Care of Newborns Born to Mothers with Covid-19

infection ; A Review of Existing Evidence

 

Oleh :
Dea Afrila, S. Ked
1930912320141 
Pembimbing :
dr. Meriah Sembiring. Sp.A

BAGIAN/SMF ILMU KESEHATAN ANAK

FAKULTAS KEDOKTERAN ULM/RSUD ULIN
BANJARMASIN
Agustus, 2020
 Background

The novel Coronavirus disease 2019 (COVID-19)

pandemic is already wreaking havoc on families and
communities’ welfare. It is critical to discuss newborn care
of infected mothers with COVID-19 based on the latest
international guidelines and national guidelines of
countries with the highest incidence of COVID-19 cases
 Transmision

● SARS-CoV-2 spreads through saliva droplets or nasal

secretions when an infected person coughs or sneezes
● Virus contamination in objects
● Aerosol
● fecal-oral
 Results

Our findings showed that the possibility of intrauterine or

perinatal transmission of COVID-19 is still questionable and
ambiguous. However, what has been agreed upon in the existing
texts and guidelines is that the close contact of mother and infant
after birth can trans-mit the virus to the baby through droplets or
micro-droplets.
 The risk of diagnostic procedures in
suspected mothers on fetus/infant health

The computed tomography (CT) images

have shown higher sensitivity in detecting
the possibility of viral pneumonia caused
by SARS-CoV-2. This diagnostic procedure
has been used in pregnant women who are
suspected of COVIID-19 infection
 Risk of intrauterine or postpartum transmission
to the fetus/infant
Chen et al. examined the
placenta, umbilical cord
blood, amniotic fluid, and 01 Chen et al. In a recent report from
breast milk and reported outcomes of 13 newborns born to
negative for the SARS-CoV-2 infected mothers, 1 of 9 samples of
stool and 1 from 3 samples of
02 breast milk was positive for
Coronavirus nucleic acid
The authors’ Zhang et al
findings support intrauterine
transmission potential 03
 Appropriate method and time of delivery in
women with COVID-19

-Mode of childbearing is determined by routine

midwifery indications and there is no benefit in
performing cesarean section for all 

-Regarding the time of delivery for women with

COVID-19, it is stated that the virus is not an
indication for childbirth
 Umbilical cord clamping and skin to skin contact

-The International Society of -WHO recommends that mothers or

Ultrasound in Obstetrics &
Gynecology (ISUOG) and existing
evidence recommend that the
umbilical cord should be clamped
quickly
infants with suspected, probable, or
confirmed COVID-19 can remain
together with skin-to-skin contact,
especially immediately after birth
during the initiation of breastfeeding
 Clinical manifestations of infected infants

Respiratory
problems
Instability of body temperature

Gastrointestinal
symptoms Vomiting
Confirmation of infection in a suspected newborn/infant

When there is detection of the virus by

PCR in umbilical cord blood or neonatal
blood collected within first 12 h of birth
01 or amniotic fluid collected prior to
rupture of membrane

Neonatal infection acquired intrapartum

02 can be confirmed when there is detection
of the virus by rt-PCR in nasopharyngeal
swab at birth and 24–48 h of age
Neonatal infection acquired postpartum can
03 be confirmed when there is detection of the
virus by rtPCR in nasopharyngeal/rectal swab
at 48 h of birth in a newborn whose
respiratory sample tested negative by rt-PCR
at birth
 Instructions for infant’s care

 
 Instructions for infant’s care

1.  
 Instructions for infant’s care

1.  
 Baby discharge criteria from hospital
if the infant is positive but 01
asymptomatic,he/she can
be discharged but may need to
be quarantined at home
If the infant is negative and
02 asymptomatic, he/she can be
discharged to be cared for
by a non infected,
asymptomatic caregiver
03 If the baby is positive and
symptomatic
 RESULT

Bathing the baby The impact of isolation

on the maternal mental
well-being
 Conclusion

-Separate
. the baby from the mother with confirmed (or
suspected) COVID-19 infection for at least 2 weeks.

-Mothers should be taught about breast expression skills,

common breast problems, the symptoms of their baby’s
infection, and the principles of personal hygiene to protect the
infant against COVID-19 infection.
Thanks
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