Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review

Abstract

Objective to map the current knowledge on recommendations for labor, childbirth, and newborn (NB) care in the context of the novel coronavirus. Method scoping review of papers identified in databases, repositories, and reference lists of papers included in the study. Two researchers independently read the papers’ full texts, extracted and analyzed data, and synthesized content. Results 19 papers were included, the content of which was synthesized and organized into two conceptual categories: 1) Recommendations concerning childbirth with three subcategories – Indications to anticipate delivery, Route of delivery, and Preparation of the staff and birth room, and 2) Recommendations concerning postpartum care with four categories – Breastfeeding, NB care, Hospital discharge, and Care provided to NB at home. Conclusion prevent the transmission of the virus in the pregnancy-postpartum cycle, assess whether there is a need to interrupt pregnancies, decrease the circulation of people, avoid skin-to-skin contact and water births, prefer epidural over general anesthesia, keep mothers who tested positive or are symptomatic isolated from NB, and encourage breastfeeding. Future studies are needed to address directed pushing, instrumental delivery, delayed umbilical cord clamping, and bathing NB immediately after birth.

Exploring COVID-19 Related Factors Influencing Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Southwest Ethiopia

“…The impact of COVID-19 pandemic influence worldwide health system, essentially disturbing care provision with high levels of morbidity and mortality. [1][2][3][4][5] With more than 56 077 335 cases and 1 346 248 and above deaths were reported globally, 6 numerous nations have executed strict social distancing rules with full or halfway lockdowns again in second wave. 7 COVID-19 also disturbing health, social welfare and the economy in an extent unparalleled in present day history.…”

Práticas do cuidado com recém-nascido em tempos de pandemia: revisão integrativa

“…Para minimizar esse risco, recomenda-se o uso de máscara facial cirúrgica durante a amamentação, caso ocorra espirro ou tosse, além da higienização correta e contínua das mãos. No Brasil, ainda se recomenda a amamentação mesmo em casos de infecção pela SARS-CoV-2, desde que a mãe tenha o interesse em amamentar e em condições clínicas favoráveis (Freitas, Alves & Gaíva, 2020;Mascarenhas, et al, 2020).…”

“…Embora Mascarenhas, et al (2020), afirme em seu estudo que a COVID-19 seja menos comum em recém-nascidos e crianças menores que três meses, elas possuem um risco elevado para infecção com maior gravidade. Além disso, após o parto os recém-nascidos apresentaram peso, estatura e índices de Apgar adequados, sem nenhum relato de asfixia ou óbito neonatal.…”

Assistência ao recém-nascido na sala de parto durante a pandemia de COVID-19

“…(21,24) Contraditoriamente, há a sugestão da permanência do clampeamento oportuno do cordão umbilical, tendo em vista os benefícios para o RN e a incerteza quanto às informações disponíveis. (1,23,33) Um estudo de revisão analisou os desfechos perinatais de 71 neonatos nascidos de mães que desenvolveram a infecção no terceiro trimestre. Dos casos relatados, um total de 4 recém-nascidos foram diagnosticados pelo exame RT-PCR realizado com amostras do cordão umbilical, dentro das primeiras 48 horas.…”