3. Management and outcomes of neonates delivered by pregnant
women with confirmed or suspected COVID-19
Studies have shown that there was no clinical, laboratory or
radiological evidence of SARS coronavirus infection in 12 neonates
delivered by pregnant women during the outbreak period of SARS in
200312,13 . Previous studies in our hospital
have shown that there is no evidence for intrauterine infection caused
by vertical transmission in women who develop COVID-19 in late
pregnancy8 . However, in order to reduce the
risk of neonatal infection caused by mother-to-child contact, it is
recommended that neonates delivered by pregnant woman with confirmed or
suspected COVID-19 should have their umbilical cords cut and cleaned as
early as possible to reduce the exposure time. The Apgar score of the
neonate was normal or returned to normal after the initial
resuscitation, after routine treatment by the midwife, the neonate was
delivered to the pediatrician outside the isolation delivery room (or
outside the isolation ward) and immediately placed in a transfer
incubator equipped with ECG monitoring equipment, and then transferred
to neonatal isolation ward for observation and treatment through a
special passage.