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Below is an interesting article characterizing transfer of Corona Virus to infant in perinatal period. Maybe we don't need to separate moms and babies... TWH
Maternal transmission of SARS-COV-2 to the neonate, and possible routes for such transmission: a systematic review and critical analysis
K F Walker 1, K O'Donoghue 2, N Grace 3, J Dorling 4, J L Comeau 4, W Li 5, J G Thornton 1
- PMID: 32531146
- PMCID: PMC7323034
- DOI: 10.1111/1471-0528.16362
Free PMC article
Background: Early reports of COVID-19 in pregnancy described management by caesarean, strict isolation of the neonate and formula feeding. Is this practice justified?
Objective: To estimate the risk of the neonate becoming infected with SARS-CoV-2 by mode of delivery, type of infant feeding and mother-infant interaction.
Search strategy: Two biomedical databases were searched between September 2019 and June 2020.
Selection criteria: Case reports or case series of pregnant women with confirmed COVID-19, where neonatal outcomes were reported.
Data collection and analysis: Data were extracted on mode of delivery, infant infection status, infant feeding and mother-infant interaction. For reported infant infection, a critical analysis was performed to evaluate the likelihood of vertical transmission.
Main results: Forty nine studies included information on mode of delivery and infant infection status for 655 women and 666 neonates. In all, 28/666 (4%) tested positive postnatally. Of babies born vaginally, 8/292 (2.7%) tested positivecompared with 20/374 (5.3%) born by Caesarean. Information on feeding and baby separation were often missing, but of reported breastfed babies 7/148 (4.7%) tested positive compared with 3/56 (5.3%) for reported formula fed ones. Of babies reported as nursed with their mother 4/107 (3.7%) tested positive, compared with 6/46 (13%) for those who were reported as isolated.
Conclusions: Neonatal COVID-19 infection is uncommon, rarely symptomatic, and the rate of infection is no greater when the baby is born vaginally, breastfed or remains with the mother.
Tweetable abstract: Risk of neonatal infection with COVID-19 by delivery route, infant feeding and mother-baby interaction.
Keywords: COVID-19; SARS-COV-2; artificial feeding; birth; breast-feeding; caesarean; disambiguation; duplicate publication; isolation; neonatal infection; pregnancy.
© 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.