<i>Bundle</i> para el cuidado de hijos recién nacidos de madres con sospechado o diagnóstico confirmado por COVID-19

Silva, Maria Paula Custódio; Rocha, Nylze Helena Guillarducci; Teixeira, Cinthia Lorena Silva Barbosa; Ued, Flávia da Veiga; Ruiz, Mariana Torreglosa; Contim, Divanice

Maria Paula Custódio Silva

Universidade Federal do Triângulo Mineiro (UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0001-8694-1589

Nylze Helena Guillarducci Rocha

Universidade Federal do Triângulo Mineiro (UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-6615-1667

Cinthia Lorena Silva Barbosa Teixeira

Universidade Federal do Triângulo Mineiro (UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0001-7864-5528

Flávia da Veiga Ued

Universidade Federal do Triângulo Mineiro (UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0003-4746-7882

Mariana Torreglosa Ruiz

Universidade Federal do Triângulo Mineiro (UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-5199-7328

Divanice Contim

Universidade Federal do Triângulo Mineiro (UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0001-5213-1465

Corresponding author:
Maria Paula Custódio Silva Email: maria_paulacs@hotmail.com

Authorship contribution

Maria Paula Custódio Silva - Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Resources, Software, Validation, Writing-original draft, Writing-review & editing. Nylze Helena Guillarducci Rocha - Writing-original draft, Writing-review & editing. Cinthia Lorena Silva Barbosa Teixeira - Writing-review & editing. Flávia da Veiga Ued - Writing-review & editing. Mariana Torreglosa Ruiz - Data curation, Formal analysis, Methodology, Writing-original draft, Writing-review & editing. Divanice Contim - Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing-original draft, Writing-review & editing.

Associate editor

Dagmar Elaine Kaiser

Editor-in-chief

Maria da Graça Oliveira Crossetti

Author/Year	Title/Journal	Recommended care
MEDLINE/PubMed
Amatya et al, 202010. Amatya S, Corr TE, Gandhi CK, Glass KM, Kresch MJ, Mujsce DJ, et al. Management of newborns exposed to mothers with confirmed or suspected COVID-19. J Perinatol. 2020;40(7):987-96. doi: https://doi.org/10.1038/s41372-020-0695-0 https://doi.org/10.1038/s41372-020-0695-... 1010. Amatya S, Corr TE, Gandhi CK, Glass KM, Kresch MJ, Mujsce DJ, et al. Management of newborns exposed to mothers with confirmed or suspected COVID-19. J Perinatol. 2020;40(7):987-96. doi: https://doi.org/10.1038/s41372-020-0695-0 https://doi.org/10.1038/s41372-020-0695-... .	Management of newborns exposed to mothers with confirmed or suspected COVID-19. J Perinatol.	Careful use of personal protective equipment by the health team, long-sleeve disposable apron, surgical mask, face shield, gloves and N95 for procedures that generate aerosols; use of surgical mask for mothers with confirmed diagnosis; timely clamping of the umbilical cord with an obstetrician holding the NB for mothers with suspected or confirmed diagnosis; separating mother and newborn should be a decision together with the family; use of personal protective equipment for companions; promote breastfeeding.
Davanzo et al, 202011. Davanzo R, Moro G, Sandri F, Agosti M, Moretti C, Mosca F. Breastfeeding and coronavirus disease‐2019: ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal & Perinatal Societies. Matern Child Nutr. 2020;16(3):e13010. doi: https://doi.org/10.1111/mcn.13010 https://doi.org/10.1111/mcn.13010... 1111. Davanzo R, Moro G, Sandri F, Agosti M, Moretti C, Mosca F. Breastfeeding and coronavirus disease‐2019: ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal & Perinatal Societies. Matern Child Nutr. 2020;16(3):e13010. doi: https://doi.org/10.1111/mcn.13010 https://doi.org/10.1111/mcn.13010... .	Breastfeeding and coronavirus disease‐2019: Ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal & Perinatal Societies. Maternal & Child Nutrition.	Promote breastfeeding; encourage the use of maternal bed in situations that the mother cannot breastfeed and interaction between the mother-baby binomial; separating mother and newborn should be an individual decision; keep the newborn's crib at a distance of 2 meters from the mother's head; guide the use of surgical masks during breastfeeding and correct hand hygiene; judicious use of personal protective equipment by the health team and companions.
Fernández-Carrasco et al, 202012. Fernández-Carrasco FJ, Vázquez-Lara JM, González-Mey U, Gómez-Salgado J, Parrón-Carreño T, Rodríguez-Díaz L. [Coronavirus Covid-19 infection and breastfeeding: na exploratory review]. Rev Esp Salud Publica. 2020 [cited 2020 Sep 14];27(94):e202005055. Spanish. Available from: https://www.mscbs.gob.es/biblioPublic/publicaciones/recursos_propios/resp/revista_cdrom/VOL94/REVISIONES/RS94C_202005055.pdf https://www.mscbs.gob.es/biblioPublic/pu... 1212. Fernández-Carrasco FJ, Vázquez-Lara JM, González-Mey U, Gómez-Salgado J, Parrón-Carreño T, Rodríguez-Díaz L. [Coronavirus Covid-19 infection and breastfeeding: na exploratory review]. Rev Esp Salud Publica. 2020 [cited 2020 Sep 14];27(94):e202005055. Spanish. Available from: https://www.mscbs.gob.es/biblioPublic/publicaciones/recursos_propios/resp/revista_cdrom/VOL94/REVISIONES/RS94C_202005055.pdf https://www.mscbs.gob.es/biblioPublic/pu... .	Coronavirus Covid-19 infection and breastfeeding: an exploratory review. Rev Esp Salud Publica.	Promote breastfeeding; encourage the use of breast milk in situations that the mother cannot breastfeed; guide the use of surgical masks during breastfeeding and correct hand hygiene.
Freitas et al, 202013. Freitas BHBM, Alves MDSM, Gaíva MAM. Prevention and control measures for neonatal COVID-19 infection: a scoping review. Rev Bras Enferm. 2020;73(Suppl 2):e20200467. doi: https://doi.org/10.1590/0034-7167-2020-0467 https://doi.org/10.1590/0034-7167-2020-0... 1313. Freitas BHBM, Alves MDSM, Gaíva MAM. Prevention and control measures for neonatal COVID-19 infection: a scoping review. Rev Bras Enferm. 2020;73(Suppl 2):e20200467. doi: https://doi.org/10.1590/0034-7167-2020-0467 https://doi.org/10.1590/0034-7167-2020-0... .	Prevention and control measures for neonatal COVID-19 infection: scope review. Rev Bras Enferm.	Judicious use of personal protective equipment by the health team, cap, goggles or face shield, long sleeve disposable apron, gloves, N95 masks; in the delivery room, the mother must wear a surgical mask, suspend skin-to-skin contact and perform timely clamping of the umbilical cord, postpone breastfeeding until the newborn receives hygiene care and preventive measures for contamination by SARS-CoV2; encourage breastfeeding or the use of breast milk in situations that the mother cannot breastfeed, with the use of masks during breastfeeding and correct hand hygiene and utensils necessary for extracting milk. Maintain a minimum distance of one meter between the mother's bed and the newborn's crib; guide companions on the use of personal protective equipment and hand hygiene before and after newborn care.
Genoni et al, 202014. Genoni G, Conio A, Binotti M, Manzoni P, Castagno M, Rabbone I, et al. Management and nutrition of neonates during the COVID-19 pandemic: a review of the existing guidelines and recommendations. Am J Perinatol. 2020;37(S 02):S46-S53. doi: https://doi.org/10.1055/s-0040-1714675 https://doi.org/10.1055/s-0040-1714675... 1414. Genoni G, Conio A, Binotti M, Manzoni P, Castagno M, Rabbone I, et al. Management and nutrition of neonates during the COVID-19 pandemic: a review of the existing guidelines and recommendations. Am J Perinatol. 2020;37(S 02):S46-S53. doi: https://doi.org/10.1055/s-0040-1714675 https://doi.org/10.1055/s-0040-1714675... .	Management and Nutrition of Neonates during the COVID-19 Pandemic: A Review of the Existing Guidelines and Recommendations. Am J Perinatol.	Promote breastfeeding; encourage the use of breast milk in situations that the mother cannot breastfeed; guide the use of surgical masks during feedings; guide correct hand hygiene; separating mother and newborn should be an individualized decision. Chinese recommendations guide to separate the binomial for 14 days.
Marín Gabriel et al, 202015. Marín Gabriel MA, Malalana Martínez AM, Marín Martínez ME, Anel Pedroche J. Negative transmission of SARS-CoV-2 to hand-expressed colostrum from SARS-CoV-2-positive mothers. Breastfeed Med. 2020 Aug;15(8):492-4. doi: https://doi.org/10.1089/bfm.2020.0183 https://doi.org/10.1089/bfm.2020.0183... 1515. Marín Gabriel MA, Malalana Martínez AM, Marín Martínez ME, Anel Pedroche J. Negative transmission of SARS-CoV-2 to hand-expressed colostrum from SARS-CoV-2-positive mothers. Breastfeed Med. 2020 Aug;15(8):492-4. doi: https://doi.org/10.1089/bfm.2020.0183 https://doi.org/10.1089/bfm.2020.0183... .	Negative Transmission of SARS-CoV-2 to Hand-Expressed Colostrum from SARS-CoV-2-Positive Mothers. Breastfeed Med.	Promote and encourage breastfeeding.
Muhidin et al, 202016. Muhidin S, Behboodi Moghadam Z, Vizheh M. Analysis of maternal coronavirus infections and neonates born to mothers with 2019-nCoV; a systematic review. Arch Acad Emerg Med. 2020 [cited 2020 Sep 14];8(1):e49. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211430/ https://www.ncbi.nlm.nih.gov/pmc/article... 1616. Muhidin S, Behboodi Moghadam Z, Vizheh M. Analysis of maternal coronavirus infections and neonates born to mothers with 2019-nCoV; a systematic review. Arch Acad Emerg Med. 2020 [cited 2020 Sep 14];8(1):e49. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211430/ https://www.ncbi.nlm.nih.gov/pmc/article... .	Analysis of Maternal Coronavirus Infections and Neonates Born to Mothers with 2019-nCoV; a Systematic Review. Arch Acad Emerg Med.	Judicious use of personal protective equipment by the health team, hat, protective glasses or face shield, disposable long sleeve apron, gloves, N95 masks.
De Rose et al, 20204. De Rose DU, Piersigilli F, Ronchetti MP, Santisi A, Bersani I, Dotta A, et al. Novel Coronavirus disease (COVID-19) in newborns and infants: what we know so far. Ital J Pediatr. 2020;46:56. doi: https://doi.org/10.1186/s13052-020-0820-x https://doi.org/10.1186/s13052-020-0820-... 44. De Rose DU, Piersigilli F, Ronchetti MP, Santisi A, Bersani I, Dotta A, et al. Novel Coronavirus disease (COVID-19) in newborns and infants: what we know so far. Ital J Pediatr. 2020;46:56. doi: https://doi.org/10.1186/s13052-020-0820-x https://doi.org/10.1186/s13052-020-0820-... .	Novel Coronavirus disease (COVID-19) in newborns and infants: what we know so far. Ital J Pediatr.	Judicious use of personal protective equipment by the health team, cap, goggles or face shield, long sleeve disposable apron, gloves, N95 masks; keep the newborn's crib at a distance of 2 m from the mother's head; guide the use of surgical masks and the hygiene of mothers in the rooming-in care for mothers and companions.
LILACS/BVS
Mascarenhas, et al, 202017. Mascarenhas VHA, Caroci-Becker A, Venâncio KCMP, Baraldi NG, Durkin AC, Riesco MLG. Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review. Rev Latino-Am Enfermagem. 2020;28:e3359. doi: https://doi.org/10.1590/1518-8345.4596.3359 https://doi.org/10.1590/1518-8345.4596.3... 1717. Mascarenhas VHA, Caroci-Becker A, Venâncio KCMP, Baraldi NG, Durkin AC, Riesco MLG. Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review. Rev Latino-Am Enfermagem. 2020;28:e3359. doi: https://doi.org/10.1590/1518-8345.4596.3359 https://doi.org/10.1590/1518-8345.4596.3... .	Care recommendations for parturient, puerperal and newborn during the COVID-19 pandemic: scope review. Rev Latino-Am Enfermagem.	Judicious use of personal protective equipment by the health team, cap, goggles or face shield, long sleeve disposable apron, gloves, N95 masks; during cesarean section, pregnant women who are not under general anesthesia should wear surgical masks throughout the delivery; promote breastfeeding; encourage the use of breast milk in situations that the mother cannot breastfeed; guide the use of surgical masks during feedings; guide correct hand hygiene.
Other sources/manual Search
Dotters-Katz et al, 202018. Dotters-Katz SK, Hughes BL. Considerations for obstetric care during the COVID-19 pandemic. Am J Perinatol. 2020;37(8):773-9. doi: https://doi.org/10.1055/s-0040-1710051 https://doi.org/10.1055/s-0040-1710051... 1818. Dotters-Katz SK, Hughes BL. Considerations for obstetric care during the COVID-19 pandemic. Am J Perinatol. 2020;37(8):773-9. doi: https://doi.org/10.1055/s-0040-1710051 https://doi.org/10.1055/s-0040-1710051... .	Considerations for Obstetric Care during the COVID-19 Pandemic. Am J Perinatol.	Judicious use of personal protective equipment by the health team, including face shield; keep the newborn's crib at a distance of 2 m from the mother's head; promote breastfeeding; encourage the use of breast milk in situations that the mother cannot breastfeed, guide the use of surgical masks during breastfeeding; guide the correct hand hygiene and utensils necessary for extracting milk, if applicable.
Liu et al, 202019. Liu W, Wang J, Li W, Zhou Z, Liu S, Rong Z. Clinical characteristics of 19 neonates born to mothers with COVID-19. Front Med. 2020;14(2):193-8. doi: https://doi.org/10.1007/s11684-020-0772-y https://doi.org/10.1007/s11684-020-0772-... 1919. Liu W, Wang J, Li W, Zhou Z, Liu S, Rong Z. Clinical characteristics of 19 neonates born to mothers with COVID-19. Front Med. 2020;14(2):193-8. doi: https://doi.org/10.1007/s11684-020-0772-y https://doi.org/10.1007/s11684-020-0772-... .	Clinical characteristics of 19 neonates born to mothers with COVID-19. Front Med.	Separate infected mothers from newborns.
Ministério da Saúde, 202033. Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde. Nota técnica nº14/2020-COCAM/CGCIVI/DAPES/SAPS/MS. Atenção à saúde do recém-nascido no contexto da infecção pelo novo coronavírus (SarsCoV-2). Brasília, DF; 2020 [cited 2020 Oct 30]. Available from: https://rblh.fiocruz.br/sites/rblh.fiocruz.br/files/usuario/116/nova_nt_14_2020.pdf https://rblh.fiocruz.br/sites/rblh.fiocr... .	Technical note nº14/2020. Attention to the health of the newborn in the context of infection with the new coronavirus (SarsCoV-2). Ministry of Health.	For asymptomatic parturient who do not have home contact with a person with flu syndrome or respiratory infection proven by Sars-CoV-2: maintaining the clamping of the umbilical cord at birth in time, skin-to-skin contact and breastfeeding in the first hour of life. For symptomatic parturient or those who have home contact with a person with influenza syndrome or respiratory infection proven by SARS-CoV-2: keep the routine of clamping the umbilical cord timely. Dry the newborn with the cord intact, with no need for a bath immediately after birth. Skin-to-skin contact and breastfeeding may occur after the parturient's hygiene care, including bed bathing, changing of mask, cap, nightgown and sheets. For mothers with flu-like symptoms, keep at least 1 meter and preferably 2 meters between the mother's bed and the newborn's crib, use of a mask by the symptomatic mother during contact for care and during all breastfeeding and proper hand hygiene before and after contact with the child. Promote breastfeeding with recommended precautions, such as wearing masks and hand hygiene.
World Health Organization. 202022. World Health Organization (CH). Clinical management of Severe Acute Respiratory Infection (SARI) when COVID19 disease is suspected: interim guidance 13 March 2020. Geneva: WHO; 2020 [cited 2020 Nov 14 ]. Available from: https://apps.who.int/iris/bitstream/handle/10665/331446/WHO-2019-nCoV-clinical-2020.4-eng.pdf https://apps.who.int/iris/bitstream/hand... .	Clinical Management of Severe Acute Respiratory Infection (SARI) when COVID19 Disease is Suspected. Geneva: World Health Organization.	Mothers with suspected or confirmed COVID-19 should be encouraged to start and continue to breastfeed.

Care	CVI
1. Hand hygiene with water and liquid soap or alcoholic preparation (70%).	1.00
2. Use of personal protective equipment: disposable and waterproof long-sleeved apron, procedure gloves, procedure gloves and hat.	1.00
3. Use mask N95 or PFF2.	0.77
4. Do not position the newborn in the mother's abdomen or chest during cord clamping.	0.83
5. Do not make skin to skin contact in the delivery room.	0.83
6. In the rooming-in care carry out maintenance of breastfeeding.	1.00
7. Guide the breastfeeding mother about preventive measures and the use of masks.	1.00

Care	CVI
1. Hand hygiene with water and liquid soap or alcoholic preparation (70%).	1.00
2. Use of personal protective equipment: disposable and waterproof long-sleeved apron, surgical mask or superior, procedure gloves, goggles, face shield, hat and overshoes. Use N95 or PFF2 mask without filter in procedures that generate aerosol.	1.00
3. Use N95 or PFF2 mask without filter in procedures that generate aerosol.	0.97
4. Do not position the newborn in the abdomen or maternal thorax while clamping the umbilical cord.	0.63
5. Do not make skin to skin contact in the delivery room.	0.63
6. Make skin-to-skin contact in the delivery room using a mask.	0.71
7. In the rooming-in care, carry out the maintenance of breastfeeding.	0.91
8. Guide the breastfeeding mother about preventive measures and the use of masks.	1.00

Care	CVI
1. Hand hygiene with water and liquid soap or alcoholic gel preparation (70%).	1.00
2. Use of personal protective equipment: disposable and waterproof long-sleeved apron, surgical mask or superior, procedure gloves, goggles, face shield, hat and overshoes. Use N95 or PFF2 mask without filter in procedures that generate aerosol.	1.00
3. Make timely clamping of the umbilical cord with a newborn in the mother's abdomen, skin-to-skin contact and breastfeeding in the delivery room of asymptomatic mothers with rigorous use of a surgical mask.	0.88
4. Make skin-to-skin contact and breastfeeding in the delivery room of symptomatic mothers after ensuring the hygiene care of the parturient, including bathing, changing the mask, cap, nightgown and sheets.	0.88
5. In the rooming-in care, carry out maintenance of breastfeeding and skin-to-skin contact with strict use of preventive measures (hand hygiene, one meter distance between beds, use of surgical mask and respiratory etiquette) of asymptomatic and symptomatic mothers.	1.00
6. Guide the mother and companions regarding preventive measures (hand hygiene, use of surgical mask and respiratory etiquette) in the delivery room and in the rooming-in care.	1.00

[1] Corresponding author:
Maria Paula Custódio Silva Email: maria_paulacs@hotmail.com

Brasil

Brasil

Bundle para el cuidado de hijos recién nacidos de madres con sospechado o diagnóstico confirmado por COVID-19

RESUMEN

Objetivo

Método

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Conclusión