Infant Journal
for neonatal and paediatric healthcare professionals

A call for zero separation – restrictive policies and their impact on neonatal care in light of COVID-19

More than one year into the pandemic and we are well aware that COVID-19 is affecting neonatal care. In many places, possibly in more ways than we initially appreciated. Recent scientific research has revealed that neonatal care in low- and middle-income countries has been affected to an extent that threatens the implementation of life-saving interventions.1 Reasons for this development are certainly plentiful, including the concerns of medical staff and parents about contracting the coronavirus – a worry that in many places had been accelerated by the immense pressure put on the health system.

Sarah Fuegenschuh
Head of Communications

Johanna Kostenzer
Head of Scientific Affairs – Maternal and Newborn Health

European Foundation for the Care of Newborn Infants

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Keywords
gastroschisis; abdominal wall defect; congenital abnormality; surgery; silo
Key points
  1. The survival of gastroschisis in high income countries is now greater than 95%.
  2. Complex gastroschisis has worse outcomes than simple gastroschisis.
  3. Surgical management aims to reduce the herniated viscera and close the abdominal wall defect. This can be achieved by primary closure or staged reduction.