Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth
To assess the impact of separation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive mother–newborn dyads on breastfeeding outcomes. This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone H...
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| Veröffentlicht in: | The Journal of pediatrics 2020-11, Vol.226, p.64-70 |
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| creator | Popofsky, Stephanie Noor, Asif Leavens-Maurer, Jill Quintos-Alagheband, Maria Lyn Mock, Ann Vinci, Alexandra Magri, Eileen Akerman, Meredith Noyola, Estela Rigaud, Mona Pak, Billy Lighter, Jennifer Ratner, Adam J. Hanna, Nazeeh Krilov, Leonard |
| description | To assess the impact of separation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive mother–newborn dyads on breastfeeding outcomes.
This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19).
Of the 160 mother–newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P |
| doi_str_mv | 10.1016/j.jpeds.2020.08.004 |
| format | Article |
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This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19).
Of the 160 mother–newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P < .001) and at home (P = .012). Only 2 mothers in each group reported expressed breast milk as the hospital feeding source (5.6% of unseparated vs 4.1% of separated). COVID-19 was more commonly cited as the reason for change in the separated group (49.0% vs 16.7%; P < .001). When the dyads were further stratified by symptom status into 4 groups—asymptomatic separated, asymptomatic unseparated, symptomatic separated, and symptomatic unseparated—the results remained unchanged.
In the setting of COVID-19, separation of mother–newborn dyads impacts breastfeeding outcomes, with lower rates of breastfeeding both during hospitalization and at home following discharge compared with unseparated mothers and infants. No evidence of vertical transmission was observed; 1 case of postnatal transmission occurred from an unmasked symptomatic mother who held her infant at birth.</description><identifier>ISSN: 0022-3476</identifier><identifier>ISSN: 1097-6833</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2020.08.004</identifier><identifier>PMID: 32791077</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Breast Feeding - psychology ; Breast Feeding - statistics & numerical data ; breastfeeding ; COVID-19 - diagnosis ; COVID-19 - prevention & control ; COVID-19 - psychology ; COVID-19 - transmission ; COVID-19 Nucleic Acid Testing ; Female ; Hospitalization ; Humans ; Infant Care - methods ; Infant Care - psychology ; Infant Care - statistics & numerical data ; Infant, Newborn ; Infectious Disease Transmission, Vertical - prevention & control ; Infectious Disease Transmission, Vertical - statistics & numerical data ; isolation precautions ; Kaplan-Meier Estimate ; Longitudinal Studies ; Male ; Maternal Behavior ; mother–baby separation ; Original ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; SARS-CoV-2 ; Young Adult</subject><ispartof>The Journal of pediatrics, 2020-11, Vol.226, p.64-70</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020 Elsevier Inc. All rights reserved. 2020 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-1fee23f406fb666258d65bc33e82b9480f264b8196629927dc403b3c25e12c873</citedby><cites>FETCH-LOGICAL-c459t-1fee23f406fb666258d65bc33e82b9480f264b8196629927dc403b3c25e12c873</cites><orcidid>0000-0002-1593-0943</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347620309860$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32791077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Popofsky, Stephanie</creatorcontrib><creatorcontrib>Noor, Asif</creatorcontrib><creatorcontrib>Leavens-Maurer, Jill</creatorcontrib><creatorcontrib>Quintos-Alagheband, Maria Lyn</creatorcontrib><creatorcontrib>Mock, Ann</creatorcontrib><creatorcontrib>Vinci, Alexandra</creatorcontrib><creatorcontrib>Magri, Eileen</creatorcontrib><creatorcontrib>Akerman, Meredith</creatorcontrib><creatorcontrib>Noyola, Estela</creatorcontrib><creatorcontrib>Rigaud, Mona</creatorcontrib><creatorcontrib>Pak, Billy</creatorcontrib><creatorcontrib>Lighter, Jennifer</creatorcontrib><creatorcontrib>Ratner, Adam J.</creatorcontrib><creatorcontrib>Hanna, Nazeeh</creatorcontrib><creatorcontrib>Krilov, Leonard</creatorcontrib><title>Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>To assess the impact of separation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive mother–newborn dyads on breastfeeding outcomes.
This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19).
Of the 160 mother–newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P < .001) and at home (P = .012). Only 2 mothers in each group reported expressed breast milk as the hospital feeding source (5.6% of unseparated vs 4.1% of separated). COVID-19 was more commonly cited as the reason for change in the separated group (49.0% vs 16.7%; P < .001). When the dyads were further stratified by symptom status into 4 groups—asymptomatic separated, asymptomatic unseparated, symptomatic separated, and symptomatic unseparated—the results remained unchanged.
In the setting of COVID-19, separation of mother–newborn dyads impacts breastfeeding outcomes, with lower rates of breastfeeding both during hospitalization and at home following discharge compared with unseparated mothers and infants. No evidence of vertical transmission was observed; 1 case of postnatal transmission occurred from an unmasked symptomatic mother who held her infant at birth.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Breast Feeding - psychology</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>breastfeeding</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 - psychology</subject><subject>COVID-19 - transmission</subject><subject>COVID-19 Nucleic Acid Testing</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant Care - methods</subject><subject>Infant Care - psychology</subject><subject>Infant Care - statistics & numerical data</subject><subject>Infant, Newborn</subject><subject>Infectious Disease Transmission, Vertical - prevention & control</subject><subject>Infectious Disease Transmission, Vertical - statistics & numerical data</subject><subject>isolation precautions</subject><subject>Kaplan-Meier Estimate</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Maternal Behavior</subject><subject>mother–baby separation</subject><subject>Original</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>SARS-CoV-2</subject><subject>Young Adult</subject><issn>0022-3476</issn><issn>1097-6833</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhiMEokvhFyAhH7kkjD_WSQ4gtVs-VipConC2HGfSepXYwXZW2hN_HS9bKrggjTSHeeeZ0fsWxUsKFQUq3-yq3Yx9rBgwqKCpAMSjYkWhrUvZcP64WAEwVnJRy7PiWYw7AGgFwNPijLO6pVDXq-Lndpq1ScQP5LNOGJweyQ3uMSC5MEtC8hXjbINOPhzIzcH1wU9INj54p_c2LJEwcoUJTbLekVyXAXVMA2Jv3S25WpAkT7Zu0C5l8Kwz6qjUiVzakO6eF08GPUZ8cd_Pi-8f3n_bfCqvv3zcbi6uSyPWbSppBjI-CJBDJ6Vk66aX685wjg3rWtHAwKToGtrmWduyujcCeMcNWyNlpqn5efHuxJ2XbsLeoEtBj2oOdtLhoLy26t-Js3fq1u9VLaikFDLg9T0g-B8LxqQmGw2Oo3bol6iY4ELUvJYsS_lJaoKPMeDwcIaCOkandup3dOoYnYJG5ejy1qu_P3zY-ZNVFrw9CTD7tLcYVDQWnclOh-y_6r3974FfIJetHw</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Popofsky, Stephanie</creator><creator>Noor, Asif</creator><creator>Leavens-Maurer, Jill</creator><creator>Quintos-Alagheband, Maria Lyn</creator><creator>Mock, Ann</creator><creator>Vinci, Alexandra</creator><creator>Magri, Eileen</creator><creator>Akerman, Meredith</creator><creator>Noyola, Estela</creator><creator>Rigaud, Mona</creator><creator>Pak, Billy</creator><creator>Lighter, Jennifer</creator><creator>Ratner, Adam J.</creator><creator>Hanna, Nazeeh</creator><creator>Krilov, Leonard</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1593-0943</orcidid></search><sort><creationdate>20201101</creationdate><title>Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth</title><author>Popofsky, Stephanie ; Noor, Asif ; Leavens-Maurer, Jill ; Quintos-Alagheband, Maria Lyn ; Mock, Ann ; Vinci, Alexandra ; Magri, Eileen ; Akerman, Meredith ; Noyola, Estela ; Rigaud, Mona ; Pak, Billy ; Lighter, Jennifer ; Ratner, Adam J. ; Hanna, Nazeeh ; Krilov, Leonard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-1fee23f406fb666258d65bc33e82b9480f264b8196629927dc403b3c25e12c873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Breast Feeding - psychology</topic><topic>Breast Feeding - statistics & numerical data</topic><topic>breastfeeding</topic><topic>COVID-19 - diagnosis</topic><topic>COVID-19 - prevention & control</topic><topic>COVID-19 - psychology</topic><topic>COVID-19 - transmission</topic><topic>COVID-19 Nucleic Acid Testing</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant Care - methods</topic><topic>Infant Care - psychology</topic><topic>Infant Care - statistics & numerical data</topic><topic>Infant, Newborn</topic><topic>Infectious Disease Transmission, Vertical - prevention & control</topic><topic>Infectious Disease Transmission, Vertical - statistics & numerical data</topic><topic>isolation precautions</topic><topic>Kaplan-Meier Estimate</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Maternal Behavior</topic><topic>mother–baby separation</topic><topic>Original</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - diagnosis</topic><topic>SARS-CoV-2</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Popofsky, Stephanie</creatorcontrib><creatorcontrib>Noor, Asif</creatorcontrib><creatorcontrib>Leavens-Maurer, Jill</creatorcontrib><creatorcontrib>Quintos-Alagheband, Maria Lyn</creatorcontrib><creatorcontrib>Mock, Ann</creatorcontrib><creatorcontrib>Vinci, Alexandra</creatorcontrib><creatorcontrib>Magri, Eileen</creatorcontrib><creatorcontrib>Akerman, Meredith</creatorcontrib><creatorcontrib>Noyola, Estela</creatorcontrib><creatorcontrib>Rigaud, Mona</creatorcontrib><creatorcontrib>Pak, Billy</creatorcontrib><creatorcontrib>Lighter, Jennifer</creatorcontrib><creatorcontrib>Ratner, Adam J.</creatorcontrib><creatorcontrib>Hanna, Nazeeh</creatorcontrib><creatorcontrib>Krilov, Leonard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Popofsky, Stephanie</au><au>Noor, Asif</au><au>Leavens-Maurer, Jill</au><au>Quintos-Alagheband, Maria Lyn</au><au>Mock, Ann</au><au>Vinci, Alexandra</au><au>Magri, Eileen</au><au>Akerman, Meredith</au><au>Noyola, Estela</au><au>Rigaud, Mona</au><au>Pak, Billy</au><au>Lighter, Jennifer</au><au>Ratner, Adam J.</au><au>Hanna, Nazeeh</au><au>Krilov, Leonard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>226</volume><spage>64</spage><epage>70</epage><pages>64-70</pages><issn>0022-3476</issn><issn>1097-6833</issn><eissn>1097-6833</eissn><abstract>To assess the impact of separation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive mother–newborn dyads on breastfeeding outcomes.
This observational longitudinal cohort study of mothers with SARS-CoV-2 PCR-and their infants at 3 NYU Langone Health hospitals was conducted between March 25, 2020, and May 30, 2020. Mothers were surveyed by telephone regarding predelivery feeding plans, in-hospital feeding, and home feeding of their neonates. Any change prompted an additional question to determine whether this change was due to coronavirus disease-2019 (COVID-19).
Of the 160 mother–newborn dyads, 103 mothers were reached by telephone, and 85 consented to participate. There was no significant difference in the predelivery feeding plan between the separated and unseparated dyads (P = .268). Higher rates of breastfeeding were observed in the unseparated dyads compared with the separated dyads both in the hospital (P < .001) and at home (P = .012). Only 2 mothers in each group reported expressed breast milk as the hospital feeding source (5.6% of unseparated vs 4.1% of separated). COVID-19 was more commonly cited as the reason for change in the separated group (49.0% vs 16.7%; P < .001). When the dyads were further stratified by symptom status into 4 groups—asymptomatic separated, asymptomatic unseparated, symptomatic separated, and symptomatic unseparated—the results remained unchanged.
In the setting of COVID-19, separation of mother–newborn dyads impacts breastfeeding outcomes, with lower rates of breastfeeding both during hospitalization and at home following discharge compared with unseparated mothers and infants. No evidence of vertical transmission was observed; 1 case of postnatal transmission occurred from an unmasked symptomatic mother who held her infant at birth.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32791077</pmid><doi>10.1016/j.jpeds.2020.08.004</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1593-0943</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Breast Feeding - psychology Breast Feeding - statistics & numerical data breastfeeding COVID-19 - diagnosis COVID-19 - prevention & control COVID-19 - psychology COVID-19 - transmission COVID-19 Nucleic Acid Testing Female Hospitalization Humans Infant Care - methods Infant Care - psychology Infant Care - statistics & numerical data Infant, Newborn Infectious Disease Transmission, Vertical - prevention & control Infectious Disease Transmission, Vertical - statistics & numerical data isolation precautions Kaplan-Meier Estimate Longitudinal Studies Male Maternal Behavior mother–baby separation Original Pregnancy Pregnancy Complications, Infectious - diagnosis SARS-CoV-2 Young Adult |
| title | Impact of Maternal Severe Acute Respiratory Syndrome Coronavirus 2 Detection on Breastfeeding Due to Infant Separation at Birth |
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