Early Discharge of Newborns Born to Mothers with COVID-19: A Possible Safe Strategy.

Autor:	Costa S; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Coppola M; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Fattore S; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Tana M; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Gassino L; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Catalano P; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Pastorino R; Section of Hygiene, Department of Woman and Child Health and Public Health-Public Health Area, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Department of Life Sciences and Public Health, Catholic University of Sacred Heart, Rome, Italy., Vento G; Department of Woman and Child Health and Public Health, Catholic University of Sacred Heart, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.
Jazyk:	angličtina
Zdroj:	American journal of perinatology [Am J Perinatol] 2024 May; Vol. 41 (S 01), pp. e1116-e1119. Date of Electronic Publication: 2023 Jan 24.
DOI:	10.1055/s-0042-1760429
Abstrakt:	Objective: In this study, we evaluated the safety of early discharge (ED) of newborns born to coronavirus disease 2019 (COVID-19)-positive mothers. Study Design: All ED newborns from the postpartum wards of the Fondazione Policlinico Gemelli between January 1, 2022, and February 28, 2022, were retrospectively analyzed. Newborns from mothers with COVID-19 and those from uninfected mothers were considered. The primary outcome was to evaluate whether the rate of the composite outcome, which was the percentage of rehospitalization/access in emergency room (RH/ER) within the first week from discharge, differed between neonates born to mother with COVID-19 (COVID-19 group) and those born to uninfected mothers (no COVID-19 group). The secondary outcomes were to assess the quality of feeding and number of outpatient visits in the follow-up clinic between the two cohorts of patients. Results: One hundred and thirty-four newborns in the no COVID-19 group and 26 in the COVID-19 group were analyzed. The rate of RH/ER in the no COVID-19 group was of 6 over 134 newborns (0.045, 95% confidence image [CI]: 0.017-0.095), while in COVID-19 group, it was of 2 over 26 newborns (0.077), which does not differ from the expected rate (1.17 over 26 newborns, 0.045, 95% CI: 0.017-0.095). Conclusion: ED for newborns from mothers with COVID-19 could be an actionable safe strategy. Key Points: · We evaluated the feasibility of early discharge (ED) of mothers with COVID-19 and their newborns.. · Rate of rehospitalization between newborns from uninfected mothers and infected ones was comparable.. · ED could be an actionable practice for newborns from mothers with COVID-19.. Competing Interests: None declared. (Thieme. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu