Manas Kumar Nayak1, Santosh Kumar Panda1, Subhra Snigdha Panda2, Soumini Rath1, Arpan Ghosh3, Nirmal Kumar Mohakud4. 1. Department of Pediatrics, Kalinga Institute of Medical Sciences, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT DU), Bhubaneswar, India. 2. Department of Microbiology, Kalinga Institute of Medical Sciences, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT DU), Bhubaneswar, India. 3. School of Biotechnology, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT DU), Bhubaneswar, India; KIIT Technology Business Incubator, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT DU), Bhubaneswar, India. 4. Department of Pediatrics, Kalinga Institute of Medical Sciences, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT DU), Bhubaneswar, India; School of Biotechnology, Kalinga Institute of Industrial Technology, Deemed to be University (KIIT DU), Bhubaneswar, India. Electronic address: nirmal.mahakud@kims.ac.in.
Abstract
BACKGROUND: Current evidence on vertical transmission of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) and neonatal outcome among exposed newborns is emerging and posing a challenge for preventive interventions. Perinatal transmission to the neonates especially during breastfeeding and rooming in is also relatively unknown. METHODS: This prospective observational study was conducted in Kalinga Institute of Medical Science (KIMS), Odisha state from 1st May to 20th October 2020. A total of 165 neonates born to SARS-CoV-2 infected mothers were enrolled. Real time polymerase chain reaction (RT PCR) testing was done in first 32 neonates in initial 24 h of life. RESULTS: The clinical characteristics of 162 mothers & 165 neonates were analyzed. Mode of delivery was by caesarian section in most (n = 103, 60%) cases. Three (3/32, 9.4%) inborn and 6 outborn neonates were SARS-CoV-2 positive. Thirty-eight (23%) babies needed neonatal intensive care. Clinical characteristics of neonates were meconium-stained amniotic fluid (MSAF [23.63%]), prematurity (16.9%), respiratory distress (10.5%), moderate to severe hypoxic ischemic encephalopathy (3.6%), sepsis (7%) and hyperbilirubinemia (8.7%). Out of 138 stable babies kept on mother side and initiated breast feeding, none of them developed any signs and symptoms attributable to SARS-CoV-2. Five (3%) neonates died in COVID hospital of which one baby was SARS-CoV-2 positive. CONCLUSION: There was an increased rate of incidences of hypoxic ischemic encephalopathy, meconium stained liquor and cesarean section delivery in COVID hospital. We found a possible vertical transmission in 9.4% cases. None of the neonates developed sign and symptoms of SARS-CoV-2 infection during rooming in and breast feeding.
BACKGROUND: Current evidence on vertical transmission of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) and neonatal outcome among exposed newborns is emerging and posing a challenge for preventive interventions. Perinatal transmission to the neonates especially during breastfeeding and rooming in is also relatively unknown. METHODS: This prospective observational study was conducted in Kalinga Institute of Medical Science (KIMS), Odisha state from 1st May to 20th October 2020. A total of 165 neonates born to SARS-CoV-2 infected mothers were enrolled. Real time polymerase chain reaction (RT PCR) testing was done in first 32 neonates in initial 24 h of life. RESULTS: The clinical characteristics of 162 mothers & 165 neonates were analyzed. Mode of delivery was by caesarian section in most (n = 103, 60%) cases. Three (3/32, 9.4%) inborn and 6 outborn neonates were SARS-CoV-2 positive. Thirty-eight (23%) babies needed neonatal intensive care. Clinical characteristics of neonates were meconium-stained amniotic fluid (MSAF [23.63%]), prematurity (16.9%), respiratory distress (10.5%), moderate to severe hypoxic ischemic encephalopathy (3.6%), sepsis (7%) and hyperbilirubinemia (8.7%). Out of 138 stable babies kept on mother side and initiated breast feeding, none of them developed any signs and symptoms attributable to SARS-CoV-2. Five (3%) neonates died in COVID hospital of which one baby was SARS-CoV-2 positive. CONCLUSION: There was an increased rate of incidences of hypoxic ischemic encephalopathy, meconium stained liquor and cesarean section delivery in COVID hospital. We found a possible vertical transmission in 9.4% cases. None of the neonates developed sign and symptoms of SARS-CoV-2 infection during rooming in and breast feeding.
Authors: Marcio José Concepción-Zavaleta; Sofia Pilar Ildefonso-Najarro; Esteban Plasencia-Dueñas; Julia Cristina Coronado Arroyo; Francisca Elena Zavaleta-Gutiérrez; Luis Concepción-Urteaga; Frederick Massucco Revoredo; Anthony Ramos-Yataco; Kelly Meza Journal: Cureus Date: 2021-11-29
Authors: Ali A Rabaan; Muhammed A Bakhrebah; Abbas Al Mutair; Saad Alhumaid; Jumana M Al-Jishi; Jehad AlSihati; Hawra Albayat; Ahmed Alsheheri; Mohammed Aljeldah; Mohammed Garout; Wadha A Alfouzan; Yousef N Alhashem; Salma AlBahrani; Saleh A Alshamrani; Sultan Alotaibi; Abdullah A AlRamadhan; Hanadi N Albasha; Khalid Hajissa; Mohamad-Hani Temsah Journal: Vaccines (Basel) Date: 2022-06-21