Management of the mother-infant dyad with suspected or confirmed SARS-CoV-2 infection in a highly epidemic context

Autor:	Lorenza Pugni, Enrico Ferrazzi, Federico Schena, Andrea Ronchi, Fabio Mosca, Carlo Pietrasanta, R. Davanzo, G. Gargantini
Rok vydání:	2020
Předmět:	NICU medicine.medical_specialty breastfeeding Pneumonia Viral coronavirus Breastfeeding Context (language use) Scientific evidence Betacoronavirus Pregnancy Pandemic medicine Humans Infection control Practice Patterns Physicians' Pregnancy Complications Infectious Pandemics Infection Control SARS-CoV-2 rooming-in business.industry Delivery Rooms Rooming-in delivery room Infant Newborn COVID-19 Civil Defense Delivery Obstetric Infectious Disease Transmission Vertical Organizational Innovation Perinatal Care Breast Feeding Italy Preparedness Family medicine Pediatrics Perinatology and Child Health Commentary Female neonate Coronavirus Infections business Dyad
Zdroj:	Journal of Neonatal-Perinatal Medicine
ISSN:	1878-4429 1934-5798
DOI:	10.3233/npm-200478
Popis:	In the context of SARS-CoV-2 pandemic, the hospital management of mother-infant pairs poses to obstetricians and neonatologists previously unmet challenges. In Lombardy, Northern Italy, 59 maternity wards networked to organise the medical assistance of mothers and neonates with suspected or confirmed SARS-CoV-2 infection. Six “COVID-19 maternity centres” were identified, the architecture and activity of obstetric and neonatal wards of each centre was reorganised, and common assistance protocols for the management of suspected and proven cases were formulated. Here, we present the key features of this reorganization effort, and our current management of the mother-infant dyad before and after birth, including our approach to rooming-in practice, breastfeeding and neonatal follow-up, based on the currently available scientific evidence. Considered the rapid diffusion of COVID-19 all over the world, we believe that preparedness is fundamental to assist mother-infant dyads, minimising the risk of propagation of the infection through maternity and neonatal wards.
Databáze:	OpenAIRE
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