Management of newborns exposed to mothers with confirmed or suspected COVID-19

被引：25

作者：

Amatya, Shaili ^{[1
]}

Corr, Tammy E. ^{[1
]}

Gandhi, Chintan K. ^{[1
]}

Glass, Kristen M. ^{[1
]}

Kresch, Mitchell J. ^{[1
]}

Mujsce, Dennis J. ^{[1
]}

Oji-Mmuo, Christiana N. ^{[1
]}

Mola, Sara J. ^{[1
]}

Murray, Yuanyi L. ^{[1
]}

Palmer, Timothy W. ^{[1
]}

Singh, Meenakshi ^{[1
]}

Fricchione, Ashley ^{[2
]}

Arnold, Jill ^{[2
]}

Prentice, Danielle ^{[3
]}

Bridgeman, Colin R. ^{[4
]}

Smith, Brandon M. ^{[4
]}

Gavigan, Patrick J. ^{[5
]}

Ericson, Jessica E. ^{[5
]}

Miller, Jennifer R. ^{[6
]}

Pauli, Jaimey M. ^{[3
]}

Williams, Duane C. ^{[7
]}

McSherry, George D. ^{[5
]}

Legro, Richard S. ^{[3
]}

Iriana, Sarah M. ^{[6
]}

Kaiser, Jeffrey R. ^{[1
,3
]}

机构：

[1] Milton S Hershey Med Ctr, Dept Pediat, Div Neonatal Perinatal Med, Hershey, PA 17033 USA

[2] Milton S Hershey Med Ctr, Dept Nursing, Neonatal Intens Care Unit, Hershey, PA USA

[3] Milton S Hershey Med Ctr, Dept Obstet & Gynecol, Hershey, PA 17033 USA

[4] Milton S Hershey Med Ctr, Div Pediat Hosp Med, Dept Pediat, Hershey, PA USA

[5] Milton S Hershey Med Ctr, Dept Pediat, Div Pediat Infect Dis, Hershey, PA USA

[6] Milton S Hershey Med Ctr, Div Acad Gen Pediat, Dept Pediat, Hershey, PA USA

[7] Milton S Hershey Med Ctr, Dept Pediat, Div Pediat Crit Care Med, Hershey, PA USA

来源：

JOURNAL OF PERINATOLOGY | 2020年 / 40卷 / 07期

关键词：

RESPIRATORY SYNDROME CORONAVIRUS; CLINICAL CHARACTERISTICS; DISEASE; 2019; SARS; OUTBREAK; FEATURES; THERAPY; HEALTH;

D O I：

10.1038/s41372-020-0695-0

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

There is limited information about newborns with confirmed or suspected COVID-19. Particularly in the hospital after delivery, clinicians have refined practices in order to prevent secondary infection. While guidance from international associations is continuously being updated, all facets of care of neonates born to women with confirmed or suspected COVID-19 are center-specific, given local customs, building infrastructure constraints, and availability of protective equipment. Based on anecdotal reports from institutions in the epicenter of the COVID-19 pandemic close to our hospital, together with our limited experience, in anticipation of increasing numbers of exposed newborns, we have developed a triage algorithm at the Penn State Hospital at Milton S. Hershey Medical Center that may be useful for other centers anticipating a similar surge. We discuss several care practices that have changed in the COVID-19 era including the use of antenatal steroids, delayed cord clamping (DCC), mother-newborn separation, and breastfeeding. Moreover, this paper provides comprehensive guidance on the most suitable respiratory support for newborns during the COVID-19 pandemic. We also present detailed recommendations about the discharge process and beyond, including providing scales and home phototherapy to families, parental teaching via telehealth and in-person education at the doors of the hospital, and telehealth newborn follow-up.

引用

页码：987 / 996

页数：10

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