Odhadovaný dopad separácie novorodencov od matiek s ochorením alebo s pozitívnym testom na COVID-19 po pôrode v rozvojových krajinách pri predpokladanom výskyte pozitivity u 20 až 30 % matiek. Fatality rate na základe dostupných dát u novorodencov ak sa nakazia SARS-CoV-2 je 0.09 % a zahŕňa aj predčasne narodené deti. Odhadovaná úmrtnosť v dôsledku separácie a nedojčenia je na základe dostupných dát 67 násobne vyššia a nezahŕňa dlhodobé riziká nedojčenia.

Even assuming high rates of mother–infant SARS-CoV-2 transmission through contact and breastmilk and using CFR instead of IFR, the additional deaths among newborn babies and infants in LMICs who would be subjected to separation and non-breastfeeding in either scenario (188 000 or 273 000) would be approximately 67 times greater than the number of newborn babies and infants who are likely to die because of COVID-19. Because we assume higher incidence, transmission, and mortality associated with COVID-19 among newborn babies and infants than has been reported to date, this estimate is almost certainly an underestimate of the effect on mortality of a policy that would separate mothers from their newborn babies and disrupt breastfeeding.




Zdroj: https://www.sciencedirect.com/science/article/pii/S2214109X20305386