Evidence map›Paper›PMID 36846297›Full record

ArticleEClinicalMedicine2023

Born into an isolating world: family-centred care for babies born to mothers with COVID-19.

G Dowse, E J Perkins, H M Stein, G Chidini, O Danhaive, Y N Elsayed, W B Carvalho, N AlNaqeeb, S Rooze, M Cetinkaya and 13 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.7field-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

10 citing papers in PubMed, 16 citations in OpenAlex.

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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

23 authors at 19 institutions in 13 countries.

G DowseNeonatal Research, Murdoch Children's Research Institute, Parkville, Australia.
E J PerkinsNeonatal Research, Murdoch Children's Research Institute, Parkville, Australia.
H M SteinDepartment of Pediatrics, Division of Neonatology, Promedica Ebied Children's Hospital, Toledo, OH, USA.
G ChidiniDepartment of Anaesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
O DanhaiveDivision of Neonatology (Pediatrics), Catholic University of Louvain, Brussels, Belgium.
Y N ElsayedPediatrics, University of Manitoba, Winnipeg, Canada.
W B CarvalhoPediatric Intensive Care/Neonatology of the Department of Pediatrics, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
N AlNaqeebNeonatal Department, AL-Adan Hospital, Ahmadi Area, Kuwait.
S RoozeUnités de Soins Intensifs, Hôpital Universitaire des Enfants Reine Fabiola, Laeken, Belgium.
M CetinkayaHealth Sciences University, Department of Neonatology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
S Vetter-LaracyDivision of Neonatology (Pediatrics), University Hospital Son Espases / Balearic Island Health Research Institute IdISBa, Palma, Spain.
F J Pilar-OrivePediatrics Department, PICU, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, Barakaldo, Spain.
P TorpianoDepartment of Paediatrics and Adolescent Health, Mater Dei Hospital, Msida, Malta.
W A Gonçalves FerriDepartment of Pediatrics, Ribeirão Preto Medical School - University of São Paulo, São Paulo State, Ribeirão Preto, Brazil.
D BuonsensoDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
B RogdoNICU/PICU, Children's Hospital of Eastern Switzerland, St Gallen, Switzerland.
A MedinaPediatric Intensive Care Unit, University Hospital Central de Asturias, Oviedo, Spain.
A PolitoDepartment of Pediatrics, Gynecology and Obstetrics, University Hospital of Geneva, University of Geneva, Geneva, Switzerland.
C N M BrouwerPediatric Intensive Care Unit, Leiden University Medical Center, Leiden, the Netherlands.
M C J KneyberDepartment of Paediatrics, Division of Paediatric Critical Care Medicine, Beatrix Children's Hospital, Groningen, the Netherlands.
D De LucaDivision of Pediatrics and Neonatal Critical Care, "A.Béclère" Medical Centre, Paris Saclay University Hospitals, APHP, Paris, France.
D G TingayNeonatal Research, Murdoch Children's Research Institute, Parkville, Australia.
ESPNIC COVID-19 Paediatric and Neonatal (EPICENTRE) Registry
University Medical Center Groningen · NLThe University of Melbourne · AUUniversidade de São Paulo · BRUniversity of Geneva · CHInserm · FRUniversity of California, San Francisco · USAdan Hospital · KWAgostino Gemelli University Polyclinic · ITBioCruces Health research Institute · ESFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHealth Research Institute of the Balearic Islands · ESLeiden University Medical Center · NLMater Dei Hospital · MTMurdoch Children's Research Institute · AUProMedica Russell J. Ebeid Children's Hospital · USQueen Fabiola Children's University Hospital · BESağlık Bilimleri Üniversitesi · TRUniversity of Manitoba · CAHospital Universitario Central de Asturias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The benefits of facilitating breastmilk feeding and close contact between mother and neonate (family-centred care; FCC) in the perinatal period are well-established. The aim of this study was to determine how the delivery of FCC practices were impacted for neonates born to mothers with perinatal SARS-CoV-2 infection during the COVID-19 pandemic. Methods: Neonates born to mothers with confirmed SARS-CoV-2 infection during pregnancy were identified from the 'EsPnIC Covid paEdiatric NeonaTal REgistry' (EPICENTRE) multinational cohort between 10 March 2020 and 20 October 2021. The EPICENTRE cohort collected prospective data on FCC practices. Rooming-in and breastmilk feeding practice were the main outcomes, and factors influencing each were determined. Other outcomes included mother-baby physical contact prior to separation and the pattern of FCC components relative to time and local site guidelines. Findings: 692 mother-baby dyads (13 sites, 10 countries) were analysed. 27 (5%) neonates were positive for SARS-CoV-2 (14 (52%) asymptomatic). Most sites had policies that encouraged FCC during perinatal SARS-CoV-2 infection for most of the reporting period. 311 (46%) neonates roomed-in with their mother during the admission. Rooming-in increased over time from 23% in March-June 2020 to 74% in January-March 2021 (boreal season). 330 (93%) of the 369 separated neonates had no FCC physical contact with their mother prior, and 319 (86%) were asymptomatic. Maternal breastmilk was used for feeding in 354 (53%) neonates, increasing from 23% to 70% between March-June 2020 and January-March 2021. FCC was most impacted when mothers had symptomatic COVID-19 at birth. Interpretation: This is the largest report of global FCC practice during the COVID-19 pandemic to date. The COVID-19 pandemic may have impacted FCC despite low perinatal transmission rates. Fortunately, clinicians appear to have adapted to allow more FCC delivery as the COVID-19 pandemic progressed. Funding: The National Health and Medical Research Council (Australia): Grant ID 2008212 (DGT), Royal Children's Hospital Foundation: Grant ID 2019-1155 (EJP), Victorian Government Operational Infrastructure Support Program.

Indexed as

BreastfeedingBreastmilkCOVID-19Family-centred careMother-baby contactPandemicPerinatal careRooming-inSARS-CoV-2Skin-to-skin care

Identifiers

PMID36846297
PMCPMC9941883
OpenAlexW4321453981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.