Table 2.
Details of 2 COVID-19–positive neonates
| Parameter | Case 1 | Case 2 | ||
|---|---|---|---|---|
| Neonatal details | ||||
| Maturity | Term | Term | ||
| Mode of delivery | Vaginal delivery | Cesarean delivery (abruption) | ||
| Infection-delivery interval (day) | 1 | 4 | ||
| Birth weight (kg) | 2.6 | 2.25 | ||
| Sex | Female | Male | ||
| Apgar score at 5 min | 8 | 8 | ||
| Positive nasopharyngeal RT-PCR | 24 hours | 4th day | ||
| Negative nasopharyngeal RT-PCR | 4th ,7th postnatal day | 7th, 10th postnatal day | ||
| Biological samples | Not collected | Collected | ||
| Vaginal fluid | Not done | Negative | ||
| Amniotic fluid | Not done | Negative | ||
| Placental membrane swab | Not done | Negative | ||
| Cord blood | Not done | Negative | ||
| Breast milk for RT-PCR | Negative | Negative | ||
| Roomed in, breast fed | Yes | No | ||
| Contact with mother | Yes | No, separated immediately from mother and kept in NICU | ||
| Symptoms in neonate | Asymptomatic | Asymptomatic | ||
| Investigations of neonate day 1 | ||||
| Hemoglobin (gm/dL) | 16.4 | 18.9 | ||
| Total leucocyte count (cells/mm3) | 17,600 | 18,500 | ||
| Differential leucocyte count (%) | P67, L26, E3, M4 | P71, L20, E6, M3 | ||
| Platelet count (lac/mm3) | 1.84 | 1.93 | ||
| Bilirubin (mg/dL) | 0.8 | 1.1 | ||
| Alanine aminotransferase (IU/L) | 19 | 24 | ||
| Aspartate aminotransferase (IU/L) | 48 | 62 | ||
| Urea (mg/dL) | 16.4 | 15.2 | ||
| Creatinine (mg/dL) | 0.89 | 1.0 | ||
| Hospital stay (day) | 7 | 10 | ||
| Maternal characteristics | ||||
| COVID status at admission | Suspect (from hotspot/cluster area) | Positive | ||
| Age (yr) | 29 | 26 | ||
| Parity | G5P4L4 (previous normal delivery) | G2P1L1 (previous cesarean) | ||
| Symptoms in mother | Asymptomatic | Asymptomatic | ||
| GA on admission | 38 weeks 5 days | 37 weeks 5 days | ||
| Pregnancy associated complications | No | Antepartum hemorrhage (abruption) | ||
| Comorbidity | No | No | ||
COVID-19, coronavirus disease 2019; RT-PCR, reverse transcription-polymerase chain reaction; NICU, neonatal intensive care unit; GA, gestational age.