Guidance for the clinical management of infants born to mothers with suspected/confirmed COVID-19 in Singapore

Singapore Med J. 2022 Sep;63(9):489-496. doi: 10.11622/smedj.2021045. Epub 2021 Apr 19.

Abstract

In this paper, we provide guidance to clinicians who care for infants born to mothers with suspected/confirmed COVID-19 during this current pandemic. We reviewed available literature and international guidelines based on the following themes: delivery room management; infection control and prevention strategies; neonatal severe acute respiratory syndrome coronavirus 2 testing; breastfeeding and breastmilk feeding; rooming-in of mother-infant; respiratory support precautions; visiting procedures; de-isolation and discharge of infant; outpatient clinic attendance; transport of infant; and training of healthcare staff. This guidance for clinical care was proposed and contextualised for the local setting via consensus by members of this workgroup and was based on evidence available as of 31 July 2020, and may change as new evidence emerges.

Keywords: COVID-19; neonate; perinatal care; practice guidelines; transmission.

Publication types

  • Review

MeSH terms

  • COVID-19 Testing
  • COVID-19* / epidemiology
  • Female
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical / prevention & control
  • Mothers
  • Pandemics / prevention & control
  • Pregnancy
  • Pregnancy Complications, Infectious* / diagnosis
  • Pregnancy Complications, Infectious* / epidemiology
  • Pregnancy Complications, Infectious* / prevention & control
  • Singapore / epidemiology