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Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Perinatol 2020 ; 40 (7): 987-996 Nephropedia Template TP
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Management of newborns exposed to mothers with confirmed or suspected COVID-19 #MMPMID32439956
Amatya S; Corr TE; Gandhi CK; Glass KM; Kresch MJ; Mujsce DJ; Oji-Mmuo CN; Mola SJ; Murray YL; Palmer TW; Singh M; Fricchione A; Arnold J; Prentice D; Bridgeman CR; Smith BM; Gavigan PJ; Ericson JE; Miller JR; Pauli JM; Williams DC; McSherry GD; Legro RS; Iriana SM; Kaiser JR
J Perinatol 2020[Jul]; 40 (7): 987-996 PMID32439956show ga
There is limited information about newborns with confirmed or suspected COVID-19. Particularly in the hospital after delivery, clinicians have refined practices in order to prevent secondary infection. While guidance from international associations is continuously being updated, all facets of care of neonates born to women with confirmed or suspected COVID-19 are center-specific, given local customs, building infrastructure constraints, and availability of protective equipment. Based on anecdotal reports from institutions in the epicenter of the COVID-19 pandemic close to our hospital, together with our limited experience, in anticipation of increasing numbers of exposed newborns, we have developed a triage algorithm at the Penn State Hospital at Milton S. Hershey Medical Center that may be useful for other centers anticipating a similar surge. We discuss several care practices that have changed in the COVID-19 era including the use of antenatal steroids, delayed cord clamping (DCC), mother-newborn separation, and breastfeeding. Moreover, this paper provides comprehensive guidance on the most suitable respiratory support for newborns during the COVID-19 pandemic. We also present detailed recommendations about the discharge process and beyond, including providing scales and home phototherapy to families, parental teaching via telehealth and in-person education at the doors of the hospital, and telehealth newborn follow-up.