Ludington-Hoe Susan M, Lotas Marilyn, D'Apolito Karen
Neonatal Netw. 2021 May 1;40(3):161-174. doi: 10.1891/11-T-748.
Early recommendations to separate mothers from their newborns during the coronavirus disease 2019 (COVID-19) pandemic have created a detrimental separation practice. This article presents a review of the latest information regarding the (1) 3 modes of transmission of the virus to the neonate; (2) incidence, clinical signs, and severity of COVID-19 in the neonate; (3) factors to be considered to balance risk and benefits of separation and skin-to-skin contact (SSC) when conducting shared decision making; and (4) compendium of published SSC guidelines; and concludes with recommendations for safe practice of SSC to prevent and/or restrict COVID-19 infection in neonates.
在2019年冠状病毒病（COVID-19）大流行期间，早期将母亲与新生儿分开的建议造成了有害的分离做法。本文综述了有关以下方面的最新信息：（1）病毒传播给新生儿的3种方式；（2）新生儿COVID-19的发病率、临床体征和严重程度；（3）在进行共同决策时，平衡分离和皮肤接触（SSC）的风险与益处时应考虑的因素；（4）已发表的SSC指南汇编；并以关于安全实施SSC以预防和/或限制新生儿感染COVID-19的建议作为结论。
