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Updated: Sep 30, 2025
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Rooming-In Practice During the Pandemic: Results From a Retrospective Cohort Study
Simonetta Costa1,2, Francesca Priolo1, Simona Fattore2
1Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Summary
Rooming-in care for mothers with COVID-19 significantly increased exclusive breastfeeding rates and reduced hospital stays. This practice proved safe and effective for mother-infant dyads during the pandemic.
Area of Science:
- Neonatal care
- Infectious disease epidemiology
- Maternal-infant health
Background:
- The COVID-19 pandemic created uncertainty regarding infant feeding and care practices for infected mothers.
- Limited evidence existed on breastfeeding and rooming-in for mothers with COVID-19 and their newborns.
Purpose of the Study:
- To compare exclusive breastfeeding rates at discharge between COVID-19 positive mothers using rooming-in versus separation.
- To evaluate neonatal outcomes, including re-hospitalization, in both management groups.
Main Methods:
- A retrospective comparative observational study of 155 mother-infant dyads with COVID-19.
- Data collected between March 2020 and April 2021, comparing rooming-in and separation practices.
Main Results:
- Exclusive breastfeeding at discharge was significantly higher in the rooming-in group (p < .0001).
- Infants in the rooming-in group had a significantly shorter hospital stay (p = .001).
- Most mothers (93.5%) were asymptomatic; no infants were hospitalized for COVID-19.
Conclusions:
- Protected rooming-in is safe and effective for supporting breastfeeding among mothers with COVID-19.
- Rooming-in increased exclusive breastfeeding rates compared to maternal-infant separation.
- This practice supports positive neonatal outcomes and reduces hospital length of stay.
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