COVID-19 and Neonatal Resuscitation: Editorial Note

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Editorial Note

Neonatology Published online: April 23, 2020


DOI: 10.1159/000508003

COVID-19 and Neonatal


Resuscitation

In this issue of Neonatology, we publish two papers We hope that you find the recommendations con-
with suggestions for neonatal resuscitation when the tained in these thoughtful reports from Italy [1] and Hong
mother is suspected of having COVID-19 infection [1, 2]. Kong [2] useful and helpful in planning perinatal care for
These papers come from Italy [1] where the COVID-19 infants at risk of developing COVID-19 infection. We
pandemic has resulted in many thousands of deaths and wish all our readers well in their efforts to combat the ef-
from Hong Kong [2] where, in contrast, only 4 lives to fects of this terrible pandemic and salute all those health-
date have been lost to the infection. These differences in care workers in their dedication to the task. We are con-
outcomes between Europe and Asia will need to be ex- vinced that solutions will be found to overcome this dead-
plored in future research studies taking into account de- ly virus.
mographic factors [3] as well as government and medical Henry L. Halliday, Editor-in-Chief
responses. There is uncertainty about whether the CO- Christian P. Speer, Editor-in-Chief
VID-19 virus can be transmitted vertically from mother
to newborn infant either in utero or at birth. Although
vertical transmission seems unlikely, there have been re-
ports of early neonatal infection [4, 5]. Zhu et al. [4] re-
ported some adverse outcomes in 10 babies born to moth- References
ers with COVID-19 infection. These adverse outcomes   1 Trevisanuto D, Moschino L, Doglioni N, Roehr CC, Gervasi MT, Baral-
included fetal distress, premature labor, respiratory dis- di E. Neonatal resuscitation where the mother has a suspected or con-
firmed novel coronavirus (SARS-CoV-2) infection: suggestion for a
tress, thrombocytopenia and abnormal liver function, but pragmatic action plan. Neonatology. 2020. DOI: 10.1159/000507935.
the neonates themselves tested negative for the virus. It is  2 Ng PC. Infection control measures for COVID-19 in labour suite
likely that vertical transmission of the virus did not occur, and neonatal unit – A commentary. Neonatology. 2020. DOI:
10.1159/000508002.
and the neonatal complications were related to preterm   3 Dowd JB, Andriano L, Brazel DM, Rotondi V, Block P, Ding X, et al. De-
delivery [4]. Zhang et al. [5] in a very recent report could mographic science aids in understanding the spread and fatality rates of
only find 4 infected newborns in China and they present- COVID-19 [Online ahead of print]. Proc Natl Acad Sci USA. 2020 Apr;
202004911.
ed aged between 30 h and 17 days after birth suggesting   4 Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, et al. Clinical analy-
nosocomial infection. These babies had mild or no illness, sis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl
none needed intensive care, and all seemed to have recov- Pediatr. 2020 Feb;9(1):51–60.
  5 Zhang ZJ, Yu XJ, Fu T, Liu Y, Jiang Y, Yang BX, et al. Novel coronavirus
ered. Three of the infants had been separated from their infection in newborn babies under 28 days in China. Eur Respir J. 2020
mother right after birth and were not breastfed [5]. Apr;2000697.

© 2020 S. Karger AG, Basel

[email protected]
www.karger.com/neo

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