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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.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: David A. Kaufman, MD, Department of Pediatrics 800386, University of Virginia School of Medicine, 3747 Old Medical School, Charlottesville, VA 22908 (firstname.lastname@example.org).
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.
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