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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Neonates Born to Mothers With COVID-19: Data From the Spanish Society of Neonatology Registry

Manuel Sánchez-Luna, Belén Fernández Colomer, Concepción de Alba Romero, Ana Alarcón Allen, Ana Baña Souto, Fátima Camba Longueira, María Cernada Badía, Zenaida Galve Pradell, María González López, M. Cruz López Herrera, Carmen Ribes Bautista, Laura Sánchez García, Elena Zamora Flores and on behalf of the SENEO COVID-19 Registry Study Group
Pediatrics February 2021, 147 (2) e2020015065; DOI: https://doi.org/10.1542/peds.2020-015065
Manuel Sánchez-Luna
aDepartment of Neonatology, Hospital General Universitario Gregorio Marañón and Complutense University of Madrid, Madrid, Spain;
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Belén Fernández Colomer
bNeonatology Service, Department of Pediatrics, Hospital Central Universitario de Asturias, Oviedo, Spain;
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Concepción de Alba Romero
cNeonatology Service, Hospital Universitario 12 de Octubre, Madrid, Spain;
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Ana Alarcón Allen
dDepartment of Neonatology, Hospital Sant Joan de Déu Barcelona, Barcelona, Spain;
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Ana Baña Souto
eNeonatology Service, Department of Pediatrics, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain;
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Fátima Camba Longueira
fDepartment of Neonatology, Hospital Universitari Vall d’Hebron and Universitat Autònoma de Barcelona, Barcelona, Spain;
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María Cernada Badía
gDivision of Neonatology, Hospital Universitari i Politècnic La Fe, Valencia, Spain;
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Zenaida Galve Pradell
hDepartment of Neonatology, Hospital Universitario Miguel Servet, Zaragoza, Spain;
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María González López
iDepartment of Neonatology, Hospital Regional Universitario de Málaga, Málaga, Spain;
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M. Cruz López Herrera
jNeonatology Service, Hospital Universitario de Cruces, Barakaldo, Spain; and
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Carmen Ribes Bautista
fDepartment of Neonatology, Hospital Universitari Vall d’Hebron and Universitat Autònoma de Barcelona, Barcelona, Spain;
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Laura Sánchez García
kDepartment of Neonatology, Hospital Universitario La Paz, Madrid, Spain
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Elena Zamora Flores
aDepartment of Neonatology, Hospital General Universitario Gregorio Marañón and Complutense University of Madrid, Madrid, Spain;
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Abstract

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OBJECTIVES: To describe neonatal and maternal characteristics of the largest prospective cohort of newborns from mothers with coronavirus disease 2019 (COVID-19), the data of which were prospectively collected from the nationwide registry of the Spanish Society of Neonatology.

METHODS: Between March 8, 2020, and May 26, 2020, the data of 503 neonates born to 497 mothers diagnosed with COVID-19 during pregnancy or at the time of delivery were collected by 79 hospitals throughout Spain.

RESULTS: Maternal symptoms were similar to that of the general population, with 5% of severe forms. In 45.8% of asymptomatic women at the time of delivery, severe acute respiratory syndrome coronavirus 2 infection was detected because of recommendations established in Spain to perform COVID-19 screening in all women admitted to the hospital for labor. The rate of preterm deliveries was 15.7% and of cesarean deliveries, 33%. The most common diagnostic test was detection of viral RNA by polymerase chain reaction of nasopharyngeal swabs at a median age of 3 hours after delivery (1–12 hours). Almost one-half of neonates were left skin-to-skin after delivery, and delayed clamping of umbilical cords was performed in 43% of neonates. Also, 62.3% of asymptomatic neonates were managed with rooming-in. Maternal milk was received by 76.5% of neonates, 204 of them as exclusive breastfeeding.

CONCLUSIONS: The current study indicates that there is no need for separation of mothers from neonates, allowing delayed cord clamping and skin-to-skin contact along with maintenance of breastfeeding in a high percentage of newborns from mothers with COVID-19.

  • Accepted October 13, 2020.
  • Copyright © 2021 by the American Academy of Pediatrics

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Neonates Born to Mothers With COVID-19: Data From the Spanish Society of Neonatology Registry
Manuel Sánchez-Luna, Belén Fernández Colomer, Concepción de Alba Romero, Ana Alarcón Allen, Ana Baña Souto, Fátima Camba Longueira, María Cernada Badía, Zenaida Galve Pradell, María González López, M. Cruz López Herrera, Carmen Ribes Bautista, Laura Sánchez García, Elena Zamora Flores, on behalf of the SENEO COVID-19 Registry Study Group
Pediatrics Feb 2021, 147 (2) e2020015065; DOI: 10.1542/peds.2020-015065

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Neonates Born to Mothers With COVID-19: Data From the Spanish Society of Neonatology Registry
Manuel Sánchez-Luna, Belén Fernández Colomer, Concepción de Alba Romero, Ana Alarcón Allen, Ana Baña Souto, Fátima Camba Longueira, María Cernada Badía, Zenaida Galve Pradell, María González López, M. Cruz López Herrera, Carmen Ribes Bautista, Laura Sánchez García, Elena Zamora Flores, on behalf of the SENEO COVID-19 Registry Study Group
Pediatrics Feb 2021, 147 (2) e2020015065; DOI: 10.1542/peds.2020-015065
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