Current Events in Maternal Health Care: Sept. 2020
Once a month we discuss current events in maternal health care. In this installment, we first take a look at the research on COVID-19 and its likelihood of perinatal transmission. Next, we examine the potential impact of phthalate and bisphenols during pregnancy. Keep reading for more details!
Neonatal Management and Outcomes during the COVID-19 Pandemic: An Observation Cohort Study
There are still many unknown factors regarding the vertical and perinatal transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, which causes COVID-19). An observational cohort study conducted at three New York Presbyterian Hospitals in New York City found that none of the neonates born to mothers positive for SARS-CoV-2 at delivery tested positive or had symptoms of COVID-19.
Summary of findings:
- Of the 1,481 deliveries, 116 (8%) of the birthing people tested positive for SARS-CoV-2
- 120 neonates were identified
- All neonates were tested at 24 hours of life and none were positive for SARS-CoV-2
- 82 (68%) neonates completed follow-up at day 5-7 of life
- Of the 82 neonates, 68 (83%) roomed with the birthing person
- All birthing people were allowed to breastfeed; at day 5-7 of life, 64 (78%) were still breastfeeding
- 79 (96%) of 82 neonates had a repeat test at 5-7 days of life; all were negative
- 72 (88%) neonates were also tested at 14 days of life and none were positive
Data suggests that perinatal transmission of COVID-19 is unlikely to occur if correct hygiene precautions are taken. Allowing neonates and birthing people to room together and direct breastfeeding are safe procedures when paired with parental education of infant protective strategies. Read the full study here.
Phthalate and Bisphenol Exposure during Pregnancy and Offspring Nonverbal IQ
A new study has been released examining the link between phthalate and bisphenols during pregnancy and nonverbal IQ in children at age 6. Using maternal urinary biomarkers of phthalate or bisphenol exposure, examiners studied the association between exposure and nonverbal intelligence quotient (IQ) in children. Results indicated that higher urinary concentrations of phthalate metabolites during early pregnancy were associated with lower child nonverbal IQ. However, maternal urinary concentrations of bisphenols were not associated with child nonverbal IQ. Results suggest that early pregnancy is a particularly sensitive time for phthalate exposure. Read more about the study here.
Previous posts about current events in maternal health care:May 2020 June 2020 July 2020 August 2020
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