ABSTRACT
Background A significant heterogeneity of the complications is evident among neonates who had perinatal exposure to Sars-COV-2 in different countries. The purpose of this study was to determine the frequency of respiratory care among neonates who had perinatal exposure to Sars-COV-2 at Ayatollah Mousavi Hospital in Zanjan 2020–2022Methods A descriptive cross-sectional study was conducted on 78 infants who had prenatal exposure to Sars-COV-2 at Ayatollah Mousavi Hospital in Zanjan from the beginning of from April 2020 to the end of March 2022. The data was collected using a researcher-made checklist and analyzed using descriptive statistics test and chi -Square test at a 95% confidence level.Results Out of 78 eligible babies the Polymerase Chain Reaction (PCR) test of 9 infants (11.5%) was positive after birth. More than 60 percent of infants needed a variety of respiratory care, with the highest percentage related to using an oxygen hood. The need to get respiratory care was not significantly related to infants' test status for COVID-19 but had a significant relationship with birth weight (p = 0.016).Conclusion The results showed a high rate of respiratory care needs in infants born to mothers with known Sars-COV-2 infection. Implementation of training programs to prevent infection and access to intensive care is recommended to improve neonatal outcomes.