Neonatal SARS-CoV-2 infection: is this a vertical transmission?

Neonatal COVID-19, its manifestations and transmission, remains unclear. As the pandemic continues more evidence will emerge but so far, vertical transmission of COVID-19 is rare with just a few reports in the literature.¹ We share our experience of managing a preterm newborn with COVID-19 in our neonatal intensive care unit (NICU) where the vertical route seems the most likely mode of transmission.

Femi Adeniyi
ST6 Paediatrics
femi.adeniyi@nhs.net

Sanjeev Rath
Neonatal Consultant
s.rath@nhs.net

Yewande Wey
MTI Fellow
yewande.wey@nhs.net

Arrowe Park Hospital, Wirral University Teaching Hospital NHS Foundation Trust

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Keywords

COVID-19; personal protective equipment; infection control

Key points

The current COVID-19 outbreak has raised concern about providing high quality neonatal care while minimising risk to staff.
Simulation can help address these challenges by promoting teamwork and testing logistics in novel situations.

Also published in Infant:

VOLUME 16, ISSUE 3, MAY 2020

Practical considerations for the emergency delivery of babies from mothers with confirmed or suspected COVID-19

Maternity and neonatal departments must be prepared for the delivery of babies from COVID-19 positive women. We describe a guideline developed at the North Middlesex University Hospital maternity unit, for multidisciplinary team members attending an emergency caesarean section of mothers with confirmed or suspected COVID-19. Anticipated staff actions and personal protective equipment were considered to optimise staff safety and reduce transmission of SARS-CoV-2. We recommend units generate individualised guidance suitable to their settings.