Short term outcome of neonates born to mothers with SARS-CoV2 infection

Shweta Pathak, Monica Lazarus, Asha Tiwari


Background: Objectives of the study was to assess the clinical presentation and risk of mother-to-infant transmission of SARS-CoV2 in infants born to mothers with COVID-19 infection.

Methods: This was a prospective observational study. This study was conducted in tertiary care centre and a dedicated covid hospital in central India. Infants born to mothers diagnosed to have COVID-19 at the time of delivery, born between 1 June and 25 September 2020 will be included in the study.

Results: Total 60 infants were born to mothers with COVID-19 at the time of delivery. Three neonates tested positive for SARS-CoV2 after birth-one had mild respiratory symptoms and the other two infants remained well. A preterm baby who was negative for covid died due to extreme prematurity with sepsis (early onset) with respiratory failure on day 4 of life and another baby who was negative died due to hypoxic ischaemic encephalopathy stage 3 with Meconium aspiration syndrome with respiratory failure. Remaining 58 neonates and their mother roomed in while in hospital and all were breast fed. None of the other neonates developed any significant health issues or developed symptoms attributable to SARS CoV2.

Conclusions: The risk of mother-to-infant transmission of SARS-CoV2, in the perinatal period is very low. Breast feeding and rooming in can be practiced safely with adequate infection control precautions with negligible clinical risk to the infant.


Breastfeeding, COVID-19, Newborn

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