Table 1. Main clinical and epidemiological data of newborns evaluated and their families.
| Variable | Newborn 1 | Newborn 2 |
|---|---|---|
| Mother status | SARS-CoV-2 positive | SARS-CoV-2 positive |
| Timing of maternal Infection | Third trimester | Third trimester |
| Type of delivery | Cesarean section | Cesarean section |
| Gestational age at delivery | 38 3/7 weeks | 35 5/7 weeks |
| Birth weight | 3,390 g | 2,300 g |
| In-hospital care | Mother/newborn separation | Mother/newborn separation |
| In-hospital feeding | Formula | Formula |
| Day of life when discharged | 5 | 13 |
| Newborn status at discharge | SARS-CoV-2 negative blood IgG slightly positive | SARS-CoV-2 negative |
| Mother status when discharged home | COVID-19 positive | COVID-19 negative |
| Father status when newborn discharged home | COVID-19 negative | COVID-19 negative |
| Place where the newborn and mother were discharged | Same household | Same household |
| Household setting | Newborn 1 Mother (COVID-19 positive) Father (COVID-19 negative) Three brothers (not tested, asymptomatic) |
Newborn 2 Mother (COVID-19 negative) Father (COVID-19 negative) One sister (not tested, asymptomatic) |
| Advice given to parents on discharge | Express breast milk to stimulate lactation Avoid breastfeeding and breast milk at home Father feeds the newborn with formula milk Mother maintain a distance of at least 6 feet for as much of the time as possible Hygiene suggestions |
Express breast milk Father feeds the newborn with expressed milk Hygiene suggestions |
| Feeding practice at home | Breastfeeding with the mother wearing a mask | Father feeding the newborn with expressed breast milk |
| Other parents with COVID-19 not living in the same household | None | Grandfather COVID-19 positive Grandmother COVID-19 positive |
| Newborn outcome | SARS-CoV-2 positive at 15 days of life Clinically well |
SARS-CoV-2 negative at 18 days of life Clinically well |
Abbreviations: COVID-19, coronavirus 2019; RT-PCR, real time-polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.
Notes: Newborn 1 was born at term and when discharged the mother was still positive.
Since the mother has three other children at home, she asked to be discharged at home respecting hygiene measures and wearing a mask, as well as the other indications given on discharge.
At home, she decided to breastfeed the newborn, which eventually turned SARS-CoV-2 positive on day 15 of life, although asymptomatic.
Newborn 2 was born late-preterm and when discharged the mother was negative, as well the father, which was responsible to feed the newborn with expressed milk.