Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding.

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  • Additional Information
    • Affiliation:
      The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
      Department of Radiology, First Affiliated Hospital to Army Medical University, Chongqing, China
      Renmin Hospital of Wuhan University, Wuchang, Wuhan, China
      Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
      Department of Obstetrics and Gynaecology, Monash University, Clayton Victoria,, Australia
      Bloomberg Faculty of Nursing, University of Toronto, Toronto Ontario,, Canada
      Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia
      Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
    • Abstract:
      Objective: To assess whether vaginal secretions and breast milk of women with coronavirus disease 2019 (COVID-19) contain severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).Design: Single centre cohort study.Setting: Renmin Hospital of Wuhan University, Wuhan, Hubei province, China.Population: We studied 13 SARS-CoV-2-infected pregnant women diagnosed between 31 January and 9 March 2020.Methods: We collected clinical data, vaginal secretions, stool specimens and breast milk from SARS-CoV-2-infected women during different stages of pregnancy and collected neonatal throat and anal swabs.Main Outcomes and Measures: We assessed viral presence in different biosamples.Results: Of the 13 women with COVID-19, five were in their first trimester, three in their second trimester and five in their third trimester. Of the five women in their third trimester who gave birth, all delivered live newborns. Among these five deliveries, the primary adverse perinatal outcomes included premature delivery (n = 2) and neonatal pneumonia (n = 2). One of nine stool samples was positive; all 13 vaginal secretion samples, and five throat swabs and four anal swabs collected from neonates, were negative for the novel coronavirus. However, one of three samples of breast milk was positive by viral nucleic acid testing.Conclusions: In this case series of 13 pregnant women with COVID-19, we observed negative viral test results in vaginal secretion specimens, suggesting that a vaginal delivery may be a safe delivery option. However, additional research is urgently needed to examine breast milk and the potential risk for viral contamination.Tweetable Abstract: New evidence for the safety of vaginal delivery and breastfeeding in pregnant women infected with SARS-CoV-2, positive viral result in a breast-milk sample.
    • Journal Subset:
      Biomedical; Europe; Peer Reviewed; UK & Ireland
    • ISSN:
      1470-0328
    • MEDLINE Info:
      PMID: NLM32369656 NLM UID: 100935741
    • Grant Information:
      2016YFC1000203//National Key Research and Development Program of China/; 2018YFC1002804//National Key Research and Development Program of China/
    • Publication Date:
      In Process
    • Publication Date:
      20200730
    • DOI:
      10.1111/1471-0528.16276
    • Accession Number:
      144472472
  • Citations
    • ABNT:
      WU, Y. et al. Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding. BJOG: An International Journal of Obstetrics & Gynaecology, [s. l.], v. 127, n. 9, p. 1109–1115, 2020. DOI 10.1111/1471-0528.16276. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144472472. Acesso em: 28 set. 2020.
    • AMA:
      Wu Y, Liu C, Dong L, et al. Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding. BJOG: An International Journal of Obstetrics & Gynaecology. 2020;127(9):1109-1115. doi:10.1111/1471-0528.16276
    • APA:
      Wu, Y., Liu, C., Dong, L., Zhang, C., Chen, Y., Liu, J., Duan, C., Zhang, H., Mol, B., Dennis, C., Yin, T., Yang, J., Huang, H., Mol, B. W., & Dennis, C.-L. (2020). Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding. BJOG: An International Journal of Obstetrics & Gynaecology, 127(9), 1109–1115. https://doi.org/10.1111/1471-0528.16276
    • Chicago/Turabian: Author-Date:
      Wu, Y, C Liu, L Dong, C Zhang, Y Chen, J Liu, C Duan, et al. 2020. “Coronavirus Disease 2019 among Pregnant Chinese Women: Case Series Data on the Safety of Vaginal Birth and Breastfeeding.” BJOG: An International Journal of Obstetrics & Gynaecology 127 (9): 1109–15. doi:10.1111/1471-0528.16276.
    • Harvard:
      Wu, Y. et al. (2020) ‘Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding’, BJOG: An International Journal of Obstetrics & Gynaecology, 127(9), pp. 1109–1115. doi: 10.1111/1471-0528.16276.
    • Harvard: Australian:
      Wu, Y, Liu, C, Dong, L, Zhang, C, Chen, Y, Liu, J, Duan, C, Zhang, H, Mol, B, Dennis, C, Yin, T, Yang, J, Huang, H, Mol, BW & Dennis, C-L 2020, ‘Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding’, BJOG: An International Journal of Obstetrics & Gynaecology, vol. 127, no. 9, pp. 1109–1115, viewed 28 September 2020, .
    • MLA:
      Wu, Y., et al. “Coronavirus Disease 2019 among Pregnant Chinese Women: Case Series Data on the Safety of Vaginal Birth and Breastfeeding.” BJOG: An International Journal of Obstetrics & Gynaecology, vol. 127, no. 9, Aug. 2020, pp. 1109–1115. EBSCOhost, doi:10.1111/1471-0528.16276.
    • Chicago/Turabian: Humanities:
      Wu, Y, C Liu, L Dong, C Zhang, Y Chen, J Liu, C Duan, et al. “Coronavirus Disease 2019 among Pregnant Chinese Women: Case Series Data on the Safety of Vaginal Birth and Breastfeeding.” BJOG: An International Journal of Obstetrics & Gynaecology 127, no. 9 (August 2020): 1109–15. doi:10.1111/1471-0528.16276.
    • Vancouver/ICMJE:
      Wu Y, Liu C, Dong L, Zhang C, Chen Y, Liu J, et al. Coronavirus disease 2019 among pregnant Chinese women: case series data on the safety of vaginal birth and breastfeeding. BJOG: An International Journal of Obstetrics & Gynaecology [Internet]. 2020 Aug [cited 2020 Sep 28];127(9):1109–15. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144472472