claim: favorable outcomes among neonates also separated from their symptomatic sars-cov-2-infected mothers
evidence_1: breastfeeding may protect against the horizontal transmission of sars-cov-2, as specific antibodies against this virus have been found in the breast milk of a covid-19-infected mother.18 this hypothesis appears consistent with the protective effect of breastfeeding against respiratory tract infections in infancy.19 our results support early postnatal proximity, despite many mothers worldwide being separated from their newborn infants during the covid-19 pandemic.", "their newborns are at a higher risk of prematurity and early separation from their mothers, who may subsequently require intensive care for their own health.1,2 although neonates born of mothers infected with sars-cov-2 during pregnancy are seemingly vulnerable to infection, studies have found that they were not at a high risk for severe infection and were very rarely affected by covid-19.1,2,3,4,5,6 the presence of virus by real-time reverse transcriptase polymerase chain reaction (rt-pcr) has been reported in newborns before h 12 of life.1 in addition, antiviral immunoglobulin m has been detected in newborns at birth,7 suggesting that mother-to-infant viral transmission may occur.8 to date, however, only one case of vertical transmission has been clearly demonstrated.9 in several cases of early neonatal infection, postnatal contamination cannot be excluded.10 moreover, only one case report found that the virus could pass from mother to infant through the mothers breast milk.11 despite these findings, international or national guidelines on the management of newborns of mothers suspected or positive for covid-19, including chinese consensus guidelines and guidelines of the american academic of pediatrics, have recommended at least temporary separation of mother and newborn as a precaution.12,13 in contrast, other guidelines,14 including those of the french society of neonatology,15,16 do not recommend systematic separation."
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
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