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Review paper
Published online: 2021-04-13
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Management of birth, postpartum care and breastfeeding — Polish recommendations and guidelines during SARS-CoV-2 pandemic

Katarzyna M. Wszolek, Karolina Chmaj-Wierzchowska, Maciej Wilczak
DOI: 10.5603/GP.a2021.0059
·
Pubmed: 33914312

open access

Ahead of Print
REVIEW PAPERS Obstetrics
Published online: 2021-04-13

Abstract

SARS-CoV-2 pandemic is an unusual phenomenon in the modern obstetric and midwifery history. Hospital staff from the isolation wards were trained in the safety and proper use of the hazardous materials suit and the proper managing of the biohazard materials. We were not expecting the situation, so we started to create more restrictions than facilities for mothers giving birth. In the context of infection risk for the fetus, scientists still search for vertical transmission evidence, but avail-able data are ambiguous, and more research is needed. Concerning the infant safety and to minimalize the infection risk for medical teams, the first Polish guidelines published by the national consultants in obstetrics, midwifery, neonatology, and perinatology regarding the safest formula of birth were as the following: in the case of confirmed SARS-CoV-2 infection, the cesarean section for epidemic indications should be considered, except in an advanced or rapid labor. In the lately updated consensus (14th May), it was written that because the risk of vertical and intranatal SARS-CoV-2 transmission seemed to be low, the SARS-CoV-2 infection was not the main indication to perform cesarean section for any longer. Regardless of the birth formula, the newborns are separated from their mothers immediately after the labor in Polish obstetrician hospitals. The Polish Lactation Study Centre, consociating International Breastfeeding Certified Lactation Consultant, recommends feeding the newborn with its own mother’s milk, even if she is infected with SARS-CoV-2 and isolated from her infant.

Abstract

SARS-CoV-2 pandemic is an unusual phenomenon in the modern obstetric and midwifery history. Hospital staff from the isolation wards were trained in the safety and proper use of the hazardous materials suit and the proper managing of the biohazard materials. We were not expecting the situation, so we started to create more restrictions than facilities for mothers giving birth. In the context of infection risk for the fetus, scientists still search for vertical transmission evidence, but avail-able data are ambiguous, and more research is needed. Concerning the infant safety and to minimalize the infection risk for medical teams, the first Polish guidelines published by the national consultants in obstetrics, midwifery, neonatology, and perinatology regarding the safest formula of birth were as the following: in the case of confirmed SARS-CoV-2 infection, the cesarean section for epidemic indications should be considered, except in an advanced or rapid labor. In the lately updated consensus (14th May), it was written that because the risk of vertical and intranatal SARS-CoV-2 transmission seemed to be low, the SARS-CoV-2 infection was not the main indication to perform cesarean section for any longer. Regardless of the birth formula, the newborns are separated from their mothers immediately after the labor in Polish obstetrician hospitals. The Polish Lactation Study Centre, consociating International Breastfeeding Certified Lactation Consultant, recommends feeding the newborn with its own mother’s milk, even if she is infected with SARS-CoV-2 and isolated from her infant.

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Keywords

pregnancy;  newborn;  SARS-CoV-2; Polish guidelines

About this article
Title

Management of birth, postpartum care and breastfeeding — Polish recommendations and guidelines during SARS-CoV-2 pandemic

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Review paper

Published online

2021-04-13

DOI

10.5603/GP.a2021.0059

Pubmed

33914312

Keywords

pregnancy
 newborn
 SARS-CoV-2
Polish guidelines

Authors

Katarzyna M. Wszolek
Karolina Chmaj-Wierzchowska
Maciej Wilczak

References (20)
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