학술논문
Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth.
Document Type
Academic Journal
Author
Popofsky S; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Noor A; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY; Division of Pediatric Infectious Diseases, Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY. Electronic address: Asif.Noor@nyulangone.org.; Leavens-Maurer J; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Quintos-Alagheband ML; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Mock A; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Vinci A; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Magri E; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Akerman M; Department of Biostatistics, NYU Long Island School of Medicine, Mineola, NY.; Noyola E; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Rigaud M; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY.; Pak B; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY.; Lighter J; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY; Department of Pediatrics, Division of Pediatric Infectious Diseases, NYU Grossman School of Medicine, New York, NY.; Ratner AJ; Department of Pediatrics, NYU Grossman School of Medicine, New York, NY; Department of Pediatrics, Division of Pediatric Infectious Diseases, NYU Grossman School of Medicine, New York, NY; Department of Microbiology, NYU Grossman School of Medicine, New York, NY.; Hanna N; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY; Division of Neonatology, Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.; Krilov L; Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY; Division of Pediatric Infectious Diseases, Department of Pediatrics, NYU Long Island School of Medicine, Mineola, NY.
Source
Publisher: Mosby Country of Publication: United States NLM ID: 0375410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6833 (Electronic) Linking ISSN: 00223476 NLM ISO Abbreviation: J Pediatr Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: To assess the impact of separation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive mother-newborn dyads on breastfeeding outcomes.
Study Design: This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19).
Results: Of the 160 mother-newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P < .001) and at home (P = .012). Only 2 mothers in each group reported expressed breast milk as the hospital feeding source (5.6% of unseparated vs 4.1% of separated). COVID-19 was more commonly cited as the reason for change in the separated group (49.0% vs 16.7%; P < .001). When the dyads were further stratified by symptom status into 4 groups-asymptomatic separated, asymptomatic unseparated, symptomatic separated, and symptomatic unseparated-the results remained unchanged.
Conclusions: In the setting of COVID-19, separation of mother-newborn dyads impacts breastfeeding outcomes, with lower rates of breastfeeding both during hospitalization and at home following discharge compared with unseparated mothers and infants. No evidence of vertical transmission was observed; 1 case of postnatal transmission occurred from an unmasked symptomatic mother who held her infant at birth.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Study Design: This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19).
Results: Of the 160 mother-newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P < .001) and at home (P = .012). Only 2 mothers in each group reported expressed breast milk as the hospital feeding source (5.6% of unseparated vs 4.1% of separated). COVID-19 was more commonly cited as the reason for change in the separated group (49.0% vs 16.7%; P < .001). When the dyads were further stratified by symptom status into 4 groups-asymptomatic separated, asymptomatic unseparated, symptomatic separated, and symptomatic unseparated-the results remained unchanged.
Conclusions: In the setting of COVID-19, separation of mother-newborn dyads impacts breastfeeding outcomes, with lower rates of breastfeeding both during hospitalization and at home following discharge compared with unseparated mothers and infants. No evidence of vertical transmission was observed; 1 case of postnatal transmission occurred from an unmasked symptomatic mother who held her infant at birth.
(Copyright © 2020 Elsevier Inc. All rights reserved.)