Rooming-In and Breastfeeding During COVID: Do They Lead to Mother-Infant SARS-CoV-2 Transmission?
BACKGROUND AND PURPOSE:
Ronchi et al. (JAMA Pediatrics, 2020) evaluated the risk of postnatal transmission of SARS-CoV-2 from infected mothers to their neonates with rooming-in and breastfeeding
Prospective cohort multicenter study
Lombardy, Northern Italy from March 19 to May 2, 2020
Mother-infant dyads, where the mother had a SARS-CoV-2 infection and was eligible for rooming-in practice based on the clinical condition of the mother and infant
Included infants were negative for SARS-CoV-2 at birth
Mothers were encouraged to practice rooming-in and breastfeeding under a standardized protocol designed to minimize the risk of viral transmission
SARS-CoV-2 infant infections at 0, 7, and 20 days of life
62 neonates born to 61 mothers
Maternal median age: 32 (IQR: 28 to 36 years)
55% mothers were asymptomatic at diagnosis | 70% were asymptomatic at the time of delivery
Only 1 infant was diagnosed with SARS-CoV-2 infection post-birth
1.6% (95% CI, 0% to 8.7%)
In this specific case, rooming-in was interrupted on day 5 of life because of severe worsening of the mother’s clinical condition
The infected neonate became positive on day 7 of life
The main symptom of the infected neonate was transient mild dyspnea
Rooming-in and breastfeeding are likely not strong avenues for mother to child SARS-CoV-2 infection
The authors conclude
Based on our results, the risk of mother-to-infant transmission of SARS-CoV-2 during rooming-in seems to be unlikely, provided that infected mothers are not severely affected by COVID-19 and are educated to observe droplet and contact precautions when taking care of or breastfeeding their infants
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
NOT ENOUGH CME HOURS
It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan