Management of newborns exposed to mothers with confirmed or suspected COVID-19
| Autor: | Jill Arnold, Mitchell J. Kresch, Sarah M. Iriana, Brandon M. Smith, Timothy W. Palmer, Duane C. Williams, Shaili Amatya, Christiana N. Oji-Mmuo, Jaimey M. Pauli, Jennifer Miller, Patrick J. Gavigan, Chintan Gandhi, Kristen Glass, Yuanyi L. Murray, Richard S. Legro, Tammy E. Corr, Danielle Prentice, Ashley Fricchione, Dennis J. Mujsce, Sara J. Mola, Meenakshi Singh, Colin R. Bridgeman, Jeffrey R. Kaiser, George McSherry, Jessica E. Ericson |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Postnatal Care
Evidence-based practice Secondary infection Pneumonia Viral Breastfeeding MEDLINE Review Article Telehealth Betacoronavirus 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Pandemic Obstetrics and Gynaecology Humans Medicine 030212 general & internal medicine Pediatrics Perinatology and Child Health Pregnancy Complications Infectious Pandemics SARS-CoV-2 business.industry Infant Newborn COVID-19 Obstetrics and Gynecology medicine.disease Triage Infectious Disease Transmission Vertical Viral infection Evidence-Based Practice Infant Care Practice Guidelines as Topic Pediatrics Perinatology and Child Health Infectious diseases Female Medical emergency Coronavirus Infections business |
| Zdroj: | Journal of Perinatology |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-020-0695-0 |
| Popis: | There is limited information about newborns with confirmed or suspected COVID-19. Particularly in the hospital after delivery, clinicians have refined practices in order to prevent secondary infection. While guidance from international associations is continuously being updated, all facets of care of neonates born to women with confirmed or suspected COVID-19 are center-specific, given local customs, building infrastructure constraints, and availability of protective equipment. Based on anecdotal reports from institutions in the epicenter of the COVID-19 pandemic close to our hospital, together with our limited experience, in anticipation of increasing numbers of exposed newborns, we have developed a triage algorithm at the Penn State Hospital at Milton S. Hershey Medical Center that may be useful for other centers anticipating a similar surge. We discuss several care practices that have changed in the COVID-19 era including the use of antenatal steroids, delayed cord clamping (DCC), mother–newborn separation, and breastfeeding. Moreover, this paper provides comprehensive guidance on the most suitable respiratory support for newborns during the COVID-19 pandemic. We also present detailed recommendations about the discharge process and beyond, including providing scales and home phototherapy to families, parental teaching via telehealth and in-person education at the doors of the hospital, and telehealth newborn follow-up. |
| Databáze: | OpenAIRE |
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