Table 1. Infection Prevention and Control Strategies for SARS-CoV-2–Positive Mothers and Their Infants.
| IP&C strategies | Description |
|---|---|
| Staff | |
| Self-monitor for symptoms | Every 12 h, self-monitor for temperature 37.8 °C, fever, cough, sore throat, shortness of breath, myalgia, fatigue, diarrhea, loss of smell or taste |
| PPE | Fit check N95 respirator before each use |
| Extended use and reuse of N95 respirators | |
| Surgical face mask or face shield worn over N95 respirator to extend N95 use | |
| PPE education | Videos, graphics, memos, huddles |
| Patients | |
| Room placement | |
| L&D | Single-patient room |
| WBN | Single-patient room, infants in isolettes >180 cm from mother |
| NICU | Single-patient room in isolettes |
| When single room unavailable, cohort in isolettes >180 cm apart | |
| Transmission precautions | |
| L&D | Contact/droplet precautions plus airborne precautions for aerosol-generating procedures (negative pressure room preferred) |
| Mothers wear mask at all times | |
| WBN | Contact/droplet precautions for mothers and their infants |
| Mothers continue to wear mask when interacting with staff or infant | |
| NICU | Contact/droplet precautions plus airborne precautions for aerosol-generating procedures until DOL-14 (negative pressure room preferred) |
| Visitors | |
| Restrictions | |
| L&D | Only 1 asymptomatic support person permitted |
| WBN | No visitors permitted |
| NICU | Only 1 asymptomatic parent/guardian permitted (mother not permitted until DOL-14) |
| Screening | Every 12 h, monitor for temperature 38.7 °C, fever, cough, sore throat, shortness of breath, myalgia, fatigue, diarrhea, loss of smell or taste |
| PPE | |
| L&D | Surgical face mask, gown, gloves in patient room |
| WBN | NA |
| NICU | Surgical face mask, gown, gloves in patient room |
Abbreviations: DOL, day of life; IP&C, infection prevention and control; L&D, labor and delivery; NA, not applicable; NICU, neonatal intensive care unit; PPE, personal protective equipment; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; WBN, well-baby nursery.