Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for SARS-CoV-2: a prospective observational study
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- dc.contributor.author Mejía Jiménez, I.
- dc.contributor.author Salvador López, R.
- dc.contributor.author García Rosas, Emérita
- dc.contributor.author Rodríguez de la Torre, I.
- dc.contributor.author Montes García, J.
- dc.contributor.author de la Cruz Conty, M.L.
- dc.contributor.author Martínez Pérez, Oscar
- dc.contributor.author Spanish Obstetric Emergency Group
- dc.date.accessioned 2021-05-26T07:33:02Z
- dc.date.available 2021-05-26T07:33:02Z
- dc.date.issued 2021
- dc.description.abstract Objective: To demonstrate that delayed cord clamping (DCC) is safe in mothers with confirmed SARS-CoV-2 infection. Design, setting and participants: Prospective observational study involving epidemiological information from 403 pregnant women with SARS-CoV-2 between 1 March and 31 May 2020. Data were collected from 70 centres that participate in the Spanish Registry of COVID-19. Methods: Patients' information was collected from their medical chart. Main outcomes and measures: The rate of perinatal transmission of SARS-CoV-2 and development of the infection in neonates within 14 days postpartum. Results: The early cord clamping (ECC) group consisted of 231 infants (57.3%) and the DCC group consisted of 172 infants (42.7%). Five positive newborns (1.7% of total tests performed) were identified with the nasopharyngeal PCR tests performed in the first 12 hours postpartum, two from the ECC group (1.7%) and three from the DCC group (3.6%). No significant differences between groups were found regarding neonatal tests for SARS-CoV-2. No confirmed cases of vertical transmission were detected. The percentage of mothers who made skin-to-skin contact within the first 24 hours after delivery was significantly higher in the DCC group (84.3% versus 45.9%). Breastfeeding in the immediate postpartum period was also significantly higher in the DCC group (77.3% versus 50.2%). Conclusions: The results of our study show no differences in perinatal outcomes when performing ECC or DCC, and skin-to-skin contact, or breastfeeding.
- dc.format.mimetype application/pdf
- dc.identifier.citation Mejía Jiménez I, Salvador López R, García Rosas E, Rodriguez de la Torre I, Montes García J, de la Cruz Conty ML, et al. Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for SARS-CoV-2: a prospective observational study. BJOG. 2021 Apr; 128(5): 908-15. DOI: 10.1111/1471-0528.16597
- dc.identifier.doi http://dx.doi.org/10.1111/1471-0528.16597
- dc.identifier.issn 1470-0328
- dc.identifier.uri http://hdl.handle.net/10230/47655
- dc.language.iso eng
- dc.publisher Wiley-Blackwell
- dc.rights This is the pre-peer reviewed version of the following article: Mejía Jiménez I, Salvador López R, García Rosas E, Rodriguez de la Torre I, Montes García J, de la Cruz Conty ML, et al. Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for SARS-CoV-2: a prospective observational study. BJOG. 2021 Apr; 128(5): 908-15, which has been published in final form at http://dx.doi.org/10.1111/1471-0528.16597. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Breastfeeding
- dc.subject.keyword COVID-19
- dc.subject.keyword SARS-CoV-2
- dc.subject.keyword Safety
- dc.subject.keyword Skin-to-skin
- dc.subject.keyword Umbilical cord clamping
- dc.subject.keyword Vertical transmission
- dc.title Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for SARS-CoV-2: a prospective observational study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion