13/06/2020
A systematic review has shown that vaginal birth, breast feeding and mother-baby contact do not increase the chance of the baby developing SARS-COV-2, even where the mother has confirmed Covid-19.
A systematic review has shown that vaginal birth, breastfeeding and mother-baby contact do not increase the chance of a baby being infected with SARS-COV-2, even where a mother has confirmed COVID-19.
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"Early reports of COVIDā19 in pregnancy described management by caesarean, strict isolation of the neonate and formula feeding." The authors of this systematic review asked, "is this practise justified?"
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They wanted to estimate whether the chance of a baby being infected with SARS-COV-2 was affected by the mode of birth (vaginal birth or caesarean), the type of feeding and whether the mum and baby stayed together or not.
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They searched the medical literature for relevant studies and found, "49 studies which included 666 neonates and 655 women where information was provided on the mode of delivery and the infantās infection status.ā
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Their findings and conclusion? "28/666 (4%) neonates had confirmed COVIDā19 infection postnatally. Of the 291 women who delivered vaginally, 8/292 (2.7%) neonates were positive. Of the 364 women who had a Caesarean birth, 20/374 (5.3%) neonates were positive.
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Of the 28 neonates with confirmed COVIDā19 infection, 7 were breast fed, 3 formula fed, 1 was given expressed breast milk and in 17 neonates the method of infant feeding was not reported.
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Neonatal COVIDā19 infection is uncommon, uncommonly symptomatic, and the rate of infection is no greater when the baby is born vaginally, breastfed or allowed contact with the mother."
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Walker K et al (2020). Maternal transmission of SARSāCOVā2 to the neonate, and possible routes for such transmission: A systematic review and critical analysis. BMJ https://doi.org/10.1111/1471-0528.16362
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