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Table 1 Recommendations in delivery room for the management of the mother-infant dyad exposed to SARS-CoV-2

From: The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study


Brazilian hospital guidelines existence (n = 24)

Available recommendations in Brazilian and international literature [15,16,17,18,19,20,21,22,23,24,25,26,27]

Yes (%)

No (RA/NR -%)

Skin-to-skin contact

5 (20.3)

19 (79.1)/RA


SBP does not recommend;

ABM and CDC suggest separation.

Breastfeeding in the delivery room (first hour)

3 (12.5)

21 (87.5)/RA

ABM, CDC, SBP, UENPS do not specify;

RCOG considers mother’s choice;

WHO and UNICEF allow.

Companion in the delivery room

11 (45.8)

13 (54.1)/RA

SBP recommends healthy adult, RCOG recommends for mother’s mental health;

CDC suggests virtual companion;

ABM, CDC, UNICEF, WHO, UENPS and SBP do not specify.

PPE to mother

5 (20.3)

19 (79.1)/NR

All guidelines recommend.

Neonatal bath

11 (45.8)

13 (54.1)/NR

SBP recommends an individualized bath routine;

RCOG, ABM, CDC, WHO, UNICEF and UENPS do not specify.

  1. RA Recommended against, NR There was no description of the recommendation in guidelines, ABM Academy of Breastfeeding Medicine, rBLH Brazilian Network of Human Milk Banks, SBP Brazilian Society of Pediatrics CDC Centers for Disease Control and Prevention, PPE Personal Protective Equipment, RCOG Royal College of Obstetricians and Gynaecologists, UENPS Union of European Neonatal and Perinatal Societies, UNICEF United Nations Children’s Fund, WHO World Health Organization