Infant Journal
for neonatal and paediatric healthcare professionals

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

Sanjeev Rath
Neonatal Consultant

Yewande Wey
MTI Fellow

Arrowe Park Hospital, Wirral University Teaching Hospital NHS Foundation Trust

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umbilical central line; umbilical arterial catheter; umbilical venous catheter; ultrasound-guided insertion of a central line; functional echocardiography
Key points
  1. Direct visualisation of the umbilical catheter by ultrasound is one of the best modalities for adjusting a UVC and UAC.
  2. This method can save time needed to help transition a critically ill neonate.
  3. Ultrasound-guided insertion of a UVC or UAC requires fewer X-rays (hence radiation) and less manipulation and handling of the neonate, helping to maintain temperature and reduce the risk of infection.