A review of the disruption of breastfeeding supports in response to the COVID-19 pandemic in five Western countries and applications for clinical practice.

"Declarations Ethics approval and consent to participateNot applicable. Consent for publicationNot applicable. Competing interestsS.T. holds a non-paid volunteer position with the International Society for Research in Human Milk and Lactation (ISRHML). She has accepted a speaker honorarium from the Ohio Lactation Consultant Association and the Kansas Breastfeeding Coalition. Sarah currently funded by the Canadian Institute of Health Research as a Vanier Scholar.B.M. has nothing to disclose.M.B is a Molly Towell Research Fellow and is currently funded by the Garfield Weston Foundation and MITACS Canada. She has accepted a speaker honorarium from the Ohio Lactation Consultant Association. She has contributed with remuneration to online courses on breast milk and the infant microbiome produced by Microbiome Courses. Competing interests S.T. holds a non-paid volunteer position with the International Society for Research in Human Milk and Lactation (ISRHML). She has accepted a speaker honorarium from the Ohio Lactation Consultant Association and the Kansas Breastfeeding Coalition. Sarah currently funded by the Canadian Institute of Health Research as a Vanier Scholar. B.M. has nothing to disclose. M.B is a Molly Towell Research Fellow and is currently funded by the Garfield Weston Foundation and MITACS Canada. She has accepted a speaker honorarium from the Ohio Lactation Consultant Association. She has contributed with remuneration to online courses on breast milk and the infant microbiome produced by Microbiome Courses."

"Funding This manuscript did not receive any direct funding."