Servicio de Neonatología, Hospital Italiano de Buenos Aires.
Servicio de Neonatología, Sanatorios de la Trinidad Ramos Mejía, Palermo y San Isidro.
Arch Argent Pediatr. 2021 Apr;119(2):76-82. doi: 10.5546/aap.2021.eng.76.
The objective of this study was to analyze available resources, guidelines in use, and preparedness to care for newborn infants at maternity centers in Argentina during the COVID-19 pandemic.
Cross-sectional study based on a survey administered to medical and nursing staff. In May 2020, Argentine facilities with more than 500 annual births were contacted; 58 % of these were from the public sector.
In total, 104/147 facilities answered (71 %). All had guidelines for care during the pandemic, and 93 % indicated they had been trained on how to use them. A companion was not allowed during childbirth in 26 % of private facilities and in 60 % of public ones (p < 0.01). Deferred cord clamping was recommended in 87 %; rooming-in with asymptomatic newborns was promoted in 62 %; breastfeeding using protective measures was recommended in 70 %; and breast milk using a bottle, in 23 %. In 94 %, family visiting in the Neonatology Unit was restricted. Difficulties included the unavailability of individual rooms for symptomatic newborn infants and a potential shortage of health care staff and personal protective equipment.
All facilities are aware of the national guidelines to fight the pandemic. Most have the resources to comply with the recommended protective measures. There is uncertainty as to whether personal protective equipment, staff, and physical space available at the different facilities would be enough if cases increased significantly.
本研究旨在分析阿根廷妇产中心在 COVID-19 大流行期间用于照顾新生儿的资源、使用中的指南和准备情况。
基于对医护人员进行的调查的横断面研究。2020 年 5 月，联系了阿根廷每年分娩量超过 500 例的医疗机构；其中 58%来自公共部门。
共有 104/147 家机构（71%）做出了回应。所有机构都有大流行期间的护理指南，93%的机构表示已接受过如何使用这些指南的培训。26%的私立机构和 60%的公立机构不允许家属在分娩期间陪伴（p < 0.01）。87%的机构建议延迟断脐；62%的机构鼓励无症状新生儿与母亲同室；70%的机构建议使用保护措施进行母乳喂养；23%的机构建议使用奶瓶喂养母乳。94%的机构限制新生儿重症监护病房的家属探视。面临的困难包括为有症状的新生儿提供单独房间的资源不足，以及卫生保健人员和个人防护设备可能短缺。
所有机构都了解国家抗击疫情的指南。大多数机构都有资源来遵守建议的保护措施。如果病例显著增加，不同机构是否有足够的个人防护设备、人员和物理空间仍存在不确定性。
