• J. Matern. Fetal. Neonatal. Med. · Jul 2020

    Perinatal transmission with SARS-CoV-2 and route of pregnancy termination: a narrative review.

    • Paulino Vigil-De Gracia, Carlos Luo, and Roberto Epifanio Malpassi.
    • Complejo Hospitalario de la Caja de Seguro Social, Panama city, Panama.
    • J. Matern. Fetal. Neonatal. Med. 2020 Jul 26: 1-5.

    ObjectiveAnalyze newborns diagnosed with SARS-CoV-2 performed with RT-PCR at birth or during the first days of birth and to look for an association with the route of birth.MethodsWe conducted a comprehensive literature search for newborns diagnosed with COVID-19 using PubMed, LILACS and Google scholar until May 15, 2020, looking for published articles with pregnancy, vertical transmission, intrauterine transmission, neonates, delivery.ResultsThere were found 10 articles with a total of 15 newborn infected with SARS-CoV-2 according to positive PCR at birth or in the first days of birth. Eleven newborn birth by cesarean section and 4 vaginally. Of the 11 cases with cesarean section, two presented premature rupture of the membranes. Seven newborns developed pneumonia, of which two had ruptured membranes and one was born by vaginal delivery.ConclusionThis review shows that there is perinatal or neonatal infection with SARS-CoV-2 by finding a positive PCR in the first days of birth. In addition, that there is more possibility of neonatal infection if the birth is vaginal or if there is premature rupture of the membranes before cesarean section. Vaginal delivery and premature rupture of membranes should be considered as risk factors for perinatal infection.

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