Features of nursing newborns from mothers with a new coronavirus infection COVID-19 in the conditions of a regional perinatal center

• Galina Yu. Model
• Inna A. Tokovaya
• Oksana V. Eremina
• Anastasia R. Lapita

Abstract

Aim of the study – comprehensive assessment of factors harming the newborns of mothers in COVID-19. The definition of perinatal and neonatal outcomes in newborns exposed to SARS-CoV-2.

Material and methods. A retrospective study was conducted in the Department of Neonatal Intensive Care (3^rd level) of the Regional Clinical Hospital #2. The ward is a separate division of the Perinatal Center (Ministry of Health of the Krasnodar Territory). Ninety-two newborns were included in the study. The gestational age was between the 22^nd and 41^st weeks of gestation (average 35 weeks). Mothers have confirmed new coronavirus infection or in the group of risk.

Results and discussion. Clinical experience received in the health management of newborns has shown that there were different criteria of disadaptation in the early neonatal period. Children have had a high incidence of respiratory disorders and can require respiratory therapy, early hemodynamic failure, and a tendency to hemorrhagic complications. A significant proportion of them had the signs of infectious diseases specific to the perinatal period. Babies from mothers with severe COVID-19 had at high risk of severe perinatal asphyxia. Adverse neonatal outcomes in newborns were associated with severe prematurity or the presence of co-morbidities.

Conclusion. The differential diagnostics of the new coronavirus infection in a newborn without the specific clinical manifestations and the violence of adaptation in the early neonatal period will require the development plan of the routing and assistance for the third-level institutions.

Keywords:novel coronavirus infection (COVID-19); mothers with COVID-19; fetus; newborns; transplacental transmission of SARS-CoV-2

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