Perinatal management of SARS-CoV-2 infection in a level III University Hospital

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Pissarra, S (Author) Other; Rosario, M (Author) Other; Moucho, M (Author) Other; Henrique Soares (Author) FMUP

Journal

Title: Journal of Maternal-Fetal and Neonatal Medicine

Pages: 1-4

ISSN: 1476-7058

Publisher: Taylor & Francis

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 4 Citations

Other information

Authenticus ID: P-00S-H50

DOI: 10.1080/14767058.2020.1786526

Abstract (EN): Over the past 4 months, SARS-CoV-2 pandemic has spread all over the world. The lack of understanding of this pandemic epidemiological characteristics, clinical implications and long term consequences have raised concern among healthcare workers. Pregnant women and newborns are a particularly worrisome population since data referring to real infection impact in these patients are scarce and management controversial. We report on the perinatal management of the first consecutive ten mother-infant dyads of SARS-CoV-2 infection complicated pregnancy. All mothers were included in newborn management planning prior to delivery and decided on separation from their newborns; nine decided on postponing breastfeeding until SARS-CoV-2 negativity while maintaining lactation stimulation. No evidence of vertical transmission was found (all NP swab and bronchial secretions SARS-CoV-2 RT-PCR were negative). No newborn developed clinical evidence of infection. In the face of current scientific uncertainty, decisions of perinatal management, such as mother-infant separation and breastfeeding, must involve parents in a process of shared decision making.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4