ABSTRACT
Early in the Covid-19 pandemic maternity hospital practices were jeopardized by guidelines produced by scientific societies to reduce the risk of mother to child transmission of the SARS-CoV-2 infection to a minimum. Subsequent research has documented that skin-to-skin contact in the delivery room, feeding directly to the breast and rooming-in can be considered safe, if infection control measures are concurrently applied. Professionals should not forget the proven benefits of breastfeeding and the importance of early mother-baby relationship whenever taking decisions that might hinder these practices.
ABSTRACT
The Covid-19 vaccination campaign represents a challenge for the health system. Eight Covid-19 vaccines belonging to 4 different categories of technology are currently available. More than the specific type of selected vaccine, major influencing factors for the success of the vaccination campaign are a quick coverage of the population, including the paediatric one, and the surveillance regarding the new viral variants. © 2021 Medico e Bambino. All rights reserved.
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.