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Childbirth Care among SARS-CoV-2 Positive Women in Italy

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...

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Autores principales: Donati, Serena, Corsi, Edoardo, Salvatore, Michele Antonio, Maraschini, Alice, Bonassisa, Silvia, Casucci, Paola, Cataneo, Ilaria, Cetin, Irene, D’Aloja, Paola, Dardanoni, Gabriella, De Ambrosi, Elena, Ferrazzi, Enrico, Fieni, Stefania, Franchi, Massimo Piergiuseppe, Gargantini, Gianluigi, Iurlaro, Enrico, Leo, Livio, Liberati, Marco, Livio, Stefania, Locci, Mariavittoria, Marozio, Luca, Martini, Claudio, Maso, Gianpaolo, Mecacci, Federico, Meloni, Alessandra, Mignuoli, Anna Domenica, Patanè, Luisa, Pellegrini, Edda, Perotti, Francesca, Perrone, Enrica, Prefumo, Federico, Ramenghi, Luca, Rusciani, Raffaella, Savasi, Valeria, Schettini, Sergio Crescenzo Antonio, Simeone, Daniela, Simeone, Serena, Spinillo, Arsenio, Steinkasserer, Martin, Tateo, Saverio, Ternelli, Giliana, Tironi, Roberta, Trojano, Vito, Vergani, Patrizia, Zullino, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8074190/
https://www.ncbi.nlm.nih.gov/pubmed/33923642
http://dx.doi.org/10.3390/ijerph18084244
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author Donati, Serena
Corsi, Edoardo
Salvatore, Michele Antonio
Maraschini, Alice
Bonassisa, Silvia
Casucci, Paola
Cataneo, Ilaria
Cetin, Irene
D’Aloja, Paola
Dardanoni, Gabriella
De Ambrosi, Elena
Ferrazzi, Enrico
Fieni, Stefania
Franchi, Massimo Piergiuseppe
Gargantini, Gianluigi
Iurlaro, Enrico
Leo, Livio
Liberati, Marco
Livio, Stefania
Locci, Mariavittoria
Marozio, Luca
Martini, Claudio
Maso, Gianpaolo
Mecacci, Federico
Meloni, Alessandra
Mignuoli, Anna Domenica
Patanè, Luisa
Pellegrini, Edda
Perotti, Francesca
Perrone, Enrica
Prefumo, Federico
Ramenghi, Luca
Rusciani, Raffaella
Savasi, Valeria
Schettini, Sergio Crescenzo Antonio
Simeone, Daniela
Simeone, Serena
Spinillo, Arsenio
Steinkasserer, Martin
Tateo, Saverio
Ternelli, Giliana
Tironi, Roberta
Trojano, Vito
Vergani, Patrizia
Zullino, Sara
author_facet Donati, Serena
Corsi, Edoardo
Salvatore, Michele Antonio
Maraschini, Alice
Bonassisa, Silvia
Casucci, Paola
Cataneo, Ilaria
Cetin, Irene
D’Aloja, Paola
Dardanoni, Gabriella
De Ambrosi, Elena
Ferrazzi, Enrico
Fieni, Stefania
Franchi, Massimo Piergiuseppe
Gargantini, Gianluigi
Iurlaro, Enrico
Leo, Livio
Liberati, Marco
Livio, Stefania
Locci, Mariavittoria
Marozio, Luca
Martini, Claudio
Maso, Gianpaolo
Mecacci, Federico
Meloni, Alessandra
Mignuoli, Anna Domenica
Patanè, Luisa
Pellegrini, Edda
Perotti, Francesca
Perrone, Enrica
Prefumo, Federico
Ramenghi, Luca
Rusciani, Raffaella
Savasi, Valeria
Schettini, Sergio Crescenzo Antonio
Simeone, Daniela
Simeone, Serena
Spinillo, Arsenio
Steinkasserer, Martin
Tateo, Saverio
Ternelli, Giliana
Tironi, Roberta
Trojano, Vito
Vergani, Patrizia
Zullino, Sara
author_sort Donati, Serena
collection PubMed
description 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.
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spelling pubmed-80741902021-04-27 Childbirth Care among SARS-CoV-2 Positive Women in Italy Donati, Serena Corsi, Edoardo Salvatore, Michele Antonio Maraschini, Alice Bonassisa, Silvia Casucci, Paola Cataneo, Ilaria Cetin, Irene D’Aloja, Paola Dardanoni, Gabriella De Ambrosi, Elena Ferrazzi, Enrico Fieni, Stefania Franchi, Massimo Piergiuseppe Gargantini, Gianluigi Iurlaro, Enrico Leo, Livio Liberati, Marco Livio, Stefania Locci, Mariavittoria Marozio, Luca Martini, Claudio Maso, Gianpaolo Mecacci, Federico Meloni, Alessandra Mignuoli, Anna Domenica Patanè, Luisa Pellegrini, Edda Perotti, Francesca Perrone, Enrica Prefumo, Federico Ramenghi, Luca Rusciani, Raffaella Savasi, Valeria Schettini, Sergio Crescenzo Antonio Simeone, Daniela Simeone, Serena Spinillo, Arsenio Steinkasserer, Martin Tateo, Saverio Ternelli, Giliana Tironi, Roberta Trojano, Vito Vergani, Patrizia Zullino, Sara Int J Environ Res Public Health Article 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. MDPI 2021-04-16 /pmc/articles/PMC8074190/ /pubmed/33923642 http://dx.doi.org/10.3390/ijerph18084244 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Donati, Serena
Corsi, Edoardo
Salvatore, Michele Antonio
Maraschini, Alice
Bonassisa, Silvia
Casucci, Paola
Cataneo, Ilaria
Cetin, Irene
D’Aloja, Paola
Dardanoni, Gabriella
De Ambrosi, Elena
Ferrazzi, Enrico
Fieni, Stefania
Franchi, Massimo Piergiuseppe
Gargantini, Gianluigi
Iurlaro, Enrico
Leo, Livio
Liberati, Marco
Livio, Stefania
Locci, Mariavittoria
Marozio, Luca
Martini, Claudio
Maso, Gianpaolo
Mecacci, Federico
Meloni, Alessandra
Mignuoli, Anna Domenica
Patanè, Luisa
Pellegrini, Edda
Perotti, Francesca
Perrone, Enrica
Prefumo, Federico
Ramenghi, Luca
Rusciani, Raffaella
Savasi, Valeria
Schettini, Sergio Crescenzo Antonio
Simeone, Daniela
Simeone, Serena
Spinillo, Arsenio
Steinkasserer, Martin
Tateo, Saverio
Ternelli, Giliana
Tironi, Roberta
Trojano, Vito
Vergani, Patrizia
Zullino, Sara
Childbirth Care among SARS-CoV-2 Positive Women in Italy
title Childbirth Care among SARS-CoV-2 Positive Women in Italy
title_full Childbirth Care among SARS-CoV-2 Positive Women in Italy
title_fullStr Childbirth Care among SARS-CoV-2 Positive Women in Italy
title_full_unstemmed Childbirth Care among SARS-CoV-2 Positive Women in Italy
title_short Childbirth Care among SARS-CoV-2 Positive Women in Italy
title_sort childbirth care among sars-cov-2 positive women in italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8074190/
https://www.ncbi.nlm.nih.gov/pubmed/33923642
http://dx.doi.org/10.3390/ijerph18084244
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