新型冠状病毒肺炎母亲及其新生儿联合管理对病毒传播的影响：一例病例报告。
Impact of joint management of a COVID-19 mother and her newborn on the virus transmission: a case report.
作者信息
De Nardo Maria Chiara, Bellomo Anna Rita, Perfetti Francesca, Battaglia Francesco Antonino, Lichtner Miriam, Lubrano Riccardo
机构信息
Pediatric and Neonatal Unit, Sapienza University of Rome, Polo Pontino, Santa Maria Goretti Hospital, Via A. Canova, 04100, Latina, Italy.
Gynecological and Obstetrical Unit, Santa Maria Goretti Hospital, Latina, Italy.
出版信息
Virol J. 2021 Jun 28;18(1):130. doi: 10.1186/s12985-021-01598-w.
BACKGROUND
Since last year, COVID-19, the disease caused by the novel Sars-Cov-2 virus, has been globally spread to all the world. COVID-19 infection among pregnant women has been described. However, transplacental transmission of Sars-Cov-2 virus from infected mother to the newborn is not yet established. The appropriate management of infants born to mothers with confirmed or suspected COVID-19 and the start of early breastfeeding are being debated.
CASE PRESENTATION
We report a case of the joint management of a healthy neonate with his mother tested positive for Covid-19 before the delivery and throughout neonatal follow-up. The infection transmission from the mother to her baby is not described, even after a long period of contact between them and breastfeeding.
CONCLUSION
It may consider an appropriate practice to keep mother and her newborn infant together in order to facilitate their contact and to encourage breastfeeding, although integration with infection prevention measures is needed.
背景
自去年以来，新型严重急性呼吸综合征冠状病毒2（Sars-Cov-2）引发的2019冠状病毒病（COVID-19）已在全球范围内传播至世界各地。已有关于孕妇感染COVID-19的描述。然而，Sars-Cov-2病毒从感染母亲垂直传播给新生儿的情况尚未得到证实。对于COVID-19确诊或疑似病例的母亲所生婴儿的适当管理以及早期母乳喂养的开始时机，目前仍存在争议。
病例报告
我们报告了一例健康新生儿与其母亲的联合管理病例，该母亲在分娩前及整个新生儿随访期间COVID-19检测呈阳性。即使在母婴长时间接触和母乳喂养后，也未发现母亲将感染传播给婴儿的情况。
结论
尽管需要结合感染预防措施，但让母亲和她的新生儿在一起，以促进他们的接触并鼓励母乳喂养，可能是一种合适的做法。
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