Maintaining Maternal-Newborn Safety During the COVID-19 Pandemic.

The project was done at one tertiary maternity center with 2,000 to 2,300 births annually, so its staffing, space, and resources may not match another facility. The authors say reproducibility is limited by rapidly changing rules, standards, and guidelines related to COVID-19. The paper does not state the total number of women or newborns included in the project. Satisfaction scores are a before-and-after survey comparison at one site, and the paper does not adjust for other pandemic changes. Breastfeeding improvement is based on anecdotal feedback from lactation staff, not measured outcomes. The GBS example is a single case report and cannot show how often such gaps occur. No neonates tested positive only among newborns of women who were potentially infectious or positive, and the paper does not say how many were tested.

The authors report no conflicts of interest or relevant financial relationships. Funding: none.

Do not read the absence of positive newborn tests or the satisfaction scores of 84.7% and 88.4% as proof that these interventions caused the results. This was one hospital's quality improvement project with rapidly changing guidance, no control group, and anecdotal breastfeeding feedback.