PMC:7727601 / 5816-8723
Annnotations
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(1,322)\nYes, all newborns are separated until mother receives a negative result 64 (4.8)\nNo, newborns are only separated from mothers with symptoms or known exposure while awaiting results 378 (28.6)\nNo, all mothers and newborns remain together until the mother receives a positive result 320 (24.2)\nNo, all mothers and newborns are kept together regardless of symptoms, known exposure, or test results 560 (42.4)\nSkin-to-skin care in the first hour after birth of a healthy newborn whose mother has suspected/confirmed COVID-19 (1,335)\nEncouraged 178 (13.3)\nDetermined case-by-case as shared decision with the mother 883 (66.1)\nDiscouraged 187 (14.0)\nProhibited 87 (6.5)\nRooming-in for newborns of mothers with suspected/confirmed COVID-19 (1,334)\nEncouraged; no precautions required 34 (2.6)\nEncouraged with precautions to maintain distance 726 (54.4)\nDiscouraged, but allowed if mother’s preference 504 (37.8)\nProhibited; newborn was cared for in a room separate from mother 70 (5.3)\nBreastfeeding for mothers with suspected/confirmed COVID-19 (1,334)\nDirect breastfeeding encouraged with precautions (e.g., mask, handwashing) 893 (66.9)\nDirect breastfeeding discouraged but allowed with precautions if mother chooses 268 (20.1)\nDirect breastfeeding not supported, but mothers encouraged to express breast milk for feeding by a healthy caregiver 170 (12.7)\nFormula feeding recommended 3 (0.2)\nMothers with suspected/confirmed COVID-19 who are not breastfeeding are supported to start expressing breast milk (1,316)\nWithin 1 hr of birth 438 (33.3)\n1–3 hrs after birth 645 (49.0)\n4–6 hrs after birth 195 (14.8)\nTiming is not a consideration 34 (2.6)\nMothers are discouraged from expressing breast milk 4 (0.3)\nBecause of the COVID-19 pandemic, direct lactation support has decreased (1,339) 239 (17.9)\nBecause of the COVID-19 pandemic, hospital is discharging mothers and newborns \u003c48 hrs after birth (1,337) 975 (72.9)\nPostdischarge breastfeeding support currently offered by the hospital* (1,344)\nIn-person breastfeeding support consultations 802 (59.7)\nVirtual breastfeeding consultations 655 (48.7)\nInformation on how to access a breast pump 1,047 (77.9)\nRenting or lending hospital-grade breast pumps 469 (34.9)\n Hospital exclusive breastfeeding rate since start of the pandemic (1,341)\nIncreased 152 (11.3)\nDecreased 164 (12.2)\nStayed about the same 924 (68.9)\nDon’t know 101 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