Terapia Intensiva em Neonatologia/Pediatria, Departamento de Pediatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.
Centro Neonatal e Terapia Intensiva Neonatal, Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Clinics (Sao Paulo). 2020;75:e1932. doi: 10.6061/clinics/2020/e1932. Epub 2020 May 15.
This article presents expert recommendations for assisting newborn children of mothers with suspected or diagnosed coronavirus disease 2019 (COVID-19). The consensus was developed by five experts with an average of 20 years of experience in neonatal intensive care working at a reference university hospital in Brazil for the care of pregnant women and newborns with suspected or confirmed COVID-19. Despite the lack of scientific evidence regarding the potential for viral transmission to their fetus in pregnant mothers diagnosed with or suspected of COVID-19, it is important to elaborate the lines of care by specialists from hospitals caring for suspected and confirmed COVID-19 cases to guide multidisciplinary teams and families diagnosed with the disease or involved in the care of pregnant women and newborns in this context. Multidisciplinary teams must be attentive to the signs and symptoms of COVID-19 so that decision-making is oriented and assertive for the management of the mother and newborn in both the hospital setting and at hospital discharge.
本文提出了协助疑似或确诊 2019 年冠状病毒病(COVID-19)母亲所生新生儿的专家建议。该共识由五位专家制定,他们在巴西一家参考大学医院从事新生儿重症监护工作,平均拥有 20 年的经验,负责照顾疑似或确诊 COVID-19 的孕妇和新生儿。尽管对于患有 COVID-19 的孕妇而言,其胎儿存在病毒传播的潜在风险,但缺乏科学证据,因此,来自专门治疗疑似和确诊 COVID-19 病例的医院的专家有必要详细阐述护理方案,以指导多学科团队和确诊 COVID-19 的家庭或参与照顾孕妇和新生儿的家庭在这种情况下。多学科团队必须注意 COVID-19 的症状和体征,以便为管理母亲和新生儿提供导向和果断的决策,无论是在医院环境中还是在出院时。