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Care for Newborns https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-newborns.html
“the extent and clinical significance of vertical transmission, which appears to be rare, is unclear”
“For example, HIV can be a vertically transmitted pathogen.”
“For example, HIV can be a vertically transmitted pathogen.”
“The extent to which SARS-CoV-2 infection contributed to the reported signs of infection and complications is unclear”
“Current (Aug. 3, 2020) evidence suggests that SARS-CoV-2 infections in neonates are uncommon. If neonates do become infected, the majority have either asymptomatic infections or mild disease”
“The optimal timing of testing after birth is unknown. Early testing may lead to false positives.”
“All neonates born to mothers with suspected or confirmed infection should be considered as having suspected SARS-CoV-2 infection when test results are not available.”
This contradicts the previous paragraph which stated “infections in neonates are uncommon” & will skew data.
This contradicts the previous paragraph which stated “infections in neonates are uncommon” & will skew data.
“Isolating infants with suspected or confirmed SARS-CoV-2 infection in a Neonatal Intensive Care Unit (NICU) should be avoided”
So there is no “social isolation/distancing” required for infants suspected/confirmed of having SARS-CoV-2
Why? Won’t they contaminate others?
So there is no “social isolation/distancing” required for infants suspected/confirmed of having SARS-CoV-2Why? Won’t they contaminate others?
(this virus *is* weird)
“Current evidence suggests the risk of a neonate acquiring SARS-CoV-2 from its mother is low.”
“There is, however, a potential risk of SARS-CoV-2 transmission to the neonate via contact with infectious respiratory secretions from the mother”
Wait. Doesn’t this contradict the “vertical transmission” statement above: “which appears to be rare”.
In the womb no. Outside yes.
Wait. Doesn’t this contradict the “vertical transmission” statement above: “which appears to be rare”.
In the womb no. Outside yes.
“Healthcare providers should respect maternal autonomy in the medical decision-making process.”
That is, until a vaccine is developed and will be forced upon every adult/child. At that point, “maternal autonomy” will disappear.
That is, until a vaccine is developed and will be forced upon every adult/child. At that point, “maternal autonomy” will disappear.
“Breastfeeding reduces morbidity and mortality for both mothers and their infants.”
Yet mothers should wear a mask.
The infant just came out of her womb yet a mask is needed?
Yet mothers should wear a mask.
The infant just came out of her womb yet a mask is needed?
Mother-infant facial recognition
“In the moments after birth, babies lock into their mother’s face which allows them to etch her appearance into memory”
“during the first months the baby’s vision reaches only as far as the mother’s face when nursing.” https://www.mother.ly/lifestyle/baby-face
“In the moments after birth, babies lock into their mother’s face which allows them to etch her appearance into memory”
“during the first months the baby’s vision reaches only as far as the mother’s face when nursing.” https://www.mother.ly/lifestyle/baby-face
“But what’s truly amazing is that even though a baby’s vision isn’t fully formed until four months, they have the same ability as adults to recognize faces”
Mask-up mothers
“Mothers who have not met these criteria may choose to temporarily separate from their neonates in effort to reduce the risk of virus transmission.” +
“it is unclear whether temporary separation while in the hospital would ultimately prevent SARS-CoV-2 transmission to the neonate, given the potential for exposure from the mother after discharge.”
“Of note, plastic infant face shields are not recommended and masks should not be placed on neonates or children younger than 2 years of age”
This is key
The most vulnerable should not wear masks.
masks should not be placed on neonates or children younger than 2 years of age”This is key
The most vulnerable should not wear masks.
“Engineering controls, such as maintaining a physical distance of >6 feet between the mother and neonate or placing the neonate in an incubator, should be used when feasible.”
Care for Breastfeeding Women
Interim Guidance on Breastfeeding and Breast Milk Feeds in the Context of COVID-19 https://www.cdc.gov/coronavirus/2019-ncov/hcp/care-for-breastfeeding-women.html
Interim Guidance on Breastfeeding and Breast Milk Feeds in the Context of COVID-19 https://www.cdc.gov/coronavirus/2019-ncov/hcp/care-for-breastfeeding-women.html
“Breast milk is the best source of nutrition for most infants. We do not know whether mothers with COVID-19 can transmit the virus via breast milk, but the limited data available suggest this is not likely.”
“Pasteurized donor human milk is important in the care of preterm infants. No information is currently available regarding the effect of pasteurization on SARS-CoV-2 but similar viruses are inactivated with this process.”
“An infant being breastfed by a mother who is suspected/confirmed to have COVID-19 should be considered as having suspected COVID-19—when the infant’s testing results are not available—for the duration of the mother’s recommended period of home isolation and 14 days thereafter.”
“In a recent study published in Pediatrics of COVID-19 in Chinese children, 90% of those who tested positive for the disease had mild symptoms, or none at all.”
https://pediatrics.aappublications.org/content/pediatrics/early/2020/03/16/peds.2020-0702.full.pdf
https://pediatrics.aappublications.org/content/pediatrics/early/2020/03/16/peds.2020-0702.full.pdf
