TY - JOUR
T1 - Childbirth care among sars-cov-2 positive women in Italy
AU - ItOSS COVID-19 Working Group
AU - Donati, Serena
AU - Corsi, Edoardo
AU - Salvatore, Michele Antonio
AU - Maraschini, Alice
AU - Bonassisa, Silvia
AU - Casucci, Paola
AU - Cataneo, Ilaria
AU - Cetin, Irene
AU - D’aloja, Paola
AU - Dardanoni, Gabriella
AU - De Ambrosi, Elena
AU - Ferrazzi, Enrico
AU - Fieni, Stefania
AU - Franchi, Massimo Piergiuseppe
AU - Gargantini, Gianluigi
AU - Iurlaro, Enrico
AU - Leo, Livio
AU - Liberati, Marco
AU - Livio, Stefania
AU - Locci, Mariavittoria
AU - Marozio, Luca
AU - Martini, Claudio
AU - Maso, Gianpaolo
AU - Mecacci, Federico
AU - Meloni, Alessandra
AU - Mignuoli, Anna Domenica
AU - Patanè, Luisa
AU - Pellegrini, Edda
AU - Perotti, Francesca
AU - Perrone, Enrica
AU - Prefumo, Federico
AU - Ramenghi, Luca
AU - Rusciani, Raffaella
AU - Savasi, Valeria
AU - Schettini, Sergio Crescenzo Antonio
AU - Simeone, Daniela
AU - Simeone, Serena
AU - Spinillo, Arsenio
AU - Steinkasserer, Martin
AU - Tateo, Saverio
AU - Ternelli, Giliana
AU - Tironi, Roberta
AU - Trojano, Vito
AU - Vergani, Patrizia
AU - Zullino, Sara
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/4/2
Y1 - 2021/4/2
N2 - The new coronavirus emergency spread to Italy when little was known about the infection’s impact on mothers and newborns. This study aims to describe the extent to which clinical practice has protected childbirth physiology and preserved the mother–child bond during the first wave of the pandemic in Italy. A national population-based prospective cohort study was performed enrolling women with confirmed SARS-CoV-2 infection admitted for childbirth to any Italian hospital from 25 February to 31 July 2020. All cases were prospectively notified, and information on peripartum care (mother–newborn separation, skin-to-skin contact, breastfeeding, and rooming-in) and maternal and perinatal outcomes were collected in a structured form and entered in a web-based secure system. The paper describes a cohort of 525 SARS-CoV-2 positive women who gave birth. At hospital admission, 44.8% of the cohort was asymptomatic. At delivery, 51.9% of the mothers had a birth support person in the delivery room; the average caesarean section rate of 33.7% remained stable compared to the national figure. On average, 39.0% of mothers were separated from their newborns at birth, 26.6% practised skin-to-skin, 72.1% roomed in with their babies, and 79.6% of the infants received their mother’s milk. The infants separated and not separated from their SARS-CoV-2 positive mothers both had good outcomes. At the beginning of the pandemic, childbirth raised awareness and concern due to limited available evidence and led to “better safe than sorry” care choices. An improvement of the peripartum care indicators was observed over time.
AB - The new coronavirus emergency spread to Italy when little was known about the infection’s impact on mothers and newborns. This study aims to describe the extent to which clinical practice has protected childbirth physiology and preserved the mother–child bond during the first wave of the pandemic in Italy. A national population-based prospective cohort study was performed enrolling women with confirmed SARS-CoV-2 infection admitted for childbirth to any Italian hospital from 25 February to 31 July 2020. All cases were prospectively notified, and information on peripartum care (mother–newborn separation, skin-to-skin contact, breastfeeding, and rooming-in) and maternal and perinatal outcomes were collected in a structured form and entered in a web-based secure system. The paper describes a cohort of 525 SARS-CoV-2 positive women who gave birth. At hospital admission, 44.8% of the cohort was asymptomatic. At delivery, 51.9% of the mothers had a birth support person in the delivery room; the average caesarean section rate of 33.7% remained stable compared to the national figure. On average, 39.0% of mothers were separated from their newborns at birth, 26.6% practised skin-to-skin, 72.1% roomed in with their babies, and 79.6% of the infants received their mother’s milk. The infants separated and not separated from their SARS-CoV-2 positive mothers both had good outcomes. At the beginning of the pandemic, childbirth raised awareness and concern due to limited available evidence and led to “better safe than sorry” care choices. An improvement of the peripartum care indicators was observed over time.
KW - Birth
KW - Breastfeeding
KW - COVID-19
KW - Perinatal care
KW - Pregnancy
KW - SARS-CoV-2
UR - http://www.scopus.com/inward/record.url?scp=85104461671&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85104461671&partnerID=8YFLogxK
U2 - 10.3390/ijerph18084244
DO - 10.3390/ijerph18084244
M3 - Article
AN - SCOPUS:85104461671
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 8
M1 - 4244
ER -