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Clinical Characteristics and Report of Seven Iranian Neonates Born to Mothers with Covid-19

Received: 17 June 2020     Accepted: 14 July 2020     Published: 4 August 2020
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Abstract

The outbreak of Covid-19 infection is an actual public health challenge. Iran is fighting hard against the virus outbreak. Although at first it seemed that the disease does not affect infants and the neonates, But the population of affected infants and neonates appears to be increasing. This article is written to share some of the experiences about encountering with neonates born to mothers with covid-19. It describes the maternal, perinatal and neonatal aspects of the disease in seven Iranian cases. It also explains the outcome of delivery and follow up of mothers and their neonates after they discharged from hospital. According to our vague and incomplete knowledge about this novel disease and also hazardous side effects of its specific drugs which are not fully evaluated in neonatal population, in this article we just emphasize on routine and supportive care and avoiding unconventional therapy. In this case series we manage our patients according to their disease such as pneumonia, transient tachypnea of neonates or respiratory distress syndrome by using antibiotics, total parenteral nutrition and supplementary oxygen therapy with the preference of non-invasive methods. We didn’t use any novel treatment for Covid-19 disease. We also carefully considered isolation and personal protection issues.

Published in American Journal of Pediatrics (Volume 6, Issue 3)
DOI 10.11648/j.ajp.20200603.32
Page(s) 303-311
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Covid-19, Neonates, Mothers, Clinical Characteristics

References
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[3] Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr. http://doi.org/10.1007/s12098-020-03263-6.2020. In press World Health Organization. Middle East respiratory syndrome coronavirus (MERS-COV). November, 2019 (EB/OL). 2019-11) (2020-01-25). http://www.who.int/emergencies/mers-cove/en/.
[4] BANAEI M, GHASEMI V, SAEI GHARE NAZ M, KIANI Z, RASHIDI-FAKARI F, BANAEI SB, MOHAMMAD SOURI B, ROKNI M. Obstetrics and Neonatal Outcomes in Pregnant Women with COVID-19: A Systematic Review. Iran J Public Health. 49 (Suppl. 1): 38-47.
[5] Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, Li J, Zhao D, Xu D, Gong Q, Liao J, Yang H, Hou W, Zhang Y. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020; 395 (10226): 809-15.
[6] Chen S, Huang B, Luo DJ, Li X, Yang F, Zhao Y, Nie X, Huang BX. [Pregnant women with new coronavirus infection: a clinical characteristics and placental pathological analysis of three cases]. [Article in Chinese]. Zhonghua Bing Li Xue Za Zhi. 2020 Mar 1. [Epub ahead of print].
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[13] Zeng L, Xia S, Yuan W, Yan K, Xiao F, Shao J, et al. Neonatal early-onset infection with SARS-CoV-2 in 33 neonates born to mothers with COVID-19 in Wuhan, China. JAMA Pediatrics. https://doi.org/10.1001/jamapediatrics.2020.0878. 2020. In press.
[14] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395: 497–506.
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  • APA Style

    Farhad Abolhasan Choobdar, Maral Ghassemzadeh, Ezzat Abbariki, Mohammad Attarian. (2020). Clinical Characteristics and Report of Seven Iranian Neonates Born to Mothers with Covid-19. American Journal of Pediatrics, 6(3), 303-311. https://doi.org/10.11648/j.ajp.20200603.32

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    ACS Style

    Farhad Abolhasan Choobdar; Maral Ghassemzadeh; Ezzat Abbariki; Mohammad Attarian. Clinical Characteristics and Report of Seven Iranian Neonates Born to Mothers with Covid-19. Am. J. Pediatr. 2020, 6(3), 303-311. doi: 10.11648/j.ajp.20200603.32

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    AMA Style

    Farhad Abolhasan Choobdar, Maral Ghassemzadeh, Ezzat Abbariki, Mohammad Attarian. Clinical Characteristics and Report of Seven Iranian Neonates Born to Mothers with Covid-19. Am J Pediatr. 2020;6(3):303-311. doi: 10.11648/j.ajp.20200603.32

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  • @article{10.11648/j.ajp.20200603.32,
      author = {Farhad Abolhasan Choobdar and Maral Ghassemzadeh and Ezzat Abbariki and Mohammad Attarian},
      title = {Clinical Characteristics and Report of Seven Iranian Neonates Born to Mothers with Covid-19},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {3},
      pages = {303-311},
      doi = {10.11648/j.ajp.20200603.32},
      url = {https://doi.org/10.11648/j.ajp.20200603.32},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200603.32},
      abstract = {The outbreak of Covid-19 infection is an actual public health challenge. Iran is fighting hard against the virus outbreak. Although at first it seemed that the disease does not affect infants and the neonates, But the population of affected infants and neonates appears to be increasing. This article is written to share some of the experiences about encountering with neonates born to mothers with covid-19. It describes the maternal, perinatal and neonatal aspects of the disease in seven Iranian cases. It also explains the outcome of delivery and follow up of mothers and their neonates after they discharged from hospital. According to our vague and incomplete knowledge about this novel disease and also hazardous side effects of its specific drugs which are not fully evaluated in neonatal population, in this article we just emphasize on routine and supportive care and avoiding unconventional therapy. In this case series we manage our patients according to their disease such as pneumonia, transient tachypnea of neonates or respiratory distress syndrome by using antibiotics, total parenteral nutrition and supplementary oxygen therapy with the preference of non-invasive methods. We didn’t use any novel treatment for Covid-19 disease. We also carefully considered isolation and personal protection issues.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Clinical Characteristics and Report of Seven Iranian Neonates Born to Mothers with Covid-19
    AU  - Farhad Abolhasan Choobdar
    AU  - Maral Ghassemzadeh
    AU  - Ezzat Abbariki
    AU  - Mohammad Attarian
    Y1  - 2020/08/04
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200603.32
    DO  - 10.11648/j.ajp.20200603.32
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 303
    EP  - 311
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200603.32
    AB  - The outbreak of Covid-19 infection is an actual public health challenge. Iran is fighting hard against the virus outbreak. Although at first it seemed that the disease does not affect infants and the neonates, But the population of affected infants and neonates appears to be increasing. This article is written to share some of the experiences about encountering with neonates born to mothers with covid-19. It describes the maternal, perinatal and neonatal aspects of the disease in seven Iranian cases. It also explains the outcome of delivery and follow up of mothers and their neonates after they discharged from hospital. According to our vague and incomplete knowledge about this novel disease and also hazardous side effects of its specific drugs which are not fully evaluated in neonatal population, in this article we just emphasize on routine and supportive care and avoiding unconventional therapy. In this case series we manage our patients according to their disease such as pneumonia, transient tachypnea of neonates or respiratory distress syndrome by using antibiotics, total parenteral nutrition and supplementary oxygen therapy with the preference of non-invasive methods. We didn’t use any novel treatment for Covid-19 disease. We also carefully considered isolation and personal protection issues.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Neonatology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran

  • Department of Neonatology, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran

  • Department of Neonatology, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran

  • Department of Neonatology, Firuzgar Hospital, Iran University of Medical Sciences, Tehran, Iran

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