Multicentre Spanish study found no incidences of viral transmission in infants born to mothers with COVID‐19. (28th July 2020)

• Record Type: Journal Article
• Authors: Marín Gabriel, Miguel A.; Cuadrado, Irene; Álvarez Fernández, Blanca; González Carrasco, Ersilia; Alonso Díaz, Clara; Llana Martín, Isabel; Sánchez, Laura; Olivas, Cristina; de las Heras, Susana; Criado, Enrique
• Other Names: Carrizosa Molina Tamara investigator.; Royuela Vicente Ana investigator.; Forti Buratti Azul investigator.; Palanca Maresca Inmaculada investigator.; Dip María Emilia investigator.; Martínez Bernat Lucía investigator.; Fernández‐Cañadas Morillo Aurora investigator.; Domingo Comeche Laura investigator.; Olza Ibone investigator.; de Alba Romero Concepción investigator.; Olabarrieta Iciar investigator.; Caserío Carbonero Sonia investigator.; Villar Villar Gema investigator.; Dacosta Ana Isabel investigator.; Rivero Irene investigator.; Reyne Mar investigator.; del Río Ruth investigator.; Casas Cristina investigator.; Solé Laia investigator.
• Is Part Of: Acta pædiatrica. Volume 109:Number 11(2020)
• Page Start: 2302
• Page End: 2308
• Publication Date: 2020-07-28
• Subjects: breastfeeding -- Caesarean delivery -- COVID‐19 -- horizontal transmission -- newborn infant; Pediatrics -- Periodicals; Pediatrics; 618.92
• DOI: 10.1111/apa.15474
• Languages: English
• ISSNs: 0803-5253

Abstract

Abstract: Aim: Our aim was to describe the clinical features of mothers infected with COVID‐19 and examine any potential vertical mother to newborn transmission. We also assessed how effective the discharge recommendations were in preventing transmission during the first month of life. Methods: This multicentre descriptive study involved 16 Spanish hospitals. We reviewed the medical records of 42 pregnant women diagnosed with COVID‐19 from March 13, 2020, to March 29, 2020, when they were in their third trimester of pregnancy. They and their newborn infants were monitored until the infant was 1 month old. Results: Over half (52.4%) of the women had a vaginal delivery. The initial clinical symptoms were coughing (66.6%) and fever (59.5%), and one mother died due to thrombo‐embolic events. We admitted 37 newborn infants to the neonatal unit (88%), and 28 were then admitted to intermediate care for organisational virus‐related reasons. No infants died, and no vertical transmission was detected during hospitalisation or follow‐up. Only six were exclusively breastfed at discharge. Conclusion: There was no evidence of COVID‐19 transmission in any of the infants born to COVID‐19 mothers, and the post‐discharge advice seemed effective. The measures to avoid transmission appeared to reduce exclusive breastfeeding at discharge.