Management of labour, puerperium, and lactation in SARS-CoV-2 positive women. Multicentric study in the Valencian Community.
Rafael Vila-Candel, Desirée Mena-Tudela, Ana Gómez-Seguí and 3 others
PMID 33610456WHAT IT FOUND
All 13 new-born babies of SARS-CoV-2 positive mothers tested negative, but 7 were separated from mothers and 3 mothers chose artificial feeding.
Key findings
01All new-born infants tested negative for SARS-CoV-2.
027 new-born babies were separated from their mothers.
033 women decided not to breastfeed after a positive result.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only 13 women and their new-born infants. The design was retrospective and relied on clinical records. The methods say a positive new-born PCR was an inclusion criterion, but the results report all new-born infants negative. The authors say awareness of a positive maternal PCR may have affected new-born management in March and April 2020. The authors say lack of scientific evidence early in the pandemic affected birth, puerperium and breastfeeding management.
Declared interests
The authors have no conflict of interests to declare.
The easy way to misread this
Do not read the absence of positive new-born tests as proof that SARS-CoV-2 is never transmitted vertically. This was 13 new-borns in a small descriptive series, and the paper says awareness of a positive maternal test affected early-pandemic care.