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Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for COVID-19
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  • Inmaculada Mejía,
  • Rita Salvador López,
  • Emérita García Rosas,
  • Iria Rodriguez de la Torre,
  • José Montes García,
  • Oscar Martinez-Perez
Inmaculada Mejía
Hospital Universitario 12 de Octubre
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Rita Salvador López
Hospital Universitario Puerta del Hierro Majadahonda
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Emérita García Rosas
Hospital del Mar
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Iria Rodriguez de la Torre
Hospital Universitario 12 de Octubre
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José Montes García
Effice
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Oscar Martinez-Perez
Puerta del Hierro University Hospital of Majadahonda
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Abstract

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 March 1st and May 31st, 2020. Data were collected from 70 centers that participate in the Spanish Registry of COVID-19. MAIN OUTCOMES AND MEASURES: The rate of perinatal transmission of SARS-CoV-2 and development of COVID-19 disease in neonates at day 14 of the delivery. RESULTS: The Early cord clamping (ECC) group consisted of 231 infants (57.3%), whereas the DCC group consisted of 172 infants (42.7%). A total of 5 positive cases (1.7% of total tests performed) were identified with the nasopharyngeal PCR tests, 2 from the ECC group (1.7%) and 3 from the DCC group (3.6%). No significant differences between groups were found regarding neonatal tests for COVID-19. 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 have been similar to early cord clamping practices, no skin-to-skin contact, and suppression or delay of breastfeeding. FUNDING: This study was fully funded with public funds from the Institute of Health Carlos III and co-financed with FEDER funds. KEYWORDS: COVID-19, umbilical cord clamping, skin-to-skin, breastfeeding, vertical transmission, safety.

Peer review status:UNDER REVIEW

27 Jul 2020Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
28 Jul 2020Assigned to Editor
28 Jul 2020Submission Checks Completed
01 Aug 2020Reviewer(s) Assigned
26 Aug 2020Review(s) Completed, Editorial Evaluation Pending