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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

Corresponding Author:[email protected]

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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
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Oscar Martinez-Perez
Puerta del Hierro University Hospital of Majadahonda
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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.
27 Jul 2020Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
28 Jul 2020Submission Checks Completed
28 Jul 2020Assigned to Editor
01 Aug 2020Reviewer(s) Assigned
26 Aug 2020Review(s) Completed, Editorial Evaluation Pending
05 Oct 2020Editorial Decision: Revise Major
28 Oct 20201st Revision Received
30 Oct 2020Submission Checks Completed
30 Oct 2020Assigned to Editor
02 Nov 2020Review(s) Completed, Editorial Evaluation Pending
10 Nov 2020Editorial Decision: Accept