Perinatal COVID-19 Infection Prevention: Infographics for Patients and Providers

Lakshminrusimha, Satyanarayana; Sridhar, Aparna; Guerra, Angel Alberto Herrera; Higgins, Rosemary D.; Saade, George R.

doi:10.1055/s-0040-1714387

Cited by 6 publications

(7 citation statements)

References 19 publications

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“…On the other hand, for those who test positive for their initial result, a follow up test should be done repetitively 48e72 h apart until two consecutive negative results are obtained. 32 The AAP also recommends that bathing newborns at the earliest possible time after birth is optimal to facilitate the removal of potential virus residues on the skin. 32 Some researchers suggest that the newborn stay with the mother under appropriate precautions in a designated isolation room if clinically stable; others, however, suggest mother and child be isolated separately, 4 in which case, video visits may be considered to help alleviate parental distress.…”

Section: Testing and Isolation After Birthmentioning

confidence: 99%

“…32 The AAP also recommends that bathing newborns at the earliest possible time after birth is optimal to facilitate the removal of potential virus residues on the skin. 32 Some researchers suggest that the newborn stay with the mother under appropriate precautions in a designated isolation room if clinically stable; others, however, suggest mother and child be isolated separately, 4 in which case, video visits may be considered to help alleviate parental distress. 26 It is also advised that physicians inform the parents regarding separation from their baby prenatally to reduce stress and prevent conflict.…”

Section: Testing and Isolation After Birthmentioning

confidence: 99%

“…If the baby tests positive and is ready for discharge, Francis et al suggest quarantine at home. 32,38 However, currently in Taiwan, all COVID-19 patients must be hospitalized in isolation per Taiwan CDC guidelines and may only be discharged after achieving the discharge criteria for confirmed COVID-19 cases. 43…”

Section: Clinical Features Outcomes and Discharge Plansmentioning

confidence: 99%

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Delivery management of suspected or confirmed COVID-19 positive mothers

Lin

Chu

Hsu

et al. 2021

Pediatrics & Neonatology

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The Coronavirus Disease-2019 (COVID-19) pandemic has brought catastrophic impact on the world since the beginning of December 2019. Extra precautionary measures against COVID-19 during and after delivery are pivotal to ensure the safety of the baby and health care workers. Based on current literature, it is recommended that delivery decisions be discussed between obstetricians and neonatologists prior to delivery, and designated negative pressure delivery rooms should be arranged for COVID person under investigation (PUI). During delivery, a minimal number of experienced staff attending delivery should don personal protective equipment (PPE) and follow the neonatal resuscitation program (NRP). Positive pressure ventilation is best used in a negative pressure room if available. At-risk babies should be transported in an isolette, and tested for COVID-19 in a negative pressure room soon after bathing. Skin-to-skin contact and breast milk feed should continue under certain circumstances. Although newborns with COVID-19 infections often present with symptoms that mimic sepsis and one third of affected patients may demand some form of respiratory support, short-term prognoses are favorable and most recover within two weeks of symptoms onset. In this article, we will further elaborate on topics covering timing and mode of delivery, antenatal steroid, vertical transmission, delivery room management, airway management, transport, testing and isolation after birth, skin-to-skin contact, breast milk feeding, clinical features, outcomes, and discharge plans. In addition, we also share our experiences of encountering neonates born of suspected COVID-19 positive mothers.

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Section: Testing and Isolation After Birthmentioning

confidence: 99%

Section: Testing and Isolation After Birthmentioning

confidence: 99%

Section: Clinical Features Outcomes and Discharge Plansmentioning

confidence: 99%

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Delivery management of suspected or confirmed COVID-19 positive mothers

Lin

Chu

Hsu

et al. 2021

Pediatrics & Neonatology

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“…Unnötige Reisen im In- und Ausland sollten vermieden werden. Informationen der Schwangeren und Betreuer sollten durch eingängige Informationsgrafiken unterstützt werden, wie sie vom American Journal of Perinatology zur Verfügung gestellt werden ([ 15 ]; Abb. 1 und 2 ).…”

Section: Präventionunclassified

Addendum zu: Diabetes und Schwangerschaft – Update 2020

Kleinwechter¹,

Scherbaum

2020

Diabetologe

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“… 14 15 As such, professional organisations, including the American College of Obstetricians and Gynecologists, have recommended face coverings for pregnant women, especially in places where physical distancing is lacking. 16 This approach is of utmost priority in densely populated cities of low-income and middle-income countries, such as Kinshasa, where physical distancing is hard to implement and near-impossible to enforce. Factors that contribute to difficulties in physical distancing include overcrowding at the household level and multi-generational housing; high use of public transport with almost no physical barriers between passengers; and high use and overcrowding related to other aspects of daily life, such as attendance at health facilities for regular care seeking, including antenatal care (ANC).…”

Section: Introductionmentioning

confidence: 99%

Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study

Nkamba

Arena²,

Gadoth³

et al. 2022

BMJ Open

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ObjectivesTo describe face mask use among pregnant women seeking antenatal care (ANC) in Kinshasa, Democratic Republic of Congo and to identify factors associated with masking adherence in this population.DesignFacility-based cross-sectional study nested within a prospective cohort study.SettingRandom sample of 10 health facilities, including 5 primary health centers and 5 secondary facilities or hospitals.ParticipantsA total of 934 pregnant women aged 18 years or above with a gestational age of at least 32 weeks were consecutively surveyed from 17 August 2020 to 31 January 2021.Primary and secondary outcome measuresWe estimated the proportions of pregnant women wearing a face mask and masking correctly (ie, over the mouth and nose), and assessed their knowledge regarding the COVID-19 pandemic. Multivariable logistic regression was employed to identify factors associated with overall and correct face mask use.ResultsOverall, 309 (33.1%) women wore a mask during the interview after their antenatal appointments, but only 33 (10.7%) wore a mask correctly. The odds of masking and correct mask use were significantly higher among women who had their ANC visit in a facility that provided COVID-19 care. Additionally, women who experienced COVID-19-like symptoms in the past 6 months had higher odds of wearing a mask correctly compared with those reporting no recent symptoms. Although 908 (97.2%) women were aware of the COVID-19 pandemic, only 611 (67.3%) thought that COVID-19 was circulating locally in Kinshasa.ConclusionOverall and correct face mask adherence levels were low among pregnant women attending ANC in Kinshasa. Our study highlights the need for improving adherence to correct face mask use in order to help control the spread of COVID-19 within Kinshasa alongside other control measures, like vaccination.

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Perinatal COVID-19 Infection Prevention: Infographics for Patients and Providers

Cited by 6 publications

References 19 publications

Delivery management of suspected or confirmed COVID-19 positive mothers

Delivery management of suspected or confirmed COVID-19 positive mothers

Addendum zu: Diabetes und Schwangerschaft – Update 2020

Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study

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