Rooming-In Practice During the Pandemic: Results From a Retrospective Cohort Study

Costa, Simonetta; Priolo, Francesca; Fattore, Simona; Tedesco, Marta; Rubortone, Serena Antonia; Giordano, Lucia; Chioma, Roberto; Neri, Caterina; Lanzone, Antonio; Buonsenso, Danilo; Valentini, Piero; Vento, Giovanni

doi:10.1177/08903344221081840

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Investigators of an Italian study compared breastfeeding rates of women with COVID-19 according to whether rooming-in or separation of mother and neonate was practiced. Consistent with our results, rooming-in was associated with a significantly higher breastfeeding rate (Costa et al, 2022). In the INTERCOVID study, feeding an infant with their mother’s own milk was shown not to increase the transmission of COVID-19 when adequate hygienic precautions were taken (Raschetti et al, 2020; Villar et al, 2021).…”

Section: Discussionmentioning

confidence: 98%

Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

Zöllkau,

Heimann,

Hagenbeck

et al. 2023

J Hum Lact

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Background: The SARS-CoV-2 pandemic and its influence on peripartum processes worldwide led to issues in breastfeeding support. Research Aim: The aim of this study was to describe breastfeeding behavior and peripartum in-hospital management during the pandemic in Germany and Austria. Methods: This study was a descriptive study using a combination of secondary longitudinal data and a cross-sectional online survey. Registry data from the prospective multicenter COVID-19 Related Obstetric and Neonatal Outcome Study (CRONOS) cohort study (longitudinal, medical records of 1,815 parent-neonate pairs with confirmed SARS-CoV-2 infection during pregnancy) and a cross-sectional online survey of CRONOS hospitals’ physicians ( N = 67) were used for a descriptive comparison of feeding outcomes and postpartum management. Results: In 93.7% (n = 1700) of the cases in which information on the neonate's diet was provided, feeding was with the mother’s own milk. Among neonates not receiving their mother’s own milk, 24.3% ( n = 26) reported SARS-CoV-2 infection as the reason. Peripartum maternal SARS-CoV-2 infection, severe maternal COVID-19 including the need for intensive care unit (ICU) treatment or invasive ventilation, preterm birth, mandatory delivery due to COVID-19, and neonatal ICU admission were associated with lower rates of breastfeeding. Rooming-in positively influenced breastfeeding without affecting neonatal SARS-CoV-2 frequency (4.2% vs. 5.6%). CRONOS hospitals reported that feeding an infant their mother’s own milk continued to be supported during the pandemic. In cases of severe COVID-19, four of five hospitals encouraged breastfeeding. Conclusion: Maintaining rooming-in and breastfeeding support services in the CRONOS hospitals during the pandemic resulted in high breastfeeding rates.

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Section: Discussionmentioning

confidence: 98%

Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

Zöllkau,

Heimann,

Hagenbeck

et al. 2023

J Hum Lact

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“…7 Before the Omicron surge, in our hospital, mother with COVID-19-neonate dyads were discharged not earlier than 72 hours, following the previous standard protocol. 8 However, to face the overload of the postpartum ward due to the omicron surge, FPG established a new policy, determining ED of mothers with COVID-19 and their newborns, and setting up a postdischarge clinic dedicated to the follow-up of ED newborns.…”

mentioning

confidence: 99%

Early Discharge of Newborns Born to Mothers with COVID-19: A Possible Safe Strategy

Costa¹,

Coppola²,

Fattore³

et al. 2023

Am J Perinatol

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Objective In this study, we evaluated the safety of early discharge (ED) of newborns born to coronavirus disease 2019 (COVID-19)-positive mothers. Study Design All ED newborns from the postpartum wards of the Fondazione Policlinico Gemelli between January 1, 2022, and February 28, 2022, were retrospectively analyzed. Newborns from mothers with COVID-19 and those from uninfected mothers were considered. The primary outcome was to evaluate whether the rate of the composite outcome, which was the percentage of rehospitalization/access in emergency room (RH/ER) within the first week from discharge, differed between neonates born to mother with COVID-19 (COVID-19 group) and those born to uninfected mothers (no COVID-19 group). The secondary outcomes were to assess the quality of feeding and number of outpatient visits in the follow-up clinic between the two cohorts of patients. Results One hundred and thirty-four newborns in the no COVID-19 group and 26 in the COVID-19 group were analyzed. The rate of RH/ER in the no COVID-19 group was of 6 over 134 newborns (0.045, 95% confidence image [CI]: 0.017–0.095), while in COVID-19 group, it was of 2 over 26 newborns (0.077), which does not differ from the expected rate (1.17 over 26 newborns, 0.045, 95% CI: 0.017–0.095). Conclusion ED for newborns from mothers with COVID-19 could be an actionable safe strategy. Key Points

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SARS-CoV-2 Antibodies in Human Milk After mRNA and Adenovector-Based Vaccination: A Systematic Review and Meta-Analysis

Li,

Hu,

et al. 2024

J Hum Lact

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Background: SARS-CoV-2 specific antibodies exist in human milk expressed by lactating parents after vaccination. In the existing research, the effects of vaccine types on human milk are inconsistent. Research Aim: This study aims to perform a systematic review and meta-analysis of the existing observational studies to compare the positive rates of SARS-CoV-2 specific antibodies in human milk according to mRNA and adenovector-based vaccination. Methods: PubMed, Web of Science, Elsevier Science Direct and Cochrane Library databases were systematically searched for relevant articles published from December 30, 2019 to February 15, 2023. Observational studies were considered eligible provided they reported data on SARS-CoV-2 specific antibodies in human milk. The risk of bias in non-randomized studies of interventions (ROBINS-I) tool, the Newcastle-Ottawa Scale (NOS), and the Agency for Healthcare Research and Quality (AHRQ) were used to assess risk of bias. Seven studies, including 511 lactating participants, were included in this review and meta-analysis. Results: The positive rate of SARS-CoV-2 IgA is higher in mRNA vaccine groups than in adenovector-based vaccine groups ( OR = 4.80, 95% CI [3.04, 7.58], p < 0.001). The positive rate of SARS-CoV-2 IgG was higher in mRNA vaccines than in adenovector-based vaccines. Conclusions: Compared to adenovector-based vaccines, mRNA vaccines present a higher positivity rate of IgA and IgG in human milk after vaccination. In other words, mRNA vaccinations may offer breastfed children a higher level of protection than adenovector-based vaccinations. Further high-quality data is still required to substantiate these findings.

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Rooming-In Practice During the Pandemic: Results From a Retrospective Cohort Study

Cited by 3 publications

References 21 publications

Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

Breastfeeding Behavior Within the Covid-19 Related Obstetric and Neonatal Outcome Study (CRONOS)

Early Discharge of Newborns Born to Mothers with COVID-19: A Possible Safe Strategy

SARS-CoV-2 Antibodies in Human Milk After mRNA and Adenovector-Based Vaccination: A Systematic Review and Meta-Analysis

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