Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?

Introduction: Since the emergence of coronavirus disease 2019 (COVID-19) there are limited data describing the risks and specific effects of SARS-CoV-2 in pregnant women and their neonates. To date, there is scarce evidence of in utero transmission, and the risk of perinatal transmission and conseq...

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Autores principales:	Joana Jonet, Luzia Condessa, Maria Limbert, Margarida Roquette, Ana Tavares, Manuel Cunha
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Portuguesa de Pediatria 2021
Materias:	Pediatrics RJ1-570 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/49a5b34d6d364f2f82e4a4c6718a9cf1
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spelling	oai:doaj.org-article:49a5b34d6d364f2f82e4a4c6718a9cf12021-11-04T15:21:16ZWas Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?2184-33332184-4453https://doaj.org/article/49a5b34d6d364f2f82e4a4c6718a9cf12021-11-01T00:00:00Zhttps://pjp.spp.pt/article/view/23476https://doaj.org/toc/2184-3333https://doaj.org/toc/2184-4453 Introduction: Since the emergence of coronavirus disease 2019 (COVID-19) there are limited data describing the risks and specific effects of SARS-CoV-2 in pregnant women and their neonates. To date, there is scarce evidence of in utero transmission, and the risk of perinatal transmission and consequent neonate’s risk of developing COVID-19 during the perinatal period are also unknown. Methods: Since April 2020, universal screening of all pregnant women presenting in labour was implemented in our Hospital. To those positive to SARS-CoV-2 the possibility to room in with the neonate is given. Neonates are tested for SARS-CoV-2 within the first 24 hours and again at 48 hours of life. We made a prospective cohort analysis of all neonates born to mothers positive for SARS-CoV-2 in our hospital from April to November, 2020. Demographics, neonatal and maternal symptoms at the delivery, during hospitalization and once discharged, perinatal routine care and SARS-CoV-2 RT-PCR results were studied. Results: We analyzed 23 mothers positive for SARS-CoV-2. Only eight referred symptoms, mainly headaches, anosmia and ageusia/dysgeusia. The 23 neonates had both SARS-CoV-2 RT-PCR negative. All neonates were born and remained asymptomatic during the 14 days of surveillance time and all were breastfed. Discussion: According to our results, it was safe to allow rooming in in COVID-19 positive mothers since there was no evidence of perinatal infection. This practice is a well-known way to promote early breastfeeding and encourage maternal–infant bonding. Joana JonetLuzia CondessaMaria LimbertMargarida RoquetteAna TavaresManuel CunhaSociedade Portuguesa de PediatriaarticlePediatricsRJ1-570Medicine (General)R5-920ENPTPortuguese Journal of Pediatrics , Vol 52, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Pediatrics RJ1-570 Medicine (General) R5-920
spellingShingle	Pediatrics RJ1-570 Medicine (General) R5-920 Joana Jonet Luzia Condessa Maria Limbert Margarida Roquette Ana Tavares Manuel Cunha Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?
description	Introduction: Since the emergence of coronavirus disease 2019 (COVID-19) there are limited data describing the risks and specific effects of SARS-CoV-2 in pregnant women and their neonates. To date, there is scarce evidence of in utero transmission, and the risk of perinatal transmission and consequent neonate’s risk of developing COVID-19 during the perinatal period are also unknown. Methods: Since April 2020, universal screening of all pregnant women presenting in labour was implemented in our Hospital. To those positive to SARS-CoV-2 the possibility to room in with the neonate is given. Neonates are tested for SARS-CoV-2 within the first 24 hours and again at 48 hours of life. We made a prospective cohort analysis of all neonates born to mothers positive for SARS-CoV-2 in our hospital from April to November, 2020. Demographics, neonatal and maternal symptoms at the delivery, during hospitalization and once discharged, perinatal routine care and SARS-CoV-2 RT-PCR results were studied. Results: We analyzed 23 mothers positive for SARS-CoV-2. Only eight referred symptoms, mainly headaches, anosmia and ageusia/dysgeusia. The 23 neonates had both SARS-CoV-2 RT-PCR negative. All neonates were born and remained asymptomatic during the 14 days of surveillance time and all were breastfed. Discussion: According to our results, it was safe to allow rooming in in COVID-19 positive mothers since there was no evidence of perinatal infection. This practice is a well-known way to promote early breastfeeding and encourage maternal–infant bonding.
format	article
author	Joana Jonet Luzia Condessa Maria Limbert Margarida Roquette Ana Tavares Manuel Cunha
author_facet	Joana Jonet Luzia Condessa Maria Limbert Margarida Roquette Ana Tavares Manuel Cunha
author_sort	Joana Jonet
title	Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?
title_short	Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?
title_full	Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?
title_fullStr	Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?
title_full_unstemmed	Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?
title_sort	was rooming-in a safe approach to newborns from sars-cov-2 positive mothers?
publisher	Sociedade Portuguesa de Pediatria
publishDate	2021
url	https://doaj.org/article/49a5b34d6d364f2f82e4a4c6718a9cf1
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Was Rooming-In a Safe Approach to Newborns from SARS-Cov-2 Positive Mothers?

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