Infants Born to Mothers With COVID-19 | Neonatology | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Infants Born to Mothers With COVID-19—Making Room for Rooming-in

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

From the beginning of the coronavirus disease 2019 (COVID-19) pandemic, clinicians in all specialties have been challenged to offer optimal care to infected patients and good counsel to persons potentially affected by the novel virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Professional societies have also had difficulty in providing clinical guidance in the absence of the type of peer-reviewed evidence to which modern medicine has grown accustomed. Developing guidance for pregnant mothers and their newborns was particularly problematic in the initial stages of the pandemic, given that we knew little beyond this: the virus was very contagious, and it was killing people across the world. The American Academy of Pediatrics (AAP) initially recommended infection control practices that included temporary maternal-infant physical separation to protect newborns from acquiring SARS-CoV-2 infection from mothers with COVID-19 at the time of delivery. This recommendation ran counter to mother-infant rooming-in practices usually endorsed by the AAP: practices with multiple advantages to the dyad including supporting effective breastfeeding.1 In this issue of JAMA Pediatrics, Ronchi et al2 evaluate the safety of infection control practices that include rooming-in for infants born to SARS-CoV-2–infected mothers. This study adds to recent publications and registry observations that are building the evidence base that informs evolving clinical guidance.

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Article Information

Corresponding Author: David A. Kaufman, MD, Department of Pediatrics 800386, University of Virginia School of Medicine, 3747 Old Medical School, Charlottesville, VA 22908 (davidkaufman@virginia.edu).

Published Online: December 7, 2020. doi:10.1001/jamapediatrics.2020.5100

Conflict of Interest Disclosures: Dr Puopolo reported being a member of the American Academy of Pediatrics writing group responsible for neonatal COVID-19 guidance. No other disclosures were reported.

References
1.
Feldman-Winter  L , Goldsmith  JP ; Committee on Fetus and Newborn; Task Force on Sudden Infant Death Syndrome.  Safe sleep and skin-to-skin care in the neonatal period of healthy term newborns.   Pediatrics. 2016;138(3):e20161889. Published online August 22, 2016. doi:10.1542/peds.2016-1889 PubMedGoogle Scholar
2.
Ronchi  A , Pietrasanta  C , Zavattoni  M ,  et al.  Evaluation of rooming-in practice for neonates born to mothers with severe acute respiratory syndrome coronavirus 2 infection in Italy.   JAMA Pediatr. Published online December 7, 2020. doi:10.1001/jamapediatrics.2020.5086Google Scholar
3.
Salvatore  CM , Han  J-Y , Acker  KP ,  et al.  Neonatal management and outcomes during the COVID-19 pandemic: an observational cohort study.   Lancet Child Adolesc Health. 2020;4(10):721-727. doi:10.1016/S2352-4642(20)30235-2 PubMedGoogle ScholarCrossref
4.
Pique-Regi  R , Romero  R , Tarca  AL ,  et al.  Does the human placenta express the canonical cell entry mediators for SARS-CoV-2?   Elife. 2020;9:e58716. doi:10.7554/eLife.58716 PubMedGoogle Scholar
5.
Arora  N , Sadovsky  Y , Dermody  TS , Coyne  CB .  Microbial vertical transmission during human pregnancy.   Cell Host Microbe. 2017;21(5):561-567. doi:10.1016/j.chom.2017.04.007PubMedGoogle ScholarCrossref
6.
Centers for Disease Control and Prevention. Discontinuation of transmission-based precautions and disposition of patients with COVID-19 in healthcare settings (interim guidance). Accessed August 7, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.html
7.
American Academy of Pediatrics. FAQs: management of infants born to mothers with suspected or confirmed COVID-19. Accessed August 4, 2020. https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/faqs-management-of-infants-born-to-covid-19-mothers/
8.
Heald-Sargent  T , Muller  WJ , Zheng  X , Rippe  J , Patel  AB , Kociolek  LK .  Age-related differences in nasopharyngeal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) levels in patients with mild to moderate coronavirus disease 2019 (COVID-19).   JAMA Pediatr. 2020;174(9):902-903. doi:10.1001/jamapediatrics.2020.3651 PubMedGoogle Scholar
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close