1. Consequences of Early Separation of Maternal-Newborn Dyad in Neonates Born to SARS-CoV-2 Positive Mothers: An Observational Study
- Author
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Ilaria Stolfi, Giulia Zacco, Paola Repole, Roberto Brunelli, Francesca De Luca, Giovanni Boscarino, Maria Giulia Conti, Viviana Cardilli, Giovanni Luca Ciambra, Paola Favata, Gianluca Terrin, Roberto Pedicino, Fabio Natale, Camilla Ajassa, and Laura Guadalupi
- Subjects
medicine.medical_specialty ,Pediatrics ,breastfeeding ,Health, Toxicology and Mutagenesis ,Breastfeeding ,Mothers ,neonatology ,Article ,03 medical and health sciences ,0302 clinical medicine ,newborn ,Pregnancy ,infectious disease transmission vertical ,medicine ,Humans ,neonatal infection ,030212 general & internal medicine ,Neonatology ,Pregnancy Complications, Infectious ,030219 obstetrics & reproductive medicine ,COVID-19 ,female ,humans ,infant, newborn ,mothers ,pregnancy ,SARS-CoV-2 ,pregnancy complications ,infectious ,Transmission (medicine) ,business.industry ,Medical record ,Infant, Newborn ,Public Health, Environmental and Occupational Health ,medicine.disease ,infant ,Infectious Disease Transmission, Vertical ,Neonatal infection ,Medicine ,Female ,Observational study ,business ,Dyad - Abstract
As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection continues its spread all over the world, data on perinatal management of the maternal-infant dyad are urgent. We performed an observational study to describe the effects of the early separation of the maternal-infant dyad, in case of maternal SARS-CoV-2 infection. We reported the medical records for 37 neonates born to 37 SARS-CoV-2 positive mothers in a setting of separation of the dyad after birth. Data on neonatal infection, clinical condition, and breastfeeding rate were recorded until the first month of life. No maternal deaths were recorded, 37.8% of women had at least one pregnancy-related complication. We reported a high adherence to recommended safety measures after discharged with 84.8% of the mothers using at least one personal protective device and 51.5% using all the protective devices. We reported one case of vertical transmission and no cases of horizontal transmission. However, the separation of the dyad had a negative impact on breastfeeding because only 23.5% of the newborns received exclusively human milk during the first month of life. Despite early separation of the dyad protecting the newborns from possible horizontal transmission of SARS-CoV-2, it negatively affects breastfeeding during the first months of life.
- Published
- 2021