New York: Moms with COVID-19 who take basic precautions rarely pass the novel coronavirus to their newborns, even if breastfeeding, according to a new study which says more extensive measures like separating the infected mothers from their babies may not be warranted.
The research, published in the journal JAMA Pediatrics, examined outcomes in the first 101 newborns born to COVID-19-positive mothers at the NewYork-Presbyterian Hospital in the US from March 13 to April 24, 2020.
"Our findings should reassure expectant mothers with COVID-19 that basic infection-control measures during and after childbirth -- such as wearing a mask and engaging in breast and hand hygiene when holding or breastfeeding a baby -- protected newborns from infection in this series," said Cynthia Gyamfi-Bannerman, a co-author of the study from Columbia University Irving Medical Center in the US.
To reduce the risk of transmitting the SARS-CoV-2 virus to newborns after delivery, the researchers said the hospital staff practised social distancing, wore masks, and placed COVID-positive moms in private rooms.
They said the hospitals also provided the mothers with educational materials about COVID-19 and shortened hospital stays for those without complications from delivery.
Most of the newborns roomed with their mothers, including during the first postpartum checkup, while some were admitted to the intensive care unit for non-COVID-related health reasons, the study noted.
The scientists said they placed the infants who roomed with their moms in protective cribs six feet away from the mothers' beds when resting.
They encouraged direct breastfeeding and skin-to-skin contact with babies, provided the moms wore masks and washed hands and breasts with soap and water.
"During the pandemic, we continued to do what we normally do to promote bonding and development in healthy newborns, while taking a few extra precautions to minimise the risk of exposure to the virus," Gyamfi-Bannerman said.
According to the study, only two of the newborns tested positive for the coronavirus, but they had no clinical evidence of illness. However, the researchers were unable to pinpoint how the babies became infected.
When the physicians followed up with about half of the infants, including the two that tested positive for the virus, during the first two weeks of life, they found that all remained healthy.
According to the researchers the interim guidelines released by pediatric and health organisations for pregnant women with the coronavirus, recommends the separation of mothers and newborns during their hospital stay, no direct breastfeeding, and bathing newborns as soon as possible.
However, they said these recommendations were made in the absence of data on rates of mother-to-newborn transmission of the virus. The scientists said these guidelines are based on experience with mother-newborn transmission of other infectious diseases.
"But some of the recommendations conflict with what we know about the developmental benefits of early breastfeeding and skin-to-skin contact," said study lead author Dani Dumitriu from the Columbia University Vagelos College of Physicians and Surgeons in the US.
"Our study shows that these measures may not be necessary for healthy newborns with COVID-positive moms," Dumitriu said.
The researchers believe it is particularly important that mothers with COVID-19 have the opportunity to directly breastfeed their newborns.
"Breast milk is known to protect newborns against numerous pathogens, and it may help protect newborns against infection with SARS-CoV-2. Most studies have not found SARS-CoV-2 in breast milk, and breast milk has been found to contain antibodies against the virus," Gyamfi-Bannerman explained.
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New Delhi, Nov 24: In the wake of violence in Uttar Pradesh's Sambhal, the Congress on Sunday alleged that the Yogi Adityanath administration is squarely responsible for killing innocents and only the BJP-RSS is guilty of "setting fire" to the peace and harmony there.
The opposition party said the videos of direct firing on the protesters in Sambhal depict the horrifying result of a "well-planned conspiracy" by Adityanath and the BJP-RSS.
Congress' media and publicity department head Pawan Khera said Adityanath's administration has once again shown a blatant disregard for communal harmony.
"In this entire matter, the BJP neither wanted the survey to proceed nor to stop it; its sole objective was to destroy harmony," he alleged.
Three people were killed and scores of others, including around 20 security personnel, were injured as the protesters opposing a court-ordered survey of a Mughal-era mosque Sambhal clashed with police on Sunday.
"No citizen in Uttar Pradesh is 'safe' under CM Adityanath, who gave the reprehensible slogan of 'Batenge toh Katenge'. This is evident by the highly deplorable incidents of Sambhal today," Khera said in a statement.
The videos of direct firing on the protesters in Sambhal depict the horrifying result of a "well-planned conspiracy" by Adityanath and the BJP-RSS, he alleged.
Western Uttar Pradesh, which has been a symbol of goodwill and harmony for years, has today witnessed three people killed and many injured under a "well-planned conspiracy", the Congress leader said.
"We say with full responsibility that the Adityanath administration is squarely responsible for killing innocents and only the BJP-RSS is guilty of setting fire to the peace and harmony of Sambhal. Modi-Yogi 'double assault' governments, which consider the minority community as second-class citizens, hurriedly got a petition filed in court," Khera said.
It is public knowledge that the court ordered an immediate survey without hearing the other side, he said.
"No action was taken against the rioters who accompanied the survey team. This makes it clear that after the by-elections in the state, the Yogi government has further intensified the politics of violence and hatred," he added.
The Congress leader said that questions are being raised about the role of the police and the administration because many innocent people have lost their lives in this violence and more than two dozen people have been injured.
"Inciting communal hatred and driving a wedge between two communities - is the DNA of BJP-RSS!" Khera said.
"On one hand, there is an empty slogan of 'Ek Hai Toh Safe Hain' - on the other hand, they divide communities! On one hand, there is lie of 'Sabka Saath- Sabka Vishwas' that has been going on for a decade, on the other hand, the minority community is constantly being targeted in Uttar Pradesh," he added.
The BJP government in Uttar Pradesh is destroying communal harmony and brotherhood for political gains, which is highly condemnable and objectionable, Khera said.
"We appeal to the BJP to prioritize the nation's interests over their political ambitions," he added.
"We want to ask Prime Minister Modi and Chief Minister Adityanath whether they will follow the statement of their own Mohan Bhagwat ji in June 2022 (even if it is pretentious!) in which he said that 'History is something that we cannot change. Neither today's Hindus nor today's Muslims made it, it happened at that time.... Why see Shivling in every mosque?.... Now we do not have to do any agitation..?'" Khera said.
"Neither Modi ji, nor Chief Minister Adityanath nor Mohan Bhagwat ji have the answer to this!" he added.
Khera said Rahul Gandhi has been continuously and stridently talked about 'Nafrat Ke Bazaar Mein Mohabbat Ki Dukaan' and in such a situation, an appeal is made to the people of Sambhal to recognise the politics of hatred, maintain mutual unity, amity and harmony, and take steps to protect their rights in a legal manner.
Moradabad Divisional Commissioner Aunjaneya Kumar Singh said the protesters torched vehicles and pelted stones at the police, who used tear gas and batons to disperse the mob.
"Shots were fired by the miscreants... the PRO of the superintendent of police suffered a gunshot to the leg, the police circle officer was hit by pellets and 15 to 20 security personnel were injured in the violence," he said.
Singh said that a constable also suffered a serious head injury, while the deputy collector fractured his leg.
Internet services have been suspended in Sambhal tehsil for 24 hours and the district administration declared a holiday on November 25 for all students up to Class 12.
Purported images shared on social media showed the protesters pelting stones at cops from atop buildings and in front of the Shahi Jama Masjid. Later, the police personnel were purportedly seen cornering and hitting people as they tried to disperse a large crowd in a narrow alleyway.
Our statement on the tragic and avoidable riots in Sambhal:
— Pawan Khera 🇮🇳 (@Pawankhera) November 24, 2024
संभल में हुए दुखद एवं परिहार्य दंगों पर कांग्रेस पार्टी का वक्तव्य: pic.twitter.com/uOpKjYbw8g