Medical care of newborns born to mothers with confirmed or suspected severe acute respiratory syndrome coronavirus 2 infections in Japan.
breast milk
coronavirus disease 2019
infection
newborn
pregnancy
Journal
Pediatrics international : official journal of the Japan Pediatric Society
ISSN: 1442-200X
Titre abrégé: Pediatr Int
Pays: Australia
ID NLM: 100886002
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
revised:
09
05
2021
received:
23
03
2021
accepted:
21
05
2021
pubmed:
28
5
2021
medline:
27
1
2022
entrez:
27
5
2021
Statut:
ppublish
Résumé
There are currently no definitive guidelines regarding newborns born to mothers with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study aimed to investigate the medical care and management that provided or would provide for such newborns. A web survey was conducted between September and October 2020. A total of 624 hospitals, which generally accept pregnant women for delivery, were involved in this study. The survey included the number of newborns born to mothers with confirmed SARS-CoV-2 infection and evaluated policies regarding the medical care and management of newborns born to mothers with confirmed or suspected SARS-CoV-2 infection. Pregnant women with confirmed or suspected SARS-CoV-2 infection were accepted or planned to be accepted in 54% (334) of the hospitals. Out of 52 newborns born to mothers with confirmed SARS-CoV-2 infection, SARS-CoV-2 RNA was detected from the nasopharyngeal swab of one newborn shortly after birth. The types of personal protective equipment during the delivery, the separation of the newborns from the mothers, the SARS-CoV-2 testing methods, and the use of incubators during the quarantine period were uniformly provided. However, the methods of ventilator treatment in the event of respiratory disorders, feeding during maternal isolation, and de-quarantine and discharge criteria varied. This survey demonstrated that one newborn detected a SARS-CoV-2 RNA shortly after birth out of 52 newborns who were born to mothers with confirmed SARS-CoV-2 infection. The policies regarding medical care and management for these newborns in Japan were provided.
Sections du résumé
BACKGROUND
BACKGROUND
There are currently no definitive guidelines regarding newborns born to mothers with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study aimed to investigate the medical care and management that provided or would provide for such newborns.
METHODS
METHODS
A web survey was conducted between September and October 2020. A total of 624 hospitals, which generally accept pregnant women for delivery, were involved in this study. The survey included the number of newborns born to mothers with confirmed SARS-CoV-2 infection and evaluated policies regarding the medical care and management of newborns born to mothers with confirmed or suspected SARS-CoV-2 infection.
RESULTS
RESULTS
Pregnant women with confirmed or suspected SARS-CoV-2 infection were accepted or planned to be accepted in 54% (334) of the hospitals. Out of 52 newborns born to mothers with confirmed SARS-CoV-2 infection, SARS-CoV-2 RNA was detected from the nasopharyngeal swab of one newborn shortly after birth. The types of personal protective equipment during the delivery, the separation of the newborns from the mothers, the SARS-CoV-2 testing methods, and the use of incubators during the quarantine period were uniformly provided. However, the methods of ventilator treatment in the event of respiratory disorders, feeding during maternal isolation, and de-quarantine and discharge criteria varied.
CONCLUSIONS
CONCLUSIONS
This survey demonstrated that one newborn detected a SARS-CoV-2 RNA shortly after birth out of 52 newborns who were born to mothers with confirmed SARS-CoV-2 infection. The policies regarding medical care and management for these newborns in Japan were provided.
Identifiants
pubmed: 34041810
doi: 10.1111/ped.14855
pmc: PMC8242707
doi:
Substances chimiques
RNA, Viral
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14855Subventions
Organisme : Ministry of Health, Labor, and Welfare
Organisme : Kawano Masanori Memorial Public Interest Incorporated Foundation for Promotion of Pediatrics
Investigateurs
Hitomi Arahori
(H)
Satoshi Onishi
(S)
Masahiko Kawai
(M)
Hiromichi Shoji
(H)
Naoto Takahashi
(N)
Toshimitsu Takayanagi
(T)
Ken Nagaya
(K)
Hisaya Hasegawa
(H)
Masahiro Hayakawa
(M)
Mariko Hida
(M)
Rie Fukuhara
(R)
Atsushi Matsumoto
(A)
Tokuo Miyazawa
(T)
Yasumasa Yamada
(Y)
Yuka Wada
(Y)
Informations de copyright
© 2021 Japan Pediatric Society.
Références
Tokyo Metropolitan Government. Updates on COVID-19 in Tokyo. [Cited 2021 March 23]. Available from: https://stopcovid19.metro.tokyo.lg.jp/en/
Japanese Society for Neonatal Health and Development. Recommended measures on newborn infants born to mothers with suspected or confirmed the new coronavirus infection. [Cited 2021 March 23]. Available from: http://jsnhd.or.jp/pdf/COVID19JSNHD20201019.pdf
Centers for Disease Control and Prevention. Evaluation and management considerations for neonates at risk for COVID-19 (Updated Dec. 8, 2020). [Cited 2021 March 23]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-newborns.html
American Academy of Pediatrics. FAQs: Management of infants born to mothers with suspected or confirmed COVID-19. [Cited 2021 March 23]. Available from: https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/faqs-management-of-infants-born-to-covid-19-mothers/
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Japan Society of Perinatal and Neonatal Medicine. Training hospitals for neonatologists. [Cited 2021 March 23]. Available from URL: http://www.jspnm.com/Senmoni/ShisetsuS.aspx. (In Japanese)
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