Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context
Summary: Background: The benefits of facilitating breastmilk feeding and close contact between mother and neonate (family-centred care; FCC) in the perinatal period are well-established. The aim of this study was to determine how the delivery of FCC practices were impacted for neonates born to moth...
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Format: | Article |
Language: | English |
Published: |
Elsevier
2023-02-01
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Series: | EClinicalMedicine |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S258953702200551X |
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author | G. Dowse E.J. Perkins H.M. Stein G. Chidini O. Danhaive Y.N. Elsayed W.B. Carvalho N. AlNaqeeb S. Rooze M. Cetinkaya S. Vetter-Laracy F.J. Pilar-Orive P. Torpiano W.A. Gonçalves Ferri D. Buonsenso B. Rogdo A. Medina A. Polito C.N.M. Brouwer M.C.J. Kneyber D. De Luca D.G. Tingay G. Dowse E.J. Perkins D.G. Tingay D. De Luca H.M. Stein W.B. Carvalho O. Danhaive Y. Elsayed G. Chidini M.C.J. Kneyber A. MedinaVillanueva A. Polito J. Shoemaker O. Danhaive B. Piersigilli O. Bekkouch S. Rooze W.A. Gonçalves Ferri A.A. Oliveira R. Morello V. Krebs D. Buonsenso R. Morello P. Valentini N. Al-Naqeeb S.M.H. Sabbour A.E.A. Hegazi P. Torpiano P. Sammut D. Pace S. Vetter-Laracy M. Roldán F.J. Pilar-Orive B. Rogdo M. Cetinkaya B. Yasa E. Letamendia-Richard G. Regiroli A. Vivanti R. Centorrino N.F. Oliveira M.H.M. Dittrich R. Felgueira C. Neves P. Tissieres A. Amigoni M. Daverio A. Tosoni M.C. Andre B. Wagner T. Riedel P. Rimensberger A.-S. Ramelet M.-H. Perez M. Marston V. Chanez D. Longchamp J. Natterer T. Ferry B. Brotschi |
author_facet | G. Dowse E.J. Perkins H.M. Stein G. Chidini O. Danhaive Y.N. Elsayed W.B. Carvalho N. AlNaqeeb S. Rooze M. Cetinkaya S. Vetter-Laracy F.J. Pilar-Orive P. Torpiano W.A. Gonçalves Ferri D. Buonsenso B. Rogdo A. Medina A. Polito C.N.M. Brouwer M.C.J. Kneyber D. De Luca D.G. Tingay G. Dowse E.J. Perkins D.G. Tingay D. De Luca H.M. Stein W.B. Carvalho O. Danhaive Y. Elsayed G. Chidini M.C.J. Kneyber A. MedinaVillanueva A. Polito J. Shoemaker O. Danhaive B. Piersigilli O. Bekkouch S. Rooze W.A. Gonçalves Ferri A.A. Oliveira R. Morello V. Krebs D. Buonsenso R. Morello P. Valentini N. Al-Naqeeb S.M.H. Sabbour A.E.A. Hegazi P. Torpiano P. Sammut D. Pace S. Vetter-Laracy M. Roldán F.J. Pilar-Orive B. Rogdo M. Cetinkaya B. Yasa E. Letamendia-Richard G. Regiroli A. Vivanti R. Centorrino N.F. Oliveira M.H.M. Dittrich R. Felgueira C. Neves P. Tissieres A. Amigoni M. Daverio A. Tosoni M.C. Andre B. Wagner T. Riedel P. Rimensberger A.-S. Ramelet M.-H. Perez M. Marston V. Chanez D. Longchamp J. Natterer T. Ferry B. Brotschi |
author_sort | G. Dowse |
collection | DOAJ |
description | Summary: Background: The benefits of facilitating breastmilk feeding and close contact between mother and neonate (family-centred care; FCC) in the perinatal period are well-established. The aim of this study was to determine how the delivery of FCC practices were impacted for neonates born to mothers with perinatal SARS-CoV-2 infection during the COVID-19 pandemic. Methods: Neonates born to mothers with confirmed SARS-CoV-2 infection during pregnancy were identified from the ‘EsPnIC Covid paEdiatric NeonaTal REgistry’ (EPICENTRE) multinational cohort between 10 March 2020 and 20 October 2021. The EPICENTRE cohort collected prospective data on FCC practices. Rooming-in and breastmilk feeding practice were the main outcomes, and factors influencing each were determined. Other outcomes included mother-baby physical contact prior to separation and the pattern of FCC components relative to time and local site guidelines. Findings: 692 mother-baby dyads (13 sites, 10 countries) were analysed. 27 (5%) neonates were positive for SARS-CoV-2 (14 (52%) asymptomatic). Most sites had policies that encouraged FCC during perinatal SARS-CoV-2 infection for most of the reporting period. 311 (46%) neonates roomed-in with their mother during the admission. Rooming-in increased over time from 23% in March–June 2020 to 74% in January–March 2021 (boreal season). 330 (93%) of the 369 separated neonates had no FCC physical contact with their mother prior, and 319 (86%) were asymptomatic. Maternal breastmilk was used for feeding in 354 (53%) neonates, increasing from 23% to 70% between March–June 2020 and January–March 2021. FCC was most impacted when mothers had symptomatic COVID-19 at birth. Interpretation: This is the largest report of global FCC practice during the COVID-19 pandemic to date. The COVID-19 pandemic may have impacted FCC despite low perinatal transmission rates. Fortunately, clinicians appear to have adapted to allow more FCC delivery as the COVID-19 pandemic progressed. Funding: The National Health and Medical Research Council (Australia): Grant ID 2008212 (DGT), Royal Children’s Hospital Foundation: Grant ID 2019–1155 (EJP), Victorian Government Operational Infrastructure Support Program. |
first_indexed | 2024-04-10T07:27:26Z |
format | Article |
id | doaj.art-4e0f301c4b5741b5ab27f96ded9091e4 |
institution | Directory Open Access Journal |
issn | 2589-5370 |
language | English |
last_indexed | 2024-04-10T07:27:26Z |
publishDate | 2023-02-01 |
publisher | Elsevier |
record_format | Article |
series | EClinicalMedicine |
spelling | doaj.art-4e0f301c4b5741b5ab27f96ded9091e42023-02-24T04:31:22ZengElsevierEClinicalMedicine2589-53702023-02-0156101822Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in contextG. Dowse0E.J. Perkins1H.M. Stein2G. Chidini3O. Danhaive4Y.N. Elsayed5W.B. Carvalho6N. AlNaqeeb7S. Rooze8M. Cetinkaya9S. Vetter-Laracy10F.J. Pilar-Orive11P. Torpiano12W.A. Gonçalves Ferri13D. Buonsenso14B. Rogdo15A. Medina16A. Polito17C.N.M. Brouwer18M.C.J. Kneyber19D. De Luca20D.G. Tingay21G. DowseE.J. PerkinsD.G. TingayD. De LucaH.M. SteinW.B. CarvalhoO. DanhaiveY. ElsayedG. ChidiniM.C.J. KneyberA. MedinaVillanuevaA. PolitoJ. ShoemakerO. DanhaiveB. PiersigilliO. BekkouchS. RoozeW.A. Gonçalves FerriA.A. OliveiraR. MorelloV. KrebsD. BuonsensoR. MorelloP. ValentiniN. Al-NaqeebS.M.H. SabbourA.E.A. HegaziP. TorpianoP. SammutD. PaceS. Vetter-LaracyM. RoldánF.J. Pilar-OriveB. RogdoM. CetinkayaB. YasaE. Letamendia-RichardG. RegiroliA. VivantiR. CentorrinoN.F. OliveiraM.H.M. DittrichR. FelgueiraC. NevesP. TissieresA. AmigoniM. DaverioA. TosoniM.C. AndreB. WagnerT. RiedelP. RimensbergerA.-S. RameletM.-H. PerezM. MarstonV. ChanezD. LongchampJ. NattererT. FerryB. BrotschiNeonatal Research, Murdoch Children's Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia; Corresponding author. Neonatal Research, Murdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Rd, Parkville, 3052, Victoria, Australia.Neonatal Research, Murdoch Children's Research Institute, Parkville, AustraliaDepartment of Pediatrics, Division of Neonatology, Promedica Ebied Children's Hospital, Toledo, OH, USADepartment of Anaesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyDivision of Neonatology (Pediatrics), Catholic University of Louvain, Brussels, Belgium; Division of Neonatology (Pediatrics), University of California San Francisco, California, USAPediatrics, University of Manitoba, Winnipeg, CanadaPediatric Intensive Care/Neonatology of the Department of Pediatrics, Faculty of Medicine, University of São Paulo, São Paulo, BrazilNeonatal Department, AL-Adan Hospital, Ahmadi Area, KuwaitUnités de Soins Intensifs, Hôpital Universitaire des Enfants Reine Fabiola, Laeken, BelgiumHealth Sciences University, Department of Neonatology, Basaksehir Cam and Sakura City Hospital, Istanbul, TurkeyDivision of Neonatology (Pediatrics), University Hospital Son Espases / Balearic Island Health Research Institute IdISBa, Palma, SpainPediatrics Department, PICU, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, Barakaldo, SpainDepartment of Paediatrics and Adolescent Health, Mater Dei Hospital, Msida, MaltaDepartment of Pediatrics, Ribeirão Preto Medical School - University of São Paulo, São Paulo State, Ribeirão Preto, BrazilDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyNICU/PICU, Children's Hospital of Eastern Switzerland, St Gallen, SwitzerlandPediatric Intensive Care Unit, University Hospital Central de Asturias, Oviedo, SpainDepartment of Pediatrics, Gynecology and Obstetrics, University Hospital of Geneva, University of Geneva, Geneva, SwitzerlandPediatric Intensive Care Unit, Leiden University Medical Center, Leiden, the NetherlandsDepartment of Paediatrics, Division of Paediatric Critical Care Medicine, Beatrix Children's Hospital, Groningen, the Netherlands; Critical Care, Anesthesiology, Peri-operative & Emergency Medicine (CAPE), University Medical Center Groningen, the NetherlandsDivision of Pediatrics and Neonatal Critical Care, “A.Béclère” Medical Centre, Paris Saclay University Hospitals, APHP, Paris, France; Physiopathology and Therapeutic Innovation Unit-INSERM U999, Paris Saclay University, Paris, FranceNeonatal Research, Murdoch Children's Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Melbourne, AustraliaSummary: Background: The benefits of facilitating breastmilk feeding and close contact between mother and neonate (family-centred care; FCC) in the perinatal period are well-established. The aim of this study was to determine how the delivery of FCC practices were impacted for neonates born to mothers with perinatal SARS-CoV-2 infection during the COVID-19 pandemic. Methods: Neonates born to mothers with confirmed SARS-CoV-2 infection during pregnancy were identified from the ‘EsPnIC Covid paEdiatric NeonaTal REgistry’ (EPICENTRE) multinational cohort between 10 March 2020 and 20 October 2021. The EPICENTRE cohort collected prospective data on FCC practices. Rooming-in and breastmilk feeding practice were the main outcomes, and factors influencing each were determined. Other outcomes included mother-baby physical contact prior to separation and the pattern of FCC components relative to time and local site guidelines. Findings: 692 mother-baby dyads (13 sites, 10 countries) were analysed. 27 (5%) neonates were positive for SARS-CoV-2 (14 (52%) asymptomatic). Most sites had policies that encouraged FCC during perinatal SARS-CoV-2 infection for most of the reporting period. 311 (46%) neonates roomed-in with their mother during the admission. Rooming-in increased over time from 23% in March–June 2020 to 74% in January–March 2021 (boreal season). 330 (93%) of the 369 separated neonates had no FCC physical contact with their mother prior, and 319 (86%) were asymptomatic. Maternal breastmilk was used for feeding in 354 (53%) neonates, increasing from 23% to 70% between March–June 2020 and January–March 2021. FCC was most impacted when mothers had symptomatic COVID-19 at birth. Interpretation: This is the largest report of global FCC practice during the COVID-19 pandemic to date. The COVID-19 pandemic may have impacted FCC despite low perinatal transmission rates. Fortunately, clinicians appear to have adapted to allow more FCC delivery as the COVID-19 pandemic progressed. Funding: The National Health and Medical Research Council (Australia): Grant ID 2008212 (DGT), Royal Children’s Hospital Foundation: Grant ID 2019–1155 (EJP), Victorian Government Operational Infrastructure Support Program.http://www.sciencedirect.com/science/article/pii/S258953702200551XBreastfeedingBreastmilkCOVID-19Family-centred careMother-baby contactPandemic |
spellingShingle | G. Dowse E.J. Perkins H.M. Stein G. Chidini O. Danhaive Y.N. Elsayed W.B. Carvalho N. AlNaqeeb S. Rooze M. Cetinkaya S. Vetter-Laracy F.J. Pilar-Orive P. Torpiano W.A. Gonçalves Ferri D. Buonsenso B. Rogdo A. Medina A. Polito C.N.M. Brouwer M.C.J. Kneyber D. De Luca D.G. Tingay G. Dowse E.J. Perkins D.G. Tingay D. De Luca H.M. Stein W.B. Carvalho O. Danhaive Y. Elsayed G. Chidini M.C.J. Kneyber A. MedinaVillanueva A. Polito J. Shoemaker O. Danhaive B. Piersigilli O. Bekkouch S. Rooze W.A. Gonçalves Ferri A.A. Oliveira R. Morello V. Krebs D. Buonsenso R. Morello P. Valentini N. Al-Naqeeb S.M.H. Sabbour A.E.A. Hegazi P. Torpiano P. Sammut D. Pace S. Vetter-Laracy M. Roldán F.J. Pilar-Orive B. Rogdo M. Cetinkaya B. Yasa E. Letamendia-Richard G. Regiroli A. Vivanti R. Centorrino N.F. Oliveira M.H.M. Dittrich R. Felgueira C. Neves P. Tissieres A. Amigoni M. Daverio A. Tosoni M.C. Andre B. Wagner T. Riedel P. Rimensberger A.-S. Ramelet M.-H. Perez M. Marston V. Chanez D. Longchamp J. Natterer T. Ferry B. Brotschi Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context EClinicalMedicine Breastfeeding Breastmilk COVID-19 Family-centred care Mother-baby contact Pandemic |
title | Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context |
title_full | Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context |
title_fullStr | Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context |
title_full_unstemmed | Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context |
title_short | Born into an isolating world: family-centred care for babies born to mothers with COVID-19Research in context |
title_sort | born into an isolating world family centred care for babies born to mothers with covid 19research in context |
topic | Breastfeeding Breastmilk COVID-19 Family-centred care Mother-baby contact Pandemic |
url | http://www.sciencedirect.com/science/article/pii/S258953702200551X |
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