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Neonatal Resuscitation and Postresuscitation Care of Infants Born to Mothers with Suspected or Confirmed SARS-CoV-2 Infection.
Am J Perinatol. 2020 Jun; 37(8):813-824.AJ

Abstract

The first case of novel coronavirus disease of 2019 (COVID-19) caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) was reported in November2019. The rapid progression to a global pandemic of COVID-19 has had profound medical, social, and economic consequences. Pregnant women and newborns represent a vulnerable population. However, the precise impact of this novel virus on the fetus and neonate remains uncertain. Appropriate protection of health care workers and newly born infants during and after delivery by a COVID-19 mother is essential. There is some disagreement among expert organizations on an optimal approach based on resource availability, surge volume, and potential risk of transmission. The manuscript outlines the precautions and steps to be taken before, during, and after resuscitation of a newborn born to a COVID-19 mother, including three optional variations of current standards involving shared-decision making with parents for perinatal management, resuscitation of the newborn, disposition, nutrition, and postdischarge care. The availability of resources may also drive the application of these guidelines. More evidence and research are needed to assess the risk of vertical and horizontal transmission of SARS-CoV-2 and its impact on fetal and neonatal outcomes. KEY POINTS: · The risk of vertical transmission is unclear; transmission from family members/providers to neonates is possible.. · Optimal personal-protective-equipment (airborne vs. droplet/contact precautions) for providers is crucial to prevent transmission.. · Parents should be engaged in shared decision-making with options for rooming in, skin-to-skin contact, and breastfeeding..

Authors+Show Affiliations

Division of Neonatology, Department of Pediatrics, Oishei Children's Hospital of Buffalo, University at Buffalo, Buffalo, New York.Division of Neonatology, University and Polytechnic Hospital La Fe, Valencia, Spain.Department of Pediatrics, University-Hospital of Padova, Padova, Italy.Division of Infectious Disease, Department of Pediatrics, University of California, Davis, California.Division of Neonatology, Department of Pediatrics, University of California, Davis, California.Division of Infectious Disease, Department of Pediatrics, University of California, Davis, California.Sharp Mary Birch Hospital for Women and Newborns, San Diego, California.Division of Neonatology, Department of Pediatrics, University of California, Davis, California.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32268381

Citation

Chandrasekharan, Praveen, et al. "Neonatal Resuscitation and Postresuscitation Care of Infants Born to Mothers With Suspected or Confirmed SARS-CoV-2 Infection." American Journal of Perinatology, vol. 37, no. 8, 2020, pp. 813-824.
Chandrasekharan P, Vento M, Trevisanuto D, et al. Neonatal Resuscitation and Postresuscitation Care of Infants Born to Mothers with Suspected or Confirmed SARS-CoV-2 Infection. Am J Perinatol. 2020;37(8):813-824.
Chandrasekharan, P., Vento, M., Trevisanuto, D., Partridge, E., Underwood, M. A., Wiedeman, J., Katheria, A., & Lakshminrusimha, S. (2020). Neonatal Resuscitation and Postresuscitation Care of Infants Born to Mothers with Suspected or Confirmed SARS-CoV-2 Infection. American Journal of Perinatology, 37(8), 813-824. https://doi.org/10.1055/s-0040-1709688
Chandrasekharan P, et al. Neonatal Resuscitation and Postresuscitation Care of Infants Born to Mothers With Suspected or Confirmed SARS-CoV-2 Infection. Am J Perinatol. 2020;37(8):813-824. PubMed PMID: 32268381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neonatal Resuscitation and Postresuscitation Care of Infants Born to Mothers with Suspected or Confirmed SARS-CoV-2 Infection. AU - Chandrasekharan,Praveen, AU - Vento,Maximo, AU - Trevisanuto,Daniele, AU - Partridge,Elizabeth, AU - Underwood,Mark A, AU - Wiedeman,Jean, AU - Katheria,Anup, AU - Lakshminrusimha,Satyan, Y1 - 2020/04/08/ PY - 2020/4/9/pubmed PY - 2020/7/8/medline PY - 2020/4/9/entrez SP - 813 EP - 824 JF - American journal of perinatology JO - Am J Perinatol VL - 37 IS - 8 N2 - The first case of novel coronavirus disease of 2019 (COVID-19) caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) was reported in November2019. The rapid progression to a global pandemic of COVID-19 has had profound medical, social, and economic consequences. Pregnant women and newborns represent a vulnerable population. However, the precise impact of this novel virus on the fetus and neonate remains uncertain. Appropriate protection of health care workers and newly born infants during and after delivery by a COVID-19 mother is essential. There is some disagreement among expert organizations on an optimal approach based on resource availability, surge volume, and potential risk of transmission. The manuscript outlines the precautions and steps to be taken before, during, and after resuscitation of a newborn born to a COVID-19 mother, including three optional variations of current standards involving shared-decision making with parents for perinatal management, resuscitation of the newborn, disposition, nutrition, and postdischarge care. The availability of resources may also drive the application of these guidelines. More evidence and research are needed to assess the risk of vertical and horizontal transmission of SARS-CoV-2 and its impact on fetal and neonatal outcomes. KEY POINTS: · The risk of vertical transmission is unclear; transmission from family members/providers to neonates is possible.. · Optimal personal-protective-equipment (airborne vs. droplet/contact precautions) for providers is crucial to prevent transmission.. · Parents should be engaged in shared decision-making with options for rooming in, skin-to-skin contact, and breastfeeding.. SN - 1098-8785 UR - https://www.unboundmedicine.com/medline/citation/32268381/Neonatal_Resuscitation_and_Postresuscitation_Care_of_Infants_Born_to_Mothers_with_Suspected_or_Confirmed_SARS_CoV_2_Infection_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0040-1709688 DB - PRIME DP - Unbound Medicine ER -