COVID-19: neonatal–perinatal perspectives
Open accessAbstract
The coronavirus disease 2019 (COVID-19) pandemic, resulting from infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused severe and widespread illness in adults, including pregnant women, while rarely infecting neonates. An incomplete understanding of disease pathogenesis and viral spread has resulted in evolving guidelines to reduce transmission from infected mothers to neonates. Fortunately, the risk of neonatal infection via perinatal/postnatal transmission is low when recommended precautions are followed. However, the psychosocial implications of these practices and racial/ethnic disparities highlighted by this pandemic must also be addressed when caring for mothers and their newborns. This review provides a comprehensive overview of neonatal-perinatal perspectives of COVID-19, ranging from the basic science of infection and recommendations for care of pregnant women and neonates to important psychosocial, ethical, and racial/ethnic topics emerging as a result of both the pandemic and the response of the healthcare community to the care of infected individuals.
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Rare in utero transmission of SARS-CoV-2 has been reported.
“Rare in utero transmission of SARS-CoV-2 has also been reported222,223; its implications on maternal, fetal and neonatal health are under active investigation.”
From mRNA vaccines for infectious diseases: principles, delivery and clinical translation (2021) · cites this paper as [222]
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- Authors
- On behalf of the Harvard Neonatal-Perinatal Fellowship COVID-19 Working Group, Barrero-Castillero, A., Beam, K. S., Bernardini, L. B., Ramos, E. G. C., Davenport, P. E., Duncan, A. R., Fraiman, Y. S., Frazer, L. C., Healy, H., Herzberg, E. M., Keyes, M. L., Leeman, K. T., Leone, K., Levin, J. C., Lin, M., Raju, R. M., & Sullivan, A.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Boston Children's Hospital (US)
- Corresponding author
- Leeman, Kristen T.
- ORCID
- Venue
- Journal of Perinatology
- Published
- 2020-12-08
- Volume
- 41
- Issue
- 5
- Pages
- 940-951
- ISSN
- 0743-8346 (ISSN-L)
- 1476-5543
- PMC
- PMC7721617
- OpenAlex
- W3111465493
- Cited by
- 92
- References
- 98
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 9 · 2023: 17 · 2022: 38 · 2021: 21 · 2014: 1
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Perinatology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Health & Human Services | Agency for Healthcare Research and Quality (T32HS000063)
- U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (T32HL007917-21)
- U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD098061)
- U.S. Department of Health & Human Services | NIH | U.S. National Library of Medicine (T15LM007092)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › COVID-19 Impact on Reproduction
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Keywords
- COVID-19 pandemic, SARS-CoV-2, neonatal infection, perinatal transmission, vertical transmission, maternal infection, pregnant women, psychosocial impact, racial and ethnic disparities, neonatal care
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Drug Treatment, Adrenal Cortex Hormones, Female, Humans, Infant, Newborn, Health Knowledge, Attitudes, Practice, Pregnancy, Pregnancy Complications, Infectious, Pregnancy Outcome, Outcome Assessment, Health Care, Infectious Disease Transmission, Vertical, Disease Management
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