Infants infected with SARS-CoV-2 and newborns born to mother diagnosed with COVID-19: clinical experience

Yaman, Akan; Kandemir, Ibrahim; Varkal, Muhammet Ali

doi:10.1007/s11845-021-02662-8

Cited by 3 publications

(4 citation statements)

References 28 publications

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“…The study by Norman et al showed that <5% of neonates born to COVID-19 mothers had NEC, of which perinatal asphyxia occurred in 2% [24]. Another study showed that no NEC was found in neonates born to COVID-19 mothers in which the neonates had good Apgar scores [19] A study conducted by Yaman et al who showed that feeding intolerance is a common clinical symptom in neonates with COVID, which these gastrointestinal symptoms are associated with premature infants [25]. The severity of the COVID-19-positive pregnant woman is related to the condition of the newborn being born.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Enterocolitis in Preterm Infants Born to Mother with COVID-19

Angelika

Etika

Vita

et al. 2021

Open Access Maced J Med Sci

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Background: The COVID-19 pandemic has had a wide impact on both pregnant women and their babies. Necrotizing enterocolitis (NEC) is a gastrointestinal emergency in neonates with high morbidity and mortality. Objective: This study aims to investigate the incidence of NEC in preterm infants born to mothers with confirmed COVID-19. Methods: This observational study was conducted in neonatal intensive care unit at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from May 2020 to April 2021. All preterm infants born to mothers with positive COVID-19 based on swab examination were included as study participants. PCR swab examination was performed within 48 hours after birth. The diagnosis of COVID-19 was defined as positive if the swab test result could detect the SARS-CoV-2 virus. The diagnosis of NEC was established by clinical symptoms and confirmed by abdominal radiography. Results: Out of 45 preterm infants included in this study, 6 infants experienced NEC. Factors that were significantly associated with the incidence of NEC included asphyxia and intubated mother. Positive PCR results from the infants alone did not significantly increase the risk of NEC. The combination of asphyxia and intubated mother (Odds Ratio [OR]=10.000, 95% Confidence Interval [CI]=1.056-94.677, P=0.020) and the combination of positive PCR result, asphyxia, and intubated mother (OR=2.438, 95% CI=1.673-3.551, P=0.007) were found to be significantly associated with the incidence of NEC Conclusion: Significant factors associated with the incidence of NEC in preterm infants born to mothers with COVID-19 included asphyxia and intubated mothers prior to delivery. A positive PCR result alone did not significantly increase the risk of NEC.

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Section: Discussionmentioning

confidence: 99%

Necrotizing Enterocolitis in Preterm Infants Born to Mother with COVID-19

Angelika

Etika

Vita

et al. 2021

Open Access Maced J Med Sci

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“…As shown in Table 2, respiratory symptoms were evaluated in 22 studies (26,28,33,34,38,39,(45)(46)(47)(48)(49)(50)(51)(52)54,55,57,58,62,64,65,67), and the proportion of these was 23% (95% CI: 18-29%, I 2 =81%, P<0.01, Figure S1A). Nasal symptoms were evaluated in 17 studies (27,28,33,38,39,45,47,48,(52)(53)(54)(55)58,62,63,65,67), S2B).…”

Section: Proportion Of Clinical Symptomsmentioning

confidence: 99%

“…Rashes were evaluated in 8 studies (28,33,38,52,54,58,62,65), and the proportion of this symptom was 4% (95% CI: 2-6%, I 2 =63%, P<0.01, Figure S2C). Feeding difficulty was evaluated in 19 studies (26,28,33,38,39,48,49,(51)(52)(53)(54)(55)58,59,62,63,(65)(66)(67), and the proportion of this symptom was 20% (95% CI: 14-26%, I 2 =89%, P<0.01, Figure S2D). Results of subgroup analyses were provided in Table 2.…”

Section: Proportion Of Clinical Symptomsmentioning

confidence: 99%

Clinical features of infants with SARS-CoV-2 infection: a systematic review and meta-analysis

Xiao¹,

Tang²,

Yang³

et al. 2022

Ann Palliat Med

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection leads to coronavirus disease 2019 (COVID-19) (1), which has become a pandemic since it was discovered in December 2019. Multiple variants of SARS-CoV-2 have subsequently emerged, with some variants of concern (such as Alpha, Beta, Delta, and Omicron) varying in their transmissibility and virulence (2-4). The Alpha variant is more transmissible than the wild-type of SARS-CoV-2 among children (5). A recent study found that children may play an important role in transmission of the Delta variant compared with previously circulating SARS-CoV-2 variants (6). A large cohort study found that individuals aged 10-19 years infected with the Omicron

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“…Many studies have found that most newborns infected after birth have gastrointestinal or respiratory symptoms ( 20 ). Yaman et al observed some infected newborns and found that the most common symptoms were feeding intolerance, cough, elevated fever, and respiratory distress ( 21 ). It may also occur as a rare case of multisystem inflammatory syndrome in children in newborns due to COVID-19—presenting with stage 11 b necrotizing enterocolitis ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on the mental health of new mothers in China: A qualitative study of mothers with infants aged 0–1 year old

Zou

Chen

2023

Front. Public Health

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BackgroundChina has implemented a strict epidemic control policy (ECP) for 3 years during the COVID-19 pandemic. New mothers are under great psychological pressure to protect themselves against the virus, following the ECP, as well as taking on the main responsibility of raising their children. However, the mental health of this group has been neglected by the public. This article aims to understand the mental health of new mothers during the COVID-19 pandemic.MethodQualitative research methods were adopted in this study. From 1 October to 1 November 2022, we conducted in-depth interviews with 36 new mothers in Guiyang, Guizhou, China, and used thematic analysis to examine their emotional status, as well as the origins of their negative and positive emotions.Results(1) New mothers are chronically depressed, feeling anxious, and upset. (2) Negative emotions are caused either by the virus or by the ECP. (3) New mothers are mainly anxious about their children's physical health, feeding options, childcare, and family income. (4) Positive emotions are reflected by tight parent–child bonds, a better understanding of childcare, and an increased ability to perceive risks.ConclusionThe anxiety of new mothers has revealed the shortcomings of the Chinese health system in the emergency management of the mother and child. At the same time, the outbreak is an opportunity to improve the response management capacity of the health system in order to prevent the recurrence of similar problems for mothers and infants.

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Infants infected with SARS-CoV-2 and newborns born to mother diagnosed with COVID-19: clinical experience

Cited by 3 publications

References 28 publications

Necrotizing Enterocolitis in Preterm Infants Born to Mother with COVID-19

Necrotizing Enterocolitis in Preterm Infants Born to Mother with COVID-19

Clinical features of infants with SARS-CoV-2 infection: a systematic review and meta-analysis

The impact of the COVID-19 pandemic on the mental health of new mothers in China: A qualitative study of mothers with infants aged 0–1 year old

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