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Table 1 (abstract A5). Indications on mother-infant management in the perinatal period

From: Abstracts of the XXVI Congresso Nazionale - Società Italiana di Neonatologia

State of the Mother

Performing the SARS-CoV-2 RNA-PCR test on throat swab in the mother

Performing the RNA-PCR test for SARS-CoV-2 on throat swab in the newborn

Isolation of the mother°

Management of the newborn during hospitalization°

Breastfeeding advice

Prevention measures on mother-child contagion §

Asymptomatic or paucisymptomatic mother, known to be SARS-CoV-2 positive

Already done

YES

YES, in the dedicated postnatal area

YES, in a rooming-in regime, but in an isolated area dedicated to the puerperium

YES

YES

Paucisymptomatic mother

YES

Only if maternal test positive

YES, in a dedicated and isolated area of the puerperium waiting for the result of the laboratory test

YES, in rooming-in, isolated and dedicated area of the puerperium until the result of the laboratory test

YES

YES

-SARS-CoV-2 under investigation

Mom with respiratory infection symptoms (fever, cough, discharge)

YES or already in progress

Only if maternal test positive

YES, in the dedicated area of the puerperium waiting for the result of the laboratory test

Newborn isolated and separated from the mother, at least until the result of the laboratory test. He is welcomed in the dedicated area of Neonatology (if asymptomatic) or NICU (if with respiratory disease) with the possibility of isolation

NO; use of expressed milk. ^

YES

- SARS-CoV-2 positive or under investigation

Pasteurization is not indicated

  1. § Room divider or tent, face mask for the mother when she is breastfeeding or in intimate contact with the newborn, careful hand washing, arrangement of the baby's cradle at a distance of 2 meters from the mother's head, suspension of visits from relatives and friends
  2. °In addition, adequate protection measures by health personnel, according to ministerial indications
  3. ^The mother's fresh milk must be expressed with a manual or dedicated electric breast pump. The mother should always wash her hands before touching the bottles and all components of the breast pump, following the recommendations for proper washing of the breast pump after each use