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

Authors
  • Pietrasanta, C1, 2
  • Pugni, L1
  • Ronchi, A1
  • Schena, F1
  • Davanzo, R3, 4
  • Gargantini, G5
  • Ferrazzi, E2, 6
  • Mosca, F1, 2
  • 1 NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. , (Italy)
  • 2 University of Milan, Department of Clinical Sciences and Community Health, Milan, Italy. , (Italy)
  • 3 Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy. , (Italy)
  • 4 Technical Panel on Breastfeeding, Ministry of Health, Rome, Italy. , (Italy)
  • 5 Direzione Generale Welfare, Regione Lombardia, Milan, Italy. , (Italy)
  • 6 Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Obstetrical Unit - Mangiagalli Center. Via della Commenda, Milan, Italy (EU). , (Italy)
Type
Published Article
Journal
Journal of Neonatal-Perinatal Medicine
Publisher
IOS Press
Publication Date
Jan 01, 2020
Volume
13
Issue
3
Pages
307–311
Identifiers
DOI: 10.3233/NPM-200478
PMID: 32444569
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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.

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