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.
Highlights
Since the first Chinese-reported case in December 2019, the novel coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been rapidly spreading out all over the world and was recognized as a pandemic by theWorld Health Organization (WHO) on 11 March 2020 [1]
We designed an observational study on SARS-CoV-2-positive mothers and their newborns, who were consecutively admitted at Policlinico Umberto I Hospital, Sapienza
We recorded 37 mothers with confirmed infection by SARS-CoV-2 and collected data on 33 maternal-infant dyads
Summary
Since the first Chinese-reported case in December 2019, the novel coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been rapidly spreading out all over the world and was recognized as a pandemic by theWorld Health Organization (WHO) on 11 March 2020 [1]. Since the first Chinese-reported case in December 2019, the novel coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been rapidly spreading out all over the world and was recognized as a pandemic by the. In most European countries, the trend of SARS-CoV-2 infection showed a characteristic pattern, with two waves of rapid spread (a first wave from March to May and the second from September 2020) interrupted by a mild remission during summer. While the first wave of COVID-19 infection mainly affected northern Italy, the second wave appears more diffuse and is currently undermining the entire national health system and economy. The different modalities of mother-to-child transmission were clearly defined and categorized in a recent report issued
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