Mohammad Reza Khajehaminian - Department of Health in Disasters and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Sayed Mohsen Hosseini Boroujeni - Department of Nursing, Boroujen School of Nursing, Shahrekord University of Medical Sciences, Shahrekord, Iran
Vahid Ghanbari - Health in Disaster and Emergencies, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
Marjan Delkhosh - Department of Community Health Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences

Introduction: Considering the unexpected events that may occur in disasters, breastfeeding and risks of the artificial feeding need more investigations in such severe conditions. To review the literature regarding the status of breastfeeding practices during and after disasters, we conducted a narrative review to investigate and support breastfeeding in austere conditions of disasters. Furthermore, the consequences of depriving infants from breast milk were reviewed. Methods: Electronic databases of PubMed, Scopus, and Science Direct were explored and English articles published in 2000-2014 over breastfeeding in disasters were extracted and reviewed. Results: According to the findings, despite the frequent emphasizes on breastfeeding, natural and manmade disasters are strong contributors to its disruption. This study reiterates that uncontrolled distribution of the artificial milks might encourage nursing mothers to stop breastfeeding and should be avoided. Artificially-fed infants are more prone to diarrheal diseases and malnutrition, particularly in disaster situations, which safe water may not be accessible for preparing the artificial milk. Conclusion: Healthcare workers should encourage mothers to continue breastfeeding in austere conditions of disasters and strictly monitor distribution of the formula.

Disasters; Breast feeding; Health; Lactates