The medicine student's preparation on medical care of newborns suspected or infected by SARS-CoV-2
Keywords:
SARS-CoV-2, COVID-19, newborn, educational interventionAbstract
Introduction: a lot of questions rise in the contest of COVID-19 regarding the care of the newborn suspected to be or infected with the virus, and if this special care affects breastfeeding.
Objective: to design an educative intervention for the preparation of the medical student regarding the health care of the newborn with infection or suspected infection of COVID-19.
Method: a descriptive, cross-sectional study was carried out, approved by the Ethics Committee of the institution. The study population was made of 80 students of the 6th year of Medicine School in their internship period in the Hospital Dr Agostinho Neto, during the academic year 2019-2020. From them, 25 students were conveniently selected. Their preparation on the epidemiology of COVID-19 in the newborn, its influence in breastfeeding and the handling of these cases was evaluated. An educational intervention was designed and put into practice, aimed to fix the theoretical deficiencies about the topic in question.
Results: higher percentage of students had an inadequate knowledge about the care of the newborn suspected to be or infected with COVID-19 (88%), improved in a 92% after the educational intervention.
Conclusions: the theoretical deficiencies about the care of the newborn suspected to be or infected with COVID-19 found in the students confirms the need of educational work, in the form of an educational intervention to enrich their preparation, with emphasis in keeping the process of breastfeeding during the COVID-19 pandemic.
Downloads
References
2. WHO. WHO Director-General’s opening remarks at the media briefing on COVID-19 [en línea]. 2020 [citado 9 Jun 2020]; [aprox. 5 p.]. Disponible en: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-11-march-2020
3. Cuba. Ministerio de Salud Pública. Comisión Nacional de Carrera de Medicina. Programa de la Asignatura Internado de Pediatría. Modalidad Internado Rotatorio. Tema 4. Recién nacido. La Habana: Universidad de Ciencias Médicas; 2015.
4. Costa Rica. Ministerio de Salud. Comisión Nacional de Lactancia Materna. Lineamientos generales sobre lactancia materna y COVID-19 [en línea] 2020 [citado 2 Ago 2020]. Disponible en: https://www.ministeriodesalud.go.cr/sobre_ministerio/prensa/docs/lactancia_materna_v1_19032020.pdf
5. Grupo de Trabajo Internacional Voluntario de Expertos en Lactancia Materna. Guía Operativa de Lactancia en Emergencia Covid-19. América Latina. Task Force: Grupo, Paso10 [en línea] 2020 [citado 2 Ago 2020]. Disponible en: http://www.pediatrasandalucia.org/ayupedia/wp-content/uploads/2020/04/guiataskforce paso10-lactancia-y-coronavirus.pdf
6. Sociedad Española de Neonatología. abril 2020. Recomendaciones para el manejo del recién nacido en relación con la infección por SARS-CoV-2. AEPED [en línea] 2020 [citado 2 Ago 2020]. Disponible en: https://www.aeped.es/sites/default/files/recomendaciones_seneo_sars-cov 2 version 6.0.pdf
7. Díaz CA, Maestro ML, Pumarega MTM, Antón BF, Alonso CP. Primer caso de infección neonatal por Covid-19 en España. Anal Ped [en línea]. 2020 [citado 2 Ago 2020]; 92(4):237-38. Disponible en: https://www.analesdepediatria.org/es-pdf-S1695403320301302
8. Hong H, Wang Y, Chung HT, Chen CJ. Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns infants and children. Ped Neonatol [en línea] 2020 [citado 2 Ago 2020]; 61(131):e132. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129773/
9. Zeng L, S Xia, Yuan W, Yan K, Xiao F, Shao J, et al. Neonatal Early-Onset Infection with SARS-CoV-2 in 33 Neonates Born to Mothers With COVID-19in Wuhan, China. Res Letter. JAMA Pediatrics [en línea] 2020 [citado 2 Ago 2020]:e1-e3. Disponible en: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2763787
10.OPS. COVID-19: Recomendaciones para el cuidado integral de mujeres embarazadas y recién nacidos [en línea]. 2020 [citado 2 Ago 2020]. Disponible en: https://www.paho.org/es/documentos/covid-19-recomendaciones-para-cuidado-integral-mujeres-embarazadas-recien-nacidos
11.Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet [en línea] 2020 [citado 2 Ago 2020]; 395(10226):809-15. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/32151335
12.Lu Q, Shi Y. Coronavirus disease (COVID ‐19) and neonate: What neonatologist need to know. J Med Virol [en línea]. 2020 Jun [citado 2 Ago 2020]; 92(6):564-567. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32115733/
13.Ma XL, Chen Z, Zhu JJ, Shen XX, Wu MY, Shi L‐P, et al. Management strategies of neonatal jaundice during the coronavirus disease 2019 outbreak. World J Ped [en línea]. 2020 [citado 2 Ago 2020]; 16(3):247-250. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32112336/
14.(iHAN). Lactancia materna ante la pandemia de Coronavirus COVID‐19. Información para familias con niños y niñas pequeños (versión 2) [en línea]. 2020 [citado 2 Ago 2020]. Disponible en: https://www.ihan.es/wp-content/uploads/IHAN-INFORMACI%C3%93N-PARA-FAMILIAS-COVID19_v2.pdf
15.E-lactancia. COVID-19 materna, enfermedad materna por coronavirus 19 y lactancia materna ¿son compatibles [en línea]. 2020 [citado 2 Ago 2020]. Disponible en: http://e-lactancia.org/breastfeeding/maternal-covid-19-maternal-coronavirus-disease-2019/synon- ym/
16.Camacho CN, Correa VM, Alvarado CS. COVID19 y lactancia materna. Rev GICOS [en línea]. 2020 [citado 2 Ago 2020]; 5(e1):2332. Disponible en: http://erevistas.saber.ula.ve/index.php/gicos/article/view/16118
17.Calvo C, García López-Hortelano M, Carlos Vicente JCde, Vázquez Martínez JL. Recomendaciones sobre el manejo clínico de la infección por el “nuevo coronavirus” SARS-CoV2. An Pediatr (Barc) [en línea]. 2020 [citado 2 Ago 2020]; 92(4):241.e1-241.e11. Doi:10.1016/j.anpedi.2020.02.001
18.OPS. COVID-19: Vacunación de los recién nacidos en el contexto de la pandemia de COVID-19. Versión1 [en línea]. Washington D.C.: OPS; 2020 [citado 2 Ago 2020]. Disponible en: https://iris.paho.org/handle/10665.2/52227