It's okay for COVID-19 positive mothers to share room with newborns: JAMA

Written By :  Dr. Kamal Kant Kohli
Published On 2020-12-08 03:42 GMT   |   Update On 2020-12-08 09:10 GMT

There has been lot of confusion as to whether newborn baby can be kept with COVID-19 positive mother or not.While current recommendations vary, most advise either separating COVID-19–infected mothers from their babies after birth or keeping them together and breastfeeding while taking infection-control precautions. But a new study appearing in JAMA Pediatrics has revealed that...

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There has been lot of confusion as to whether newborn baby can be kept with COVID-19 positive mother or not.While current recommendations vary, most advise either separating COVID-19–infected mothers from their babies after birth or keeping them together and breastfeeding while taking infection-control precautions. 

But a new study appearing in JAMA Pediatrics has revealed that mother-to-infant transmission of COVID-19 is rare. Researchers have found in a new study that only 1 of 62 newborns who breastfed and roomed with their 61 COVID-19–infected mothers in Lombardy, Italy, was diagnosed as having the novel coronavirus.

The findings of this study suggest that mother-to-infant transmission of SARS-CoV-2 during rooming-in practice is rare, provided that adequate droplet and contact precautions are taken.
In this six-center cohort study, 62 neonates born to 61 mothers with SARS-CoV-2 infection were roomed-in with appropriate precautions.Mothers with SARS-CoV-2 infection were encouraged to practice rooming-in and breastfeeding under a standardized protocol to minimize the risk of viral transmission.
It was found that no neonate tested positive for SARS-CoV-2 on nasopharyngeal swab at birth, and 95% of them were breastfed. All neonates were followed up until age 3 weeks; only 1 neonate was diagnosed as having SARS-CoV-2 infection during follow-up.
The one infected newborn was taken to the neonatal intensive care unit (NICU) after 5 days, when the mother developed bilateral pneumonia and pulmonary embolism requiring mechanical ventilation for 14 days. Two days after arrival in the NICU, the infant tested positive for SARS-CoV-2, the virus that causes COVID-19, and had periodic, mild shortness of breath for a few days.
The findings of this cohort study provide evidence-based information on the management of mother-infant dyads in case of SARS-CoV-2 maternal infection suggesting that rooming-in and breastfeeding can be practiced in women who are able to care for their infants.They added that separating mothers from their newborns interferes with both bonding and breastfeeding.
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JAMA Pediatr. Published online December 7, 2020. doi:10.1001/jamapediatrics.2020.508
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Article Source : JAMA Pediatrics

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