Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000300201 |
Resumo: | Abstract Introduction: The uncertainty in SARS-CoV-2 modes of transmission, particularly regarding vertical and peripartum transmission, led national and international organizations to recommend (although not unanimously) the separation of newborns and mothers. Material and Methods: To characterize the management of offspring of confirmed/suspected SARS-CoV-2-positive mothers in the postpartum, an online questionnaire was sent to Portuguese Pediatric and Neonatology heads of department of the Portuguese National Health Service during April and May, 2020. Results: Twenty-five out of forty-four questionnaires were retrieved and included in the study. Results showed that healthcare workers (HCWs) wore FFP2 masks and face shield/goggles in 88% of hospitals while assisting in the delivery of offspring of confirmed/suspected SARS-CoV-2-positive mothers. In 8% of hospitals, mothers were allowed to have a labor partner. Newborns were separated from their mothers in 56% of hospitals and were not breastfed in 68%. Five newborns (4%) tested positive for SARS-CoV-2 infection in a universe of 114 mothers with positive SARS-CoV-2 test. Newborn SARS-CoV-2 testing was performed with adequate swabs in 64% of hospitals, but the method employed varied among hospitals. Discharge criteria were also variable, with 45% of hospitals requiring a negative test result of the caregiver. Conclusion: The use of personal protective equipment by HCPs during delivery of offspring of confirmed/suspected SARS-CoV-2-positive mothers complied with international recommendations. Although vertical transmission is a rare event, this study uncovered a 4% rate of SARS-CoV-2-positive newborns from positive mothers during the considered period. The development of national recommendations has the potential to avoid disparity of procedures among hospitals. |
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Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemicCOVID-19newbornpandemicpatient safetySARS-CoV-2Abstract Introduction: The uncertainty in SARS-CoV-2 modes of transmission, particularly regarding vertical and peripartum transmission, led national and international organizations to recommend (although not unanimously) the separation of newborns and mothers. Material and Methods: To characterize the management of offspring of confirmed/suspected SARS-CoV-2-positive mothers in the postpartum, an online questionnaire was sent to Portuguese Pediatric and Neonatology heads of department of the Portuguese National Health Service during April and May, 2020. Results: Twenty-five out of forty-four questionnaires were retrieved and included in the study. Results showed that healthcare workers (HCWs) wore FFP2 masks and face shield/goggles in 88% of hospitals while assisting in the delivery of offspring of confirmed/suspected SARS-CoV-2-positive mothers. In 8% of hospitals, mothers were allowed to have a labor partner. Newborns were separated from their mothers in 56% of hospitals and were not breastfed in 68%. Five newborns (4%) tested positive for SARS-CoV-2 infection in a universe of 114 mothers with positive SARS-CoV-2 test. Newborn SARS-CoV-2 testing was performed with adequate swabs in 64% of hospitals, but the method employed varied among hospitals. Discharge criteria were also variable, with 45% of hospitals requiring a negative test result of the caregiver. Conclusion: The use of personal protective equipment by HCPs during delivery of offspring of confirmed/suspected SARS-CoV-2-positive mothers complied with international recommendations. Although vertical transmission is a rare event, this study uncovered a 4% rate of SARS-CoV-2-positive newborns from positive mothers during the considered period. The development of national recommendations has the potential to avoid disparity of procedures among hospitals.Centro Hospitalar do Porto2022-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000300201Nascer e Crescer v.31 n.3 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000300201Costa,Mariana LopesVala,BeatrizAquino,JoanaXavier,Bilhotainfo:eu-repo/semantics/openAccess2024-02-06T17:06:34Zoai:scielo:S0872-07542022000300201Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:52.356090Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
title |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
spellingShingle |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic Costa,Mariana Lopes COVID-19 newborn pandemic patient safety SARS-CoV-2 |
title_short |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
title_full |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
title_fullStr |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
title_full_unstemmed |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
title_sort |
Management of SARS-CoV-2-positive mothers and their offspring at the beginning of the COVID-19 pandemic |
author |
Costa,Mariana Lopes |
author_facet |
Costa,Mariana Lopes Vala,Beatriz Aquino,Joana Xavier,Bilhota |
author_role |
author |
author2 |
Vala,Beatriz Aquino,Joana Xavier,Bilhota |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Costa,Mariana Lopes Vala,Beatriz Aquino,Joana Xavier,Bilhota |
dc.subject.por.fl_str_mv |
COVID-19 newborn pandemic patient safety SARS-CoV-2 |
topic |
COVID-19 newborn pandemic patient safety SARS-CoV-2 |
description |
Abstract Introduction: The uncertainty in SARS-CoV-2 modes of transmission, particularly regarding vertical and peripartum transmission, led national and international organizations to recommend (although not unanimously) the separation of newborns and mothers. Material and Methods: To characterize the management of offspring of confirmed/suspected SARS-CoV-2-positive mothers in the postpartum, an online questionnaire was sent to Portuguese Pediatric and Neonatology heads of department of the Portuguese National Health Service during April and May, 2020. Results: Twenty-five out of forty-four questionnaires were retrieved and included in the study. Results showed that healthcare workers (HCWs) wore FFP2 masks and face shield/goggles in 88% of hospitals while assisting in the delivery of offspring of confirmed/suspected SARS-CoV-2-positive mothers. In 8% of hospitals, mothers were allowed to have a labor partner. Newborns were separated from their mothers in 56% of hospitals and were not breastfed in 68%. Five newborns (4%) tested positive for SARS-CoV-2 infection in a universe of 114 mothers with positive SARS-CoV-2 test. Newborn SARS-CoV-2 testing was performed with adequate swabs in 64% of hospitals, but the method employed varied among hospitals. Discharge criteria were also variable, with 45% of hospitals requiring a negative test result of the caregiver. Conclusion: The use of personal protective equipment by HCPs during delivery of offspring of confirmed/suspected SARS-CoV-2-positive mothers complied with international recommendations. Although vertical transmission is a rare event, this study uncovered a 4% rate of SARS-CoV-2-positive newborns from positive mothers during the considered period. The development of national recommendations has the potential to avoid disparity of procedures among hospitals. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000300201 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000300201 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000300201 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Centro Hospitalar do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar do Porto |
dc.source.none.fl_str_mv |
Nascer e Crescer v.31 n.3 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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