Serveur d'exploration sur la COVID en France

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Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.

Identifieur interne : 000720 ( Main/Exploration ); précédent : 000719; suivant : 000721

Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.

Auteurs : Kee Thai Yeo [Singapour] ; Ju Lee Oei [Australie] ; Daniele De Luca [France] ; Georg M. Schmölzer [Canada] ; Robert Guaran [Australie] ; Pamela Palasanthiran [Australie] ; Kishore Kumar [Inde] ; Giuseppe Buonocore [Italie] ; Jeanie Cheong [Australie] ; Louise S. Owen [Australie] ; Satoshi Kusuda [Japon] ; Jennifer James [États-Unis] ; Gina Lim [Corée du Sud] ; Ankur Sharma [Australie] ; Sabita Uthaya [Royaume-Uni] ; Christopher Gale [Royaume-Uni] ; Elizabeth Whittaker [Royaume-Uni] ; Cheryl Battersby [Royaume-Uni] ; Neena Modi [Royaume-Uni] ; Mikael Norman [Suède] ; Lars Naver [Suède] ; Eric Giannoni [Suisse] ; Yenge Diambomba [Canada] ; Prakeshkumar S. Shah [Canada] ; Luigi Gagliardi [Italie] ; Michael Harrison [Afrique du Sud] ; Shakti Pillay [Afrique du Sud] ; Abdullah Alburaey [Arabie saoudite] ; Yuan Yuan [République populaire de Chine] ; Huayan Zhang [États-Unis, République populaire de Chine]

Source :

RBID : pubmed:32716579

Abstract

AIM

This review examined how applicable national and regional clinical practice guidelines and recommendations for managing neonates born to mothers with COVID-19 mothers were to the evolving pandemic.

METHODS

A systematic search and review identified 20 guidelines and recommendations that had been published by May 25, 2020. We analysed documents from 17 countries: Australia, Brazil, Canada, China, France, India, Italy, Japan, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, the UK and the United States.

RESULTS

The documents were based on expert consensus with limited evidence and were of variable, low methodological rigour. Most did not provide recommendations for delivery methods or managing symptomatic infants. None provided recommendations for post-discharge assimilation of potentially infected infants into the community. The majority encouraged keeping mothers and infants together, subject to infection control measures, but one-third recommended separation. Although breastfeeding or using breastmilk was widely encouraged, two countries specifically prohibited this.

CONCLUSION

The guidelines and recommendations for managing infants affected by COVID-19 were of low, variable quality and may be unsustainable. It is important that transmission risks are not increased when new information is incorporated into clinical recommendations. Practice guidelines should emphasise the extent of uncertainty and clearly define gaps in the evidence.


DOI: 10.1111/apa.15495
PubMed: 32716579


Affiliations:


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<name sortKey="Modi, Neena" sort="Modi, Neena" uniqKey="Modi N" first="Neena" last="Modi">Neena Modi</name>
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<name sortKey="Norman, Mikael" sort="Norman, Mikael" uniqKey="Norman M" first="Mikael" last="Norman">Mikael Norman</name>
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<name sortKey="Naver, Lars" sort="Naver, Lars" uniqKey="Naver L" first="Lars" last="Naver">Lars Naver</name>
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<name sortKey="Diambomba, Yenge" sort="Diambomba, Yenge" uniqKey="Diambomba Y" first="Yenge" last="Diambomba">Yenge Diambomba</name>
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<name sortKey="Shah, Prakeshkumar S" sort="Shah, Prakeshkumar S" uniqKey="Shah P" first="Prakeshkumar S" last="Shah">Prakeshkumar S. Shah</name>
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<nlm:affiliation>Mount Sinai Hospital, Toronto, ON, Canada.</nlm:affiliation>
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<name sortKey="Gagliardi, Luigi" sort="Gagliardi, Luigi" uniqKey="Gagliardi L" first="Luigi" last="Gagliardi">Luigi Gagliardi</name>
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<nlm:affiliation>Ospedale Versilia, Lido di Camaiore, AUSL Toscana Nord Ovest, Pisa, Italy.</nlm:affiliation>
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<name sortKey="Harrison, Michael" sort="Harrison, Michael" uniqKey="Harrison M" first="Michael" last="Harrison">Michael Harrison</name>
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<nlm:affiliation>University of Cape Town, Cape Town, South Africa.</nlm:affiliation>
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<name sortKey="Pillay, Shakti" sort="Pillay, Shakti" uniqKey="Pillay S" first="Shakti" last="Pillay">Shakti Pillay</name>
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<nlm:affiliation>University of Cape Town, Cape Town, South Africa.</nlm:affiliation>
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<name sortKey="Alburaey, Abdullah" sort="Alburaey, Abdullah" uniqKey="Alburaey A" first="Abdullah" last="Alburaey">Abdullah Alburaey</name>
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<nlm:affiliation>Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.</nlm:affiliation>
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<wicri:regionArea>Imam Abdulrahman bin Faisal University, Dammam</wicri:regionArea>
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<name sortKey="Yuan, Yuan" sort="Yuan, Yuan" uniqKey="Yuan Y" first="Yuan" last="Yuan">Yuan Yuan</name>
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<nlm:affiliation>Guangzhou Women and Children's Medical Center, Guangzhou, China.</nlm:affiliation>
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<settlement type="city">Jiangmen</settlement>
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<name sortKey="Zhang, Huayan" sort="Zhang, Huayan" uniqKey="Zhang H" first="Huayan" last="Zhang">Huayan Zhang</name>
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<nlm:affiliation>Children's Hospital of Philadelphia, Philadelphia, PA, USA.</nlm:affiliation>
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<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
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<title xml:lang="en">Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.</title>
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<title level="j">Acta paediatrica (Oslo, Norway : 1992)</title>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>This review examined how applicable national and regional clinical practice guidelines and recommendations for managing neonates born to mothers with COVID-19 mothers were to the evolving pandemic.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A systematic search and review identified 20 guidelines and recommendations that had been published by May 25, 2020. We analysed documents from 17 countries: Australia, Brazil, Canada, China, France, India, Italy, Japan, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, the UK and the United States.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The documents were based on expert consensus with limited evidence and were of variable, low methodological rigour. Most did not provide recommendations for delivery methods or managing symptomatic infants. None provided recommendations for post-discharge assimilation of potentially infected infants into the community. The majority encouraged keeping mothers and infants together, subject to infection control measures, but one-third recommended separation. Although breastfeeding or using breastmilk was widely encouraged, two countries specifically prohibited this.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>The guidelines and recommendations for managing infants affected by COVID-19 were of low, variable quality and may be unsustainable. It is important that transmission risks are not increased when new information is incorporated into clinical recommendations. Practice guidelines should emphasise the extent of uncertainty and clearly define gaps in the evidence.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="Publisher" Owner="NLM">
<PMID Version="1">32716579</PMID>
<DateRevised>
<Year>2020</Year>
<Month>08</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1651-2227</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2020</Year>
<Month>Jul</Month>
<Day>27</Day>
</PubDate>
</JournalIssue>
<Title>Acta paediatrica (Oslo, Norway : 1992)</Title>
<ISOAbbreviation>Acta Paediatr.</ISOAbbreviation>
</Journal>
<ArticleTitle>Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/apa.15495</ELocationID>
<Abstract>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">This review examined how applicable national and regional clinical practice guidelines and recommendations for managing neonates born to mothers with COVID-19 mothers were to the evolving pandemic.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A systematic search and review identified 20 guidelines and recommendations that had been published by May 25, 2020. We analysed documents from 17 countries: Australia, Brazil, Canada, China, France, India, Italy, Japan, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, the UK and the United States.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The documents were based on expert consensus with limited evidence and were of variable, low methodological rigour. Most did not provide recommendations for delivery methods or managing symptomatic infants. None provided recommendations for post-discharge assimilation of potentially infected infants into the community. The majority encouraged keeping mothers and infants together, subject to infection control measures, but one-third recommended separation. Although breastfeeding or using breastmilk was widely encouraged, two countries specifically prohibited this.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The guidelines and recommendations for managing infants affected by COVID-19 were of low, variable quality and may be unsustainable. It is important that transmission risks are not increased when new information is incorporated into clinical recommendations. Practice guidelines should emphasise the extent of uncertainty and clearly define gaps in the evidence.</AbstractText>
<CopyrightInformation>©2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Yeo</LastName>
<ForeName>Kee Thai</ForeName>
<Initials>KT</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0003-4357-3610</Identifier>
<AffiliationInfo>
<Affiliation>KK Women's & Children's Hospital, Singapore, Singapore.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Duke-NUS Medical School, Singapore, Singapore.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Oei</LastName>
<ForeName>Ju Lee</ForeName>
<Initials>JL</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-7799-3771</Identifier>
<AffiliationInfo>
<Affiliation>School of Women's and Children's Health, University of New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Royal Hospital for Women, Randwick, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>De Luca</LastName>
<ForeName>Daniele</ForeName>
<Initials>D</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-3846-4834</Identifier>
<AffiliationInfo>
<Affiliation>Division of Pediatrics and Neonatal Critical Care, "A. Béclère" Medical Center, Paris Saclay University Hospitals, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Physiopathology and Therapeutic Innovation Unit-INSERM U999, South Paris-Saclay, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schmölzer</LastName>
<ForeName>Georg M</ForeName>
<Initials>GM</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0001-9798-2415</Identifier>
<AffiliationInfo>
<Affiliation>University of Alberta, Edmonton, AB, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guaran</LastName>
<ForeName>Robert</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>NSW Perinatal Services Network, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Palasanthiran</LastName>
<ForeName>Pamela</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Sydney Children's Hospital Network, Randwick, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kumar</LastName>
<ForeName>Kishore</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Cloudnine Hospitals, Bangalore, India.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Buonocore</LastName>
<ForeName>Giuseppe</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Azienda Ospedaliera Universitaria Senese, Siena, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cheong</LastName>
<ForeName>Jeanie</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Clinical Sciences, Murdoch Children's Research Institute, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Obstetrics and Gynaecology, University of Melbourne, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Royal Women's Hospital, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Owen</LastName>
<ForeName>Louise S</ForeName>
<Initials>LS</Initials>
<AffiliationInfo>
<Affiliation>Clinical Sciences, Murdoch Children's Research Institute, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Obstetrics and Gynaecology, University of Melbourne, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Royal Women's Hospital, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kusuda</LastName>
<ForeName>Satoshi</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Kyorin University, Tokyo, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>James</LastName>
<ForeName>Jennifer</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Children's Hospital of Philadelphia, Philadelphia, PA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lim</LastName>
<ForeName>Gina</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Ulsan University Hospital, Ulsan, South Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Sharma</LastName>
<ForeName>Ankur</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Royal Hospital for Women, Randwick, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Uthaya</LastName>
<ForeName>Sabita</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Imperial College London and Chelsea and Westminster NHS Foundation Trust, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Imperial College Healthcare NHS Trust, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gale</LastName>
<ForeName>Christopher</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Imperial College London and Chelsea and Westminster NHS Foundation Trust, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Imperial College Healthcare NHS Trust, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Whittaker</LastName>
<ForeName>Elizabeth</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Imperial College Healthcare NHS Trust, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Battersby</LastName>
<ForeName>Cheryl</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Imperial College London and Chelsea and Westminster NHS Foundation Trust, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Imperial College Healthcare NHS Trust, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Modi</LastName>
<ForeName>Neena</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Imperial College London and Chelsea and Westminster NHS Foundation Trust, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Imperial College Healthcare NHS Trust, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Norman</LastName>
<ForeName>Mikael</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Naver</LastName>
<ForeName>Lars</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Giannoni</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0003-0897-6529</Identifier>
<AffiliationInfo>
<Affiliation>Department Mother-Woman-Child, Clinic of Neonatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Diambomba</LastName>
<ForeName>Yenge</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Mount Sinai Hospital, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Shah</LastName>
<ForeName>Prakeshkumar S</ForeName>
<Initials>PS</Initials>
<AffiliationInfo>
<Affiliation>Mount Sinai Hospital, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gagliardi</LastName>
<ForeName>Luigi</ForeName>
<Initials>L</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0001-6074-8975</Identifier>
<AffiliationInfo>
<Affiliation>Ospedale Versilia, Lido di Camaiore, AUSL Toscana Nord Ovest, Pisa, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Harrison</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Pillay</LastName>
<ForeName>Shakti</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Alburaey</LastName>
<ForeName>Abdullah</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Yuan</LastName>
<ForeName>Yuan</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Guangzhou Women and Children's Medical Center, Guangzhou, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zhang</LastName>
<ForeName>Huayan</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Children's Hospital of Philadelphia, Philadelphia, PA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Guangzhou Women and Children's Medical Center, Guangzhou, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>07</Month>
<Day>27</Day>
</ArticleDate>
</Article>
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<Country>Norway</Country>
<MedlineTA>Acta Paediatr</MedlineTA>
<NlmUniqueID>9205968</NlmUniqueID>
<ISSNLinking>0803-5253</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">neonate</Keyword>
<Keyword MajorTopicYN="N">perinatal care</Keyword>
<Keyword MajorTopicYN="N">practice guidelines</Keyword>
<Keyword MajorTopicYN="N">transmission</Keyword>
</KeywordList>
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<Year>2020</Year>
<Month>06</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>07</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>07</Month>
<Day>21</Day>
</PubMedPubDate>
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<Year>2020</Year>
<Month>7</Month>
<Day>28</Day>
<Hour>6</Hour>
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