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Kest H, Kaushik A, Skroce L, Bogusz J, Datta-Bhutada S. Rooming-in for well term infants born to asymptomatic mothers with COVID-19. J Pediatric Infect Dis Soc. 2020 Oct 5:piaa120. doi: 10.1093/jpids/piaa120. Epub ahead of print. PMID: 33015705.

There is an ongoing debate about rooming-in for neonates born to mothers with COVID-19 disease. Rooming-in promotes bonding and leads to better outcomes for both mother and baby. The unprecedented nature of COVID-19 has led to practices aimed at protecting newborns but may come with risks of losing the momentum of rooming-in that has been achieved over past decade. In this pilot study, well neonates born at or near term (>36 weeks gestational-age) were roomed in with their mothers who were positive for SARS-Co-V-2 infection, in a single room with infection control education according to American Academy of Pediatrics (AAP) recommendations and followed weekly through telehealth for 2 weeks after discharge. Of the 49 infants, none developed any symptoms of COVID-19. One out of 49 infants tested positive for SARS-Co-V-2 by reverse transcription polymerase chain reaction (RT-PCR) but repeat testing at 48-hours was negative. Our pilot study showed that rooming-in may be considered for term/near term infants with asymptomatic mothers with COVID19, while limiting transmission risk through infection control and education measures.

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