Delivery and breastfeeding in pregnant patients with COVID‑19 (Review)

Dumitrașcu, Mihai Cristian; Cîrstoiu, Monica Mihaela; Nenciu, Adina-Elena; Petca, Aida; Şandru, Florica; Petca, R.; Nenciu, Cătălin George

doi:10.3892/etm.2021.9709

Cited by 3 publications

(6 citation statements)

References 23 publications

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“…Agreeing with our findings, other studies have also shown that the numbers of neonates with 1 and 5 min Apgar scores under 7 were comparable regardless of whether the mothers had COVID-19 ( 26 , 27 ). Moreover, other recent studies found that the percentage of neonates with Apgar scores under 7 was comparable before and during the COVID-19 pandemic ( 7 , 8 ).…”

Section: Discussionsupporting

confidence: 90%

“…This disagreement about reporting times is evident in the literature; many recent papers only report 5 mins Apgar scores, omitting 1 min scores without providing explanation for their absence ( 7 , 26 , 28 , 33 ). In keeping with the intended testing scheme, however, the vast majority of studies commonly report both 1 and 5 mins scores ( 2 , 24 , 27 , 34 ).…”

Section: Discussionmentioning

confidence: 99%

“…Despite three distinct classifications of “reassuring,” “below normal,” and “critically low,” researchers have found limited clinical significance between certain scores, particularly between 6 as “below normal” and 7 as “reassuring.” ( 4 , 35 ). The reported cut-off values for Apgar scores vary significantly among articles, deviating from the canonical 7 as “reassuring” to the use of atypical values, such as 4, 5, 8, and 9, which may reflect a desire to simplify values in reported research ( 24 , 27 , 36 ).…”

Section: Discussionmentioning

confidence: 99%

“…(4,35). The reported cut-off values for Apgar scores vary significantly among articles, deviating from the canonical 7 as "reassuring" to the use of atypical values, such as 4, 5, 8, and 9, which may reflect a desire to simplify values in reported research (24,27,36).…”

Section: Apgar Score Cut-off Valuementioning

confidence: 98%

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Validity of Apgar Score as an Indicator of Neonatal SARS-CoV-2 Infection: A Scoping Review

Chao

Menon²,

Elgendi³

2022

Front. Med.

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The coronavirus disease 2019 (COVID-19) pandemic has had profound impacts on healthcare systems worldwide, particularly regarding the care of pregnant women and their neonates. The use of the Apgar score—a discrete numerical index used to evaluate neonatal condition immediately following delivery that has been used ubiquitously as a clinical indicator of neonatal condition and widely reported in the literature for decades—has continued during the pandemic. Although health systems adopted protocols that addressed pregnant women and their neonates during the pandemic, limited research has assessed the validity of Apgar scores for determining neonatal conditions in the context of COVID-19. Therefore, this scoping review was conducted on the first 2 years of the pandemic and included mothers with reverse transcription-polymerase chain reaction confirmed COVID-19 and their resulting positive or negative neonates. In total, 1,966 articles were assessed for eligibility, yielding 246 articles describing 663 neonates. Neonates who tested negative had median Apgar scores of 9 and 9 at 1 and 5 mins, respectively, while test-positive neonates had median Apgar scores of 8 and 9 at the same time points. The proportions of test-negative neonates with Apgar scores below 7 were 29 (4%) and 11 (2%) at 1 and 5 mins, which was not statistically significant (p = 0.327, χ2 = 0.961). These proportions were even lower for positive neonates: 22 (3%) and 11 (2%) at 1 and 5 mins, respectively, which was not statistically significant (p = 1, χ2 = 0). The low proportion of Apgar scores below 7 suggests that low Apgar scores are likely to be associated with severe maternal COVID-19 symptoms during delivery rather than neonatal COVID-19. Therefore, this study indicated that Apgar scores are poor indicators of neonatal COVID-19 status.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Apgar Score Cut-off Valuementioning

confidence: 98%

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Validity of Apgar Score as an Indicator of Neonatal SARS-CoV-2 Infection: A Scoping Review

Chao

Menon²,

Elgendi³

2022

Front. Med.

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“…Finally, it is concluded that all possible care and precautions must be taken, but in a way that preserves as much of the mother-child relationship as possible (DUMIRASCU et al, 2021). Dumitrascu et al (2021) state that direct breastfeeding can favor the transmission of the virus from a mother infected with COVID-19 to her baby (DUMIRASCU et al, 2021), Davanzo et al (2020 contradict themselves saying that, if the mother is asymptomatic or little symptomatic, there should be an effort for the puerperal woman to feed her child directly, as it is not yet clear whether breast milk is capable of making the transmission of the virus viable (DAVANZO et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

New coronavirus disease and maternal-fetal repercussions sars-cov-2 infection from pregnancy to the puerperium

et al. 2022

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The SARS-CoV-2 virus accumulates more than 397 million cases and almost 5.8 million deaths worldwide. It is an agent transmitted by droplets of infected secretions. During pregnancy, a variety of circumstances can affect maternal health, fetal development, and neonatal health, and the environment to which the expectant mother is exposed can leave a permanent imprint on the baby's physiology. Thus, there is a real need for special attention in the relationship of pregnant women with SARS-CoV-2 infection. Therefore, it is important to raise the new findings relating to COVID-19 throughout the period from pregnancy to the puerperium, including childbirth and breastfeeding. The objective of this work was to analyze the existing literature in order to raise knowledge of the relationship between COVID-19 and the entire period involving pregnancy. It is a qualitative, basic, exploratory work and an integrative bibliographic procedure. The search was carried out in the repositories: Pubmed, Bireme, Lilacs and Scielo using the descriptors: Infection, COVID-19 and New born, in English, Portuguese and Spanish, published in 2020 and 2021. The literature (24 articles) showed that there is conflict between multiple data. Pregnancy and neonatal periods are considered high risk for SARS-CoV-2 infection. The mechanism of neonatal infection is not clear, there are cases of transplacental transmission, infected at birth, by direct contact and who did not become infected. Regarding the evolution and prognosis of the disease, when symptomatic, babies have predominantly respiratory dysfunctions. There is no consensus on whether breastfeeding should be done directly or indirectly and whether the baby should be immediately separated from the positive mother. It is considered that there is a lot of inconclusive information about the subjects analyzed and that much remains to be done to build strong scientific evidence on the subject.

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Pengalaman Ibu Menyusui Di Masa Pandemi Covid-19

Wulan,

Oktavia Limbong,

Yulianti

et al. 2023

PHJ

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Background: The COVID-19 pandemic first occurred in China in December 2019 which has become a public health problem. WHO has declared Covid-19 a global pandemic. Almost all countries in the world are affected by Covid-19. Research objective: to review the experience of breastfeeding mothers during the Covid-19 pandemic. Method: This scoping review method consists of several steps, namely Identifying Scoping Review Questions, Identifying Relevant Literature Sources, Literature Selection, Compiling, summarizing, and reporting the results. Results: based on critical appraisal, 14 articles were obtained. The results found 3 themes, namely emotional burden, impact on breastfeeding practices, support and social needs. Conclusion: the experience of breastfeeding mothers during the Covid-19 pandemic can foster confidence and self-confidence for mothers to continue giving breast milk to their babies. The findings from this study can be used as a basis or input for future researchers to support breastfeeding practices and overcome challenges that arose during the COVID-19 pandemic

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Delivery and breastfeeding in pregnant patients with COVID‑19 (Review)

Cited by 3 publications

References 23 publications

Validity of Apgar Score as an Indicator of Neonatal SARS-CoV-2 Infection: A Scoping Review

Validity of Apgar Score as an Indicator of Neonatal SARS-CoV-2 Infection: A Scoping Review

New coronavirus disease and maternal-fetal repercussions sars-cov-2 infection from pregnancy to the puerperium

Pengalaman Ibu Menyusui Di Masa Pandemi Covid-19

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