Higher NICU admissions in infants born at ≥35 weeks gestational age during the COVID-19 pandemic DOI Creative Commons
Priya Jegatheesan, Sudha Rani Narasimhan, Angela Huang

et al.

Frontiers in Pediatrics, Journal Year: 2023, Volume and Issue: 11

Published: July 7, 2023

Increasing evidence has shown that the COVID-19 pandemic had a profound negative impact on vulnerable populations and significant effect maternal neonatal health. We observed an increase in percentage of infants admitted to NICU from 8% 10% first year pandemic. This study aimed compare delivery room outcomes, admissions interventions, outcomes two years before during was retrospective public hospital between pre-COVID-19 (April 2018-December 2019) 2020-December 2021). Data were obtained all live births at ≥35 weeks gestation (GA). Maternal demographics, (DR), compared periods using simple bivariable generalized estimating equations (GEE) regression. Multivariable GEE logistic regression analysis performed adjust for effects baseline differences demographics outcomes. A total 9,632 born period (pre-COVID-19 n = 4,967, 4,665). During period, there small but decrease birth weight (33 g); increases diabetes (3.3%), hypertension (4.1%), Hispanic ethnicity (4.7%). There who received three minutes (78.1% vs. 70.3%, p < 0.001) delayed cord clamping exclusive breastfeeding rate (65.9% 70.1%, 0.001), metabolic acidosis (0.7% 1.2%, 0.02), admission (5.1% 6.4%, 0.009), antibiotic 1.7%, nasal CPAP (1.2% 1.8%, 0.02) use. not significantly increased after adjusting GA, diabetes, hypertension; however, other remained significant. independent risk factor these we morbidities, breastfeeding, gestation. The explained by hypertension, adverse only partly hypertension. Socio-economic factors social determinants health need be further explored understand full

Language: Английский

Neonatal Feeding Practices and SARS-CoV-2 Transmission in Neonates with Perinatal SARS-CoV-2 Exposure: A Systematic Review and Meta-Analysis DOI Open Access
Kikelomo Babata, Rehena Sultana, Jean‐Michel Hascoët

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(1), P. 280 - 280

Published: Jan. 6, 2025

Background: The risk of neonatal SARS-CoV-2 infection from the mother’s own milk (MoM) in neonates who are exposed to maternal during perinatal period remains unclear. We conducted a systematic review assess association between MoM feeding and were born SARS-CoV-2-positive pregnant persons. Methods: PubMed Central Google Scholar searched for studies published by 14 March 2024 that reported type. This search, including Scopus, was updated on 17 December 2024. primary outcome infection. meta-analysis using random effects model with two planned subgroup analyses: time PCR testing (at admission vs. previous 2 weeks) dyad handling (isolation some precautions variable/NA). Results: available both arms nine studies, 5572 received 2215 no MoM. GRADE rating low quality, because observational (cohorts). frequency similar (2.7% 2.2% MoM), common ratio 0.82 (95% confidence interval 0.44, 1.53, p = 0.54). No significant differences observed analyses. Limitations include incomplete data, other possible sources, small sample sizes analyses, more than one Conclusions: Feeding not associated an increased among mothers These along reports showing lack active replicating virus MoM, further support women Registration: PROSPERO ID CRD42021268576.

Language: Английский

Citations

0
Multivariate Analysis of Factors Associated with Feeding Mother's Own Milk at Discharge in Preterm Infants: A Retrospective Cohort Study DOI

Jordan D. Reis,

Mariela Sánchez-Rosado,

Daizy Mathai

et al.

American Journal of Perinatology, Journal Year: 2024, Volume and Issue: unknown

Published: July 11, 2024

Objective This study aimed to develop a predictive model of feeding mother's own milk (MOM) at discharge using social determinants health (SDOH), maternal and neonatal factors after deliveries <33 weeks gestational age (GA), or birth weight <1,500 g. Study Design Secondary analysis retrospective cohort in an inner-city hospital before (Epoch-1, 2018–2019) (Epoch-2, 2020–2021) implementing donor human (DHM) program. Results Among 986 neonates, 495 were born Epoch-1 (320 Hispanic White, 142 Non-Hispanic Black, 33 Other) 491 Epoch-2 (327, 137, 27, respectively). Feeding any MOM was less frequent infants non-Hispanic Black mothers than those (p < 0.05) but did not change with epoch = 0.46). who received MOM, continued the time versus mothers, 94/237 (40%) 339/595 (57%; p 0.05), respectively. In multivariate including SDOH variables, odds lower neighborhoods higher poverty levels, multiparity, substance use disorder, young increased GA DHM. The SDOH, early variables had good discrimination (area under curve 0.85) calibration internally validated. It showed DHM, need for respiratory support later initiation MOM. Conclusion associated Disparity explained by shorter duration Key Points

Language: Английский

Citations

1
Neonatal COVID-19 treatment: Are there new chances? DOI

Mohamed Shawky Elfarargy,

Thamer Alshami Marghel Alruwaili,

AbdulRahim Ahmad

et al.

Journal of Neonatal-Perinatal Medicine, Journal Year: 2024, Volume and Issue: 17(4), P. 501 - 507

Published: May 14, 2024

Coronavirus disease 2019 (COVID-19) is considered an infectious which caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Neonatal COVID-19 had been occurred in many countries would indicate the need of effective and safe treatment for these vulnerable group. In this study, we showed symptoms corona virus neonates, investigation neonates radiological features neonatal COVID-19. addition, discussed management COVI-19, antiviral treatment, monoclonal antibodies administration, immunomodulatory therapy, antibiotics, vitamins, minerals COVID-19, also telemedicine feeding newborn mother. We multisystem inflammatory (MIS-N), affected discussion complication further methods dealing research done on treatment.

Language: Английский

Citations

0
Higher NICU admissions in infants born at ≥35 weeks gestational age during the COVID-19 pandemic DOI Creative Commons
Priya Jegatheesan, Sudha Rani Narasimhan, Angela Huang

et al.

Frontiers in Pediatrics, Journal Year: 2023, Volume and Issue: 11

Published: July 7, 2023

Increasing evidence has shown that the COVID-19 pandemic had a profound negative impact on vulnerable populations and significant effect maternal neonatal health. We observed an increase in percentage of infants admitted to NICU from 8% 10% first year pandemic. This study aimed compare delivery room outcomes, admissions interventions, outcomes two years before during was retrospective public hospital between pre-COVID-19 (April 2018-December 2019) 2020-December 2021). Data were obtained all live births at ≥35 weeks gestation (GA). Maternal demographics, (DR), compared periods using simple bivariable generalized estimating equations (GEE) regression. Multivariable GEE logistic regression analysis performed adjust for effects baseline differences demographics outcomes. A total 9,632 born period (pre-COVID-19 n = 4,967, 4,665). During period, there small but decrease birth weight (33 g); increases diabetes (3.3%), hypertension (4.1%), Hispanic ethnicity (4.7%). There who received three minutes (78.1% vs. 70.3%, p < 0.001) delayed cord clamping exclusive breastfeeding rate (65.9% 70.1%, 0.001), metabolic acidosis (0.7% 1.2%, 0.02), admission (5.1% 6.4%, 0.009), antibiotic 1.7%, nasal CPAP (1.2% 1.8%, 0.02) use. not significantly increased after adjusting GA, diabetes, hypertension; however, other remained significant. independent risk factor these we morbidities, breastfeeding, gestation. The explained by hypertension, adverse only partly hypertension. Socio-economic factors social determinants health need be further explored understand full

Language: Английский

Citations

0