Guidance for the clinical management of infants born to mothers with suspected/confirmed COVID-19 in Singapore.

Kee Thai Yeo; Agnihotri Biswas; Selina Kah Ying HO; Juin Yee Kong; Srabani Bharadwaj; Amutha Chinnadurai; Wai Yan Yip; Nurli Fadhillah AB Latiff; Bin Huey Quek; Cheo Lian Yeo; Yvonne Peng Mei NG; Kenny Teong Tai EE; Mei Chien Chua; Woei Bing Poon; Zubair Amin

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Guidance for the clinical management of infants born to mothers with suspected/confirmed COVID-19 in Singapore.

Author: Kee Thai YEO ^{1
,

2
,

3} ; Agnihotri BISWAS ^{4
,

5} ; Selina Kah YING HO ^{6
,

7
,

8
,

9} ; Juin Yee KONG ^{1
,

2
,

5
,

7} ; Srabani BHARADWAJ ^{6
,

7
,

8
,

9} ; Amutha CHINNADURAI ^{4
,

5} ; Wai Yan YIP ^{1
,

2
,

5
,

7} ; Nurli Fadhillah AB LATIFF ¹⁰ ; Bin Huey QUEK ^{1
,

2
,

5
,

7} ; Cheo Lian YEO ^{6
,

7
,

8
,

9} ; Yvonne Peng MEI NG ^{4
,

5} ; Kenny Teong TAI EE ¹¹ ; Mei Chien CHUA ^{1
,

2
,

5
,

7} ; Woei Bing POON ^{6
,

7
,

8
,

9} ; Zubair AMIN ^{4
,

5}
Author Information

1. Department of Neonatology, KK Women's and Children's Hospital
2. Duke-NUS Medical School
3. Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
4. Department of Neonatology, KhooTeckPuat-National University Children's Medical Institute, National University Health System
5. Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
6. Duke-NUS Medical School
7. Lee Kong Chian School of Medicine, Nanyang Technological University
8. Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore
9. Department of Neonatal and Developmental Medicine, Singapore General Hospital, Singapore.
10. Division of Nursing, KK Women's and Children's Hospital, Singapore.
11. Kinder Clinic, Singapore.
Publication Type:Review
Keywords: COVID-19; neonate; perinatal care; practice guidelines; transmission
MeSH: Infant, Newborn; Pregnancy; Female; Humans; Mothers; COVID-19/epidemiology*; Singapore/epidemiology*; COVID-19 Testing; Pandemics/prevention & control*; Infectious Disease Transmission, Vertical/prevention & control*; Pregnancy Complications, Infectious/prevention & control*
From:Singapore medical journal 2022;63(9):489-496
CountrySingapore
Language:English
Abstract: In this paper, we provide guidance to clinicians who care for infants born to mothers with suspected/confirmed COVID-19 during this current pandemic. We reviewed available literature and international guidelines based on the following themes: delivery room management; infection control and prevention strategies; neonatal severe acute respiratory syndrome coronavirus 2 testing; breastfeeding and breastmilk feeding; rooming-in of mother-infant; respiratory support precautions; visiting procedures; de-isolation and discharge of infant; outpatient clinic attendance; transport of infant; and training of healthcare staff. This guidance for clinical care was proposed and contextualised for the local setting via consensus by members of this workgroup and was based on evidence available as of 31 July 2020, and may change as new evidence emerges.