Umbilical cord clamping and skin‐to‐skin contact in deliveries from women positive for SARS‐CoV‐2: a prospective observational study

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...

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Bibliographic Details
Published in:	BJOG : an international journal of obstetrics and gynaecology Vol. 128; no. 5; pp. 908 - 915
Main Authors:	Mejía Jiménez, I, Salvador López, R, García Rosas, E, Rodriguez de la Torre, I, Montes García, J, Cruz Conty, ML, Martínez Pérez, O
Format:	Journal Article
Language:	English
Published:	England Wiley Subscription Services, Inc 01-04-2021 John Wiley and Sons Inc
Subjects:	Adult Breast feeding Breast Feeding - methods Breast Feeding - statistics & numerical data Breastfeeding Breastfeeding & lactation Constriction COVID-19 COVID-19 - diagnosis COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 - transmission Delivery, Obstetric - methods Delivery, Obstetric - statistics & numerical data Disease transmission Epidemiology Female Humans Infant, Newborn Infants Infections Infectious Disease Transmission, Vertical - prevention & control Infectious Disease Transmission, Vertical - statistics & numerical data Kangaroo-Mother Care Method - methods Kangaroo-Mother Care Method - statistics & numerical data Neonates Observational studies Original Postpartum Pregnancy Pregnancy Complications, Infectious - diagnosis Pregnancy Complications, Infectious - epidemiology Pregnancy Complications, Infectious - prevention & control Pregnancy Outcome - epidemiology safety SARS-CoV-2 - isolation & purification SARS‐CoV‐2 Severe acute respiratory syndrome coronavirus 2 Skin skin‐to‐skin Spain - epidemiology Time-to-Treatment Umbilical cord Umbilical Cord - surgery umbilical cord clamping vertical transmission Womens health Spain COVID-19 SARS-CoV-2 umbilical cord clamping skin-to-skin safety vertical transmission Breastfeeding
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Summary:	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. Tweetable This study demonstrates that delayed cord clamping is safe in mothers with confirmed SARS‐CoV‐2 infection. Tweetable This study demonstrates that delayed cord clamping is safe in mothers with confirmed SARS‐CoV‐2 infection.
Bibliography:	https://doi.org/10.1111/1471-0528.16607 Linked article This article is commented on by AC Katheria and J Koo, p. 916 in this issue. To view this mini commentary visit . ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 Linked article: This article is commented on by AC Katheria and J Koo, p. 916 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16607. A list of the Spanish Obstetric Emergency Group collaborators appears in the Acknowledgements section.
ISSN:	1470-0328 1471-0528
DOI:	10.1111/1471-0528.16597