tetano
Editor, Senior Moderator
Pediatrics
. 2021 Jan 21;e2020015065.
doi: 10.1542/peds.2020-015065. Online ahead of print.
Neonates Born to Mothers With COVID-19: Data From the Spanish Society of Neonatology Registry
Manuel S?nchez-Luna[SUP] 1 [/SUP], Bel?n Fern?ndez Colomer[SUP] 2 [/SUP], Concepci?n de Alba Romero[SUP] 3 [/SUP], Ana Alarc?n Allen[SUP] 4 [/SUP], Ana Ba?a Souto[SUP] 5 [/SUP], F?tima Camba Longueira[SUP] 6 [/SUP], Mar?a Cernada Bad?a[SUP] 7 [/SUP], Zenaida Galve Pradell[SUP] 8 [/SUP], Mar?a Gonz?lez L?pez[SUP] 9 [/SUP], M Cruz L?pez Herrera[SUP] 10 [/SUP], Carmen Ribes Bautista[SUP] 6 [/SUP], Laura S?nchez Garc?a[SUP] 11 [/SUP], Elena Zamora Flores[SUP] 12 [/SUP], SENEO COVID-19 Registry Study Group
Affiliations
Abstract
Objectives: To describe neonatal and maternal characteristics of the largest prospective cohort of newborns from mothers with coronavirus disease 2019 (COVID-19), the data of which were prospectively collected from the nationwide registry of the Spanish Society of Neonatology.
Methods: Between March 8, 2020, and May 26, 2020, the data of 503 neonates born to 497 mothers diagnosed with COVID-19 during pregnancy or at the time of delivery were collected by 79 hospitals throughout Spain.
Results: Maternal symptoms were similar to that of the general population, with 5% of severe forms. In 45.8% of asymptomatic women at the time of delivery, severe acute respiratory syndrome coronavirus 2 infection was detected because of recommendations established in Spain to perform COVID-19 screening in all women admitted to the hospital for labor. The rate of preterm deliveries was 15.7% and of cesarean deliveries, 33%. The most common diagnostic test was detection of viral RNA by polymerase chain reaction of nasopharyngeal swabs at a median age of 3 hours after delivery (1-12 hours). Almost one-half of neonates were left skin-to-skin after delivery, and delayed clamping of umbilical cords was performed in 43% of neonates. Also, 62.3% of asymptomatic neonates were managed with rooming-in. Maternal milk was received by 76.5% of neonates, 204 of them as exclusive breastfeeding.
Conclusions: The current study indicates that there is no need for separation of mothers from neonates, allowing delayed cord clamping and skin-to-skin contact along with maintenance of breastfeeding in a high percentage of newborns from mothers with COVID-19.
. 2021 Jan 21;e2020015065.
doi: 10.1542/peds.2020-015065. Online ahead of print.
Neonates Born to Mothers With COVID-19: Data From the Spanish Society of Neonatology Registry
Manuel S?nchez-Luna[SUP] 1 [/SUP], Bel?n Fern?ndez Colomer[SUP] 2 [/SUP], Concepci?n de Alba Romero[SUP] 3 [/SUP], Ana Alarc?n Allen[SUP] 4 [/SUP], Ana Ba?a Souto[SUP] 5 [/SUP], F?tima Camba Longueira[SUP] 6 [/SUP], Mar?a Cernada Bad?a[SUP] 7 [/SUP], Zenaida Galve Pradell[SUP] 8 [/SUP], Mar?a Gonz?lez L?pez[SUP] 9 [/SUP], M Cruz L?pez Herrera[SUP] 10 [/SUP], Carmen Ribes Bautista[SUP] 6 [/SUP], Laura S?nchez Garc?a[SUP] 11 [/SUP], Elena Zamora Flores[SUP] 12 [/SUP], SENEO COVID-19 Registry Study Group
Affiliations
- PMID: 33479162
- DOI: 10.1542/peds.2020-015065
Abstract
Objectives: To describe neonatal and maternal characteristics of the largest prospective cohort of newborns from mothers with coronavirus disease 2019 (COVID-19), the data of which were prospectively collected from the nationwide registry of the Spanish Society of Neonatology.
Methods: Between March 8, 2020, and May 26, 2020, the data of 503 neonates born to 497 mothers diagnosed with COVID-19 during pregnancy or at the time of delivery were collected by 79 hospitals throughout Spain.
Results: Maternal symptoms were similar to that of the general population, with 5% of severe forms. In 45.8% of asymptomatic women at the time of delivery, severe acute respiratory syndrome coronavirus 2 infection was detected because of recommendations established in Spain to perform COVID-19 screening in all women admitted to the hospital for labor. The rate of preterm deliveries was 15.7% and of cesarean deliveries, 33%. The most common diagnostic test was detection of viral RNA by polymerase chain reaction of nasopharyngeal swabs at a median age of 3 hours after delivery (1-12 hours). Almost one-half of neonates were left skin-to-skin after delivery, and delayed clamping of umbilical cords was performed in 43% of neonates. Also, 62.3% of asymptomatic neonates were managed with rooming-in. Maternal milk was received by 76.5% of neonates, 204 of them as exclusive breastfeeding.
Conclusions: The current study indicates that there is no need for separation of mothers from neonates, allowing delayed cord clamping and skin-to-skin contact along with maintenance of breastfeeding in a high percentage of newborns from mothers with COVID-19.