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Neonatal SARS-CoV-2 Infections in Breastfeeding Mothers.
Shlomai, Noa Ofek; Kasirer, Yair; Strauss, Tzipora; Smolkin, Tatiana; Marom, Ronella; Shinwell, Eric S; Simmonds, Arye; Golan, Agneta; Morag, Iris; Waisman, Dan; Felszer-Fisch, Clari; Wolf, Dana G; Eventov-Friedman, Smadar.
  • Shlomai NO; Department of Neonatology and noaofek@hadassah.org.il.
  • Kasirer Y; Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel.
  • Strauss T; Albert Katz Department of Neonatology, Sheba Medical Center, Ramat Gan, Israel.
  • Smolkin T; Department of Intensive Care in Premature Infants and Newborns, Baruch Padeh Medical Center, Poriya, Israel.
  • Marom R; Department of Neonatology, Lis Maternity Center, Sourasky Medical Center, Tel Aviv, Israel.
  • Shinwell ES; Neonatal Intensive Care Unit, Ziv Medical Center and Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
  • Simmonds A; Department of Neonatology, Laniado Hospital, Netanya, Israel.
  • Golan A; Soroka Medical Center and Ben Gurion University of the Negev, Be'er Sheva, Israel.
  • Morag I; Division of Pediatrics, Shamir Medical Center, Zerifin, Israel.
  • Waisman D; Division of Obstetrics and Newborn Medicine, Carmel Medical Center, Haifa, Israel; and.
  • Felszer-Fisch C; Department of Neonates, Ha'emek Medical Center, Afula, Israel.
  • Wolf DG; Clinical Virology Unit, Medical Center, Hadassah and Hebrew University, Jerusalem, Israel.
  • Eventov-Friedman S; Department of Neonatology and.
Pediatrics ; 147(5)2021 05.
Article in English | MEDLINE | ID: covidwho-1183694
ABSTRACT

OBJECTIVES:

To assess infection rates predischarge and postdischarge in breast milk-fed newborns with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive mothers who were separated postdelivery from their mothers and discharged from the hospital. Also, we aim to evaluate breastfeeding rates predischarge and postdischarge.

METHODS:

Nasopharyngeal swabs for SARS-CoV-2 were obtained from symptomatic and high-risk women in the delivery room. Mothers with positive SARS-CoV-2 test results were separated from the newborns. Newborns were screened within 48 hours of delivery, and anti-infectious guidelines were imparted to the mothers before discharge. Rescreening took place ≥14 days postdischarge. Data regarding SARS-CoV-2-positive household members and breastfeeding were obtained by follow-up phone calls.

RESULTS:

A total of 73 newborns of SARS-CoV-2-positive mothers were born in Israel during the ∼3-month period under study. Overall, 55 participated in this study. All neonates tested negative for the virus postdelivery. A total 74.5% of the neonates were fed unpasteurized expressed breast milk during the postpartum separation until discharge. Eighty-nine percent of the neonates were discharged from the hospital after their mothers were instructed in anti-infection measures. In 40% of the households, there were additional SARS-CoV-2-positive residents. A total of 85% of the newborns were breastfed postdischarge. Results for all 60% of the newborns retested for SARS-CoV-2 postdischarge were negative.

CONCLUSIONS:

No viral infection was identified in neonates born to and separated from their SARS-CoV-2-positive mothers at birth and subsequently fed unpasteurized breast milk. All infants breastfed at home remained SARS-CoV-2 negative. These findings may provide insights regarding the redundancy of postpartum mother-newborn separation in SARS-CoV-2-positive women and, assuming precautions are adhered to, support the safety of breast milk.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Breast Feeding / Infectious Disease Transmission, Vertical / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Prognostic study Topics: Long Covid Limits: Adult / Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: Asia Language: English Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Breast Feeding / Infectious Disease Transmission, Vertical / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Prognostic study Topics: Long Covid Limits: Adult / Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: Asia Language: English Year: 2021 Document Type: Article