Appropriate care for neonates born to mothers with COVID-19 disease

Hoang Thi Tran1,2, Phuong Thi Kim Nguyen1, Le Thi Huynh1

  • 1Da Nang Hospital for Women and Children, Da Nang, Vietnam.

Insights

Caring for newborns during the COVID-19 pandemic requires evidence-based guidance. While vertical transmission is unlikely, postnatal transmission is possible, making skin-to-skin contact and breastfeeding crucial for infant and maternal health.

Area of Science:

  • Neonatal care
  • Infectious disease epidemiology
  • Public health

Background:

  • The COVID-19 pandemic caused widespread SARS-CoV-2 transmission, morbidity, and mortality.
  • Guidance for caring for infants born to mothers with COVID-19 is essential.

Purpose of the Study:

  • To review current evidence on the transmission of SARS-CoV-2 from mothers to newborns.
  • To provide evidence-based recommendations for neonatal care in the context of maternal COVID-19.

Main Methods:

  • Review of existing literature on SARS-CoV-2 transmission in neonates.
  • Analysis of case studies and epidemiological data.

Main Results:

  • Insufficient evidence suggests vertical (in utero) transmission of SARS-CoV-2.
  • Postnatal transmission from mothers or caregivers to newborns is a significant risk.
  • Prolonged skin-to-skin contact and early, exclusive breastfeeding are identified as key protective measures.

Conclusions:

  • Vertical transmission of SARS-CoV-2 is not well-supported by current data.
  • Postnatal care strategies, including skin-to-skin contact and breastfeeding, are vital for mitigating risks to newborns and mothers with COVID-19.
  • Continued research is needed to fully understand neonatal SARS-CoV-2 transmission dynamics.

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