Document from the Neonatal Studies Group

Abstract

In March 2020, the Newborn’s Study Group, faced with the outbreak of the SARS-CoV-2 pandemic, considered the consequences of measures to restrict the presence of parents in neonatal units. These measures modify the paradigm in the Developmental and Family Centered Care (DCFC) model.

The adverse effects of restricting parental presence are detrimental to bonding, breastfeeding and communication between parents and professionals.

It is known that with strict protective measures, the horizontal transmission between positive mothers and babies is very low.

In the maternity ward and newborn’s units, scientific organisations have made recommendations in favour of maintaining the bond by advising skin-to-skin.

Similarly, there is no evidence that co-hosting and breastfeeding are risk factors for postnatal transmission of SARS-CoV-2.

Keywords
SARS-CoV-2, in-hospital, preterm, infants, family, CRP, neonatal unit, bonding, co-infection, antibodies, skin-to-skin.

Text
[Automatic translation from Catalan]:

3. Recommendations on joint accommodation of the Spanish Society of Neonatology (seNeo)
Since the beginning of the pandemic, the seNeo has been proactive in publishing and addressing recommendations for handling the new-born in relation to SARS-CoV-2 (35), by means of a document based on the bibliography that was coming out, and also creating a state database where different neonatal units have been collecting variables on the mother with SARS-CoV-2 and its baby. The latest version published in the protocol of the Ministry of Health, in June 2020, maintains the recommendation to favour joint mother-baby accommodation at a maternity plant, if the clinical status of the mother and the baby allows, with the established protection measures, along with a companion chosen by the mother.

4. Security data of the joint hosting
As far as we know about the postnatal transmission of SARS-CoV-2 from mother to child, there is no evidence to support the hypothesis that joint housing and breast-feeding are risk factors for the postnatal transmission of SARS-CoV-2 from infected mothers to their babies. […]

Mar Albújar et al
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