Evidence map›Paper›PMID 33923642›Full record

ArticleInternational journal of environmental research and public health2021

Childbirth Care among SARS-CoV-2 Positive Women in Italy.

Serena Donati, Edoardo Corsi, Michele Antonio Salvatore, Alice Maraschini, Silvia Bonassisa, Paola Casucci, Ilaria Cataneo, Irene Cetin, Paola D'Aloja, Gabriella Dardanoni and 35 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  11. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

45 authors at 20 institutions in 1 country.

Serena DonatiNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità-Viale Regina Elena 299, 00161 Rome, Italy.
Edoardo CorsiDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Montpellier 1, 00133 Rome, Italy.ORCID 0000-0003-1337-2666
Michele Antonio SalvatoreNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità-Viale Regina Elena 299, 00161 Rome, Italy.
Alice MaraschiniNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità-Viale Regina Elena 299, 00161 Rome, Italy.ORCID 0000-0003-4754-5385
Silvia BonassisaDepartment of Obstetrics and Gynecology, University Hospital Maggiore della Carità, 28100 Novara, Italy.
Paola CasucciSistema Informativo e Mobilità Sanitaria, Umbria Region, 06121 Perugia, Italy.
Ilaria CataneoDepartment of Obstetrics and Gynecology, Ospedale Maggiore, 40133 Bologna, Italy.
Irene CetinUnit of Obstetrics and Gynecology, Hospital V. Buzzi, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences, University of Milan, 20154 Milan, Italy.ORCID 0000-0002-9217-3034
Paola D'AlojaNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità-Viale Regina Elena 299, 00161 Rome, Italy.
Gabriella DardanoniOsservatorio Epidemiologico Assessorato Salute Regione Siciliana, Sicily Region, 90145 Palermo, Italy.
Elena De AmbrosiOspedale Infermi, 47923 Rimini, Italy.
Enrico FerrazziUnit of Obstetrics, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 55031 Milan, Italy.
Stefania FieniDepartment of Obstetrics and Gynecology, University Hospital of Parma, 43126 Parma, Italy.
Massimo Piergiuseppe FranchiDepartment of Obstetrics and Gynecology, University Hospital of Verona, 37126 Verona, Italy.
Gianluigi GargantiniMaternal and Child Committee-Lombardy Region, 20124 Milan, Italy.
Enrico IurlaroUnit of Obstetrics, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 55031 Milan, Italy.
Livio LeoHospital "Beauregard" Valle D'Aosta, 11100 Aosta, Italy.
Marco LiberatiD'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0001-7034-0973
Stefania LivioUnit of Obstetrics and Gynecology, Hospital V. Buzzi, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences, University of Milan, 20154 Milan, Italy.
Mariavittoria LocciFederico II University of Naples, 80138 Naples, Italy.
Luca MarozioDepartment of Obstetrics and Gynecology, University of Turin, 10124 Turin, Italy.
Claudio MartiniTerritorio e Integrazione Ospedale Territorio, Marche Region, 60122 Ancona, Italy.
Gianpaolo MasoObstetrics and Gynecology, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Federico MecacciDepartment of Biomedical, Division of Obstetrics and Gynecology, Experimental and Clinical Sciences, University of Florence, 50134 Florence, Italy.
Alessandra MeloniMaternal and Neonatal Department, Azienda Ospedaliero Universitaria, 09042 Cagliari, Italy.
Anna Domenica MignuoliDipartimento Regionale Tutela della Salute, Calabria Region, 88100 Reggio Calabria, Italy.
Luisa PatanèDepartment of Obstetrics and Gynecology, ASST Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Edda PellegriniMaternal and Child Committee-Lombardy Region, 20124 Milan, Italy.
Francesca PerottiDepartment of Obstetrics and Gynecology, IRCCS Policlinico San Matteo Foundation, University of Pavia, 27100 Pavia, Italy.
Enrica PerroneServizio Assistenza Territoriale, Direzione Generale Cura Della Persona, Salute e Welfare, Emilia-Romagna Region, 40127 Bologna, Italy.
Federico PrefumoDepartment of Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, ASST Spedali Civili, University of Brescia, 25123 Brescia, Italy.ORCID 0000-0001-7793-714X
Luca RamenghiNeonatal Intensive Care Unit, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.
Raffaella RuscianiDepartment of Epidemiology, ASL TO3 Piedmont Region, 10095 Turin, Italy.
Valeria SavasiUnit of Obstetrics and Gynecology, Department of Biomedical and Clinical Sciences, ASST Fatebenefratelli Sacco, University of Milan, 20157 Milan, Italy.ORCID 0000-0002-1476-7689
Sergio Crescenzo Antonio SchettiniCenter for Reproductive Medicine of "San Carlo" Hospital, 85100 Potenza, Italy.
Daniela SimeoneOspedale Civile Antonio Cardarelli, 86100 Campobasso, Italy.
Serena SimeoneDepartment of Woman and Child's Health, Careggi University Hospital, 50141 Florence, Italy.ORCID 0000-0002-6777-2916
Arsenio SpinilloDepartment of Obstetrics and Gynecology, IRCCS Policlinico San Matteo Foundation, University of Pavia, 27100 Pavia, Italy.
Martin SteinkassererCentral Teaching Hospital of Bozen, Division of Gynecology and Obstetrics, 39100 Bozen, Italy.
Saverio TateoSanta Chiara Hospital, 38122 Trento, Italy.
Giliana TernelliObstetrics and Gynecology Unit, Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Roberta TironiOspedale Manzoni, 23900 Lecco, Italy.
Vito TrojanoMater Dei Hospital, 70125 Bari, Italy.
Patrizia VerganiDepartment of Obstetrics and Gynecology, MBBM Foundation/San Gerardo Hospital, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0001-5028-0045
Sara ZullinoDepartment of Experimental and Clinical Medicine, Division of Obstetrics and Gynecology, University of Pisa, 56126 Pisa, Italy.
Istituto Superiore di Sanità · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITRegione LombardiaUniversity of Pavia · ITAlessandro Manzoni Hospital · ITAssociazione Italiana Arbitri · ITAzienda Ospedaliero-Universitaria Cagliari · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda USL della Valle d’Aosta · ITIRCCS Materno Infantile Burlo Garofolo · ITIstituto Giannina Gaslini · ITOspedale Infermi di Rimini · ITOspedale Papa Giovanni XXIII · ITOspedale San Carlo · ITOspedale Santa Chiara · ITRegione Siciliana · ITRegione UmbriaTorino e-district · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The new coronavirus emergency spread to Italy when little was known about the infection's impact on mothers and newborns. This study aims to describe the extent to which clinical practice has protected childbirth physiology and preserved the mother-child bond during the first wave of the pandemic in Italy. A national population-based prospective cohort study was performed enrolling women with confirmed SARS-CoV-2 infection admitted for childbirth to any Italian hospital from 25 February to 31 July 2020. All cases were prospectively notified, and information on peripartum care (mother-newborn separation, skin-to-skin contact, breastfeeding, and rooming-in) and maternal and perinatal outcomes were collected in a structured form and entered in a web-based secure system. The paper describes a cohort of 525 SARS-CoV-2 positive women who gave birth. At hospital admission, 44.8% of the cohort was asymptomatic. At delivery, 51.9% of the mothers had a birth support person in the delivery room; the average caesarean section rate of 33.7% remained stable compared to the national figure. On average, 39.0% of mothers were separated from their newborns at birth, 26.6% practised skin-to-skin, 72.1% roomed in with their babies, and 79.6% of the infants received their mother's milk. The infants separated and not separated from their SARS-CoV-2 positive mothers both had good outcomes. At the beginning of the pandemic, childbirth raised awareness and concern due to limited available evidence and led to "better safe than sorry" care choices. An improvement of the peripartum care indicators was observed over time.

Indexed as

COVID-19Pregnancy Complications, InfectiousCesarean SectionChildFemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalItalyPregnancyProspective StudiesSARS-CoV-2birthbreastfeedingCOVID-19perinatal carepregnancySARS-CoV-2

Identifiers

PMID33923642
PMCPMC8074190
OpenAlexW3156709269

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.