During delivery |
Delivery rooms or operating rooms must be specially prepared, preferably with negative pressure. |
P10, P14 |
Delivery rooms must be prepared with personal protective equipment, disinfectant solution and quick hand sanitizer. |
P3 |
Health professionals must use all the individual protection equipment recommended during service such as cap, safety glasses or visor type face shield, long sleeve disposable cloak, gloves, N95 masks, among others. |
P3, P10, P14, P15, P24 |
Pregnant women should use a surgical mask as a precautionary measure during labor. |
P5, P14 |
The choice of delivery mode and the time of delivery should be individualized based on obstetric indications. |
P1, P3, P4, P5, P6, P7, P12, P16, P18, P21 |
In the case of cesarean section, operating rooms must have positive pressure off. |
P24 |
Skin-to-skin contact after delivery should be discontinued. |
P3, P23, P24, P25 |
Timely umbilical cord clamping is recommended. |
P23, P25 |
NBs should be cleaned and dried immediately after delivery. |
P5 |
Neonatal resuscitation in NBs should be performed according to recommendations in neonatology using personal protective equipment. |
P5, P10, P15 |
The presence of an asymptomatic companion and non-home contact with people with flu-like syndrome or proven respiratory infection is recommended. |
P24 |
It is suggested that samples of swab pharyngeal, peripheral and cord blood, amniotic fluid, breast milk and placental tissue be stored for investigation. |
P2 |
Breastfeeding |
Breastfeeding should be postponed until NBs receive hygiene care and preventive measures for contamination by SARS-CoV2. |
P10, P20, P21, P22, P23, P24 |
Breastfeeding should be encouraged. |
P20, P21, P23, P24 |
When breastfeeding their children, women should use a face mask and clean their hands and utensils used for the extraction and supply of breast milk, before and after contact with each feeding. |
P20, P21, P23, P24, P25 |
Neonatal postpartum care |
Keep NBs in a private room for 14 days after birth and monitor them for clinical and laboratory manifestations of the infection. |
P3, P5, P6, P9, P10, P13, P14, P15, P20, P25 |
Precautions for joint accommodation consist of maintaining a minimum distance of one meter between the mother's bed and the NB's crib. |
P24, P25 |
Neonatal postpartum care |
Private accommodation with NBs is suggested, and distance of 1 meter between the mother's bed and the NB's crib must be respected or using physical barriers to maintain distance. |
P20, P23 |
Isolation of mothers with their babies should be done on a case-by-case basis, using shared decision-making between them and the staff. |
P20 |
Mothers and families should be made aware of the importance of hand hygiene and the use of a face mask in care of NBs and the importance of social distancing. |
P18, P22 |
Visits should be restricted to parents or legal guardians for these patients, as long as they do not have a suspicious condition or are confirmed for COVID-19 or have home contact with a person with the flu syndrome. It is strongly recommended that grandparents do not visit their grandchildren. |
P24, P25 |
Diagnostic and treatment equipment for suspected or confirmed NBs with the infection, such as a stethoscope and thermometer, for instance, must be for individual use. |
P3, P8, P24, |
Strict disinfection protocol should be adopted in environments with NBs suspected or confirmed by the disease. |
P15 |
Strict hand hygiene in care for NBs suspected or confirmed by the disease should be maintained. |
P22 |
Hand wash is important before and after changing diapers as well as using a glove (if possible) and dispose of it in an appropriate place. |
P20, P22, P24 |
It is suggested to temporarily postpone elective follow-up appointments at the outpatient clinic of NB follow-up in the hospital. |
P24 |
Search for alternatives for monitoring NBs after discharge, such as online consultation in order to avoid exposure to the virus. If an injury is identified in NBs, it should be taken to the hospital as soon as possible. |
P8 |
When transporting a NB with suspicion or confirmation of COVID-19, the ambulance spaces must be strictly closed and isolated, and the car must be provided with protective equipment, disinfectant solution and alcohol gel for the hands. The ambulance must be disinfected before and after transfer. |
P3 |