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At present, there is limited information on potential transmission of the infection from mother to child, particularly through breast milk and breastfeeding. Here, we provide a living systematic review to capture information that might necessitate changes in the guidance on breast milk and breastfeeding given the uncertainty in this area. Our search retrieved 19,414 total records; 605 were considered for full\u2010text eligibility and no ongoing trials were identified. Our review includes 340 records, 37 with breast milk samples and 303 without. The 37 articles with analyzed breast milk samples reported on 77 mothers who were breastfeeding their children; among them, 19 of 77 children were confirmed COVID\u201019 cases based on RT\u2010PCR assays, including 14 neonates and five older infants. Nine of the 68 analyzed breast milk samples from mothers with COVID\u201019 were positive for SARS\u2010CoV\u20102 RNA; of the exposed infants, four were positive and two were negative for COVID\u201019. Currently, there is no evidence of SARS\u2010CoV\u20102 transmission through breast milk. Studies are needed with longer follow\u2010up periods that collect data on infant feeding practices and on viral presence in breast milk.<\/jats:p>","DOI":"10.1111\/nyas.14477","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T06:29:35Z","timestamp":1598682575000},"page":"32-54","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":132,"title":["Transmission of SARS\u2010CoV\u20102 through breast milk and breastfeeding: a living systematic review"],"prefix":"10.1111","volume":"1484","author":[{"given":"Elizabeth","family":"Centeno\u2010Tablante","sequence":"first","affiliation":[{"name":"Division of Nutritional Sciences Cornell University Ithaca New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7074-5663","authenticated-orcid":false,"given":"Melisa","family":"Medina\u2010Rivera","sequence":"additional","affiliation":[{"name":"Division of Nutritional Sciences Cornell University Ithaca New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9512-5559","authenticated-orcid":false,"given":"Julia L.","family":"Finkelstein","sequence":"additional","affiliation":[{"name":"Division of Nutritional Sciences Cornell University Ithaca New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6548-1269","authenticated-orcid":false,"given":"Pura","family":"Rayco\u2010Solon","sequence":"additional","affiliation":[{"name":"Department of Maternal, Newborn, Child and Adolescent Health and Ageing World Health Organization Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Nieves","family":"Garcia\u2010Casal","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Safety World Health Organization Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Safety World Health Organization Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Ghezzi\u2010Kopel","sequence":"additional","affiliation":[{"name":"Albert R. 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