝在一起。他们接触各种病毒和其他各种病原体的时候也在一起。当母亲或婴儿接触到任何病毒时,在症状出现前都会有一个潜伏期。换句话说,母亲或婴儿在不知道自己生病或在还没有感觉不舒服的情况下就已经具有传染性。母乳中含有的几十上百种免疫因子(而不仅仅是针对某病毒的抗体)会保护婴儿

It seems that the first reaction to any new virus is to separate mothers and babies and to tell them they can´t breastfeeding. The same happened a couple of years back with SARS, H1N1 and other viruses. But the safe course is to keep breastfeeding. The reaction “we don´t know, so the mother should not breastfeed, just to be safe” is not good practice.

人们往往对任何新病毒的第一反应就是把母亲和婴儿分开,告诉他们不能母乳喂养。几年前,当SARS、H1N1和其他病毒出现时也是同样的情况。但安全的方法实际是继续母乳喂养。这种“我们不了解,所以母亲就不应该母乳喂养以防万一”的反应并不是一种好的做法。

So, THERE IS NO REASON TO SEPARATE THE MOTHER AND BABY. And no reason to stop breastfeeding. Indeed, there is lots of reasons for breastfeeding to continue.

所以,没有理由把母婴分开。也没有理由停止母乳喂养。反而,让母乳喂养继续下去有大量原因支持。

Want to learn more about how breastfeeding protects babies against infection? See our eBook “Breastfeeding: Empowering Parents”. The eBook contains videos, links to scholarly articles and more: https://ibconline.ca/ebook/.

进一步了解母乳喂养如何保护婴儿免受感染,请参阅电子书“母乳喂养:赋予父母力量”。

电子书包含视频、学术文章链接等:https://ibconline.ca/eBook/

 

Dr Jack Newman杰克•纽曼医生。
1970年毕业于多伦多大学医学院。1981年成为加拿大皇家医师学会成员并在同年获得美国儿科协会的认证。1984年在加拿大成立了第一所医院里的哺乳诊所。他是联合国儿童基金会爱婴医院倡议活动的顾问,评估了在加蓬、科特迪瓦和加拿大的第一所爱婴医院。Dr. Jack Newman经常受邀至各研讨会演讲,他撰写的许多哺乳单张以及制作的母乳哺喂卫教影片广泛分布于各大哺乳资源中心及网站。

2013年Dr. Newman获颁女王钻禧纪念奖章 Queen’s Jubilee Medal,以表扬他为加拿大和本地小区所作出的贡献。