By Goodluck Musinguzi
The Pregnant(mother) patient was received at Kawempe Women’s hospital with cough, chest pain, difficulty in breathing and required oxygyen immediately.
The hospital management made a decision to transfer her to Entebbe Hospital for better management as the signs and conditions showed to be like those with COVID-19.
Dr Diana Atwine, Permanent Secretary Ministry of Health appreciated the health workers at Entebbe Hospital for successfully operating a pregnant mother who came with life threatening conditions.
“Our team at Entebbe hospital successfully operated on a mother suspected to have COVID and she safely gave the world a baby girl (3.9 kgs). The patient came in with cough, chest pain, difficulty in breathing and draining liquor and required oxygen. Let’s applaud the commitment”.
Center for Diasease Control and Prevention based in America said pregnant people(mothers) might be at an increased risk for severe illness from COVID-19 compared to non-pregnant people.
Additionally, there may be an increased risk of adverse pregnancy outcomes, such as preterm birth, among pregnant people with COVID-19. Therefore, if you are pregnant, be mindful about reducing your risk of getting sick.
If you are caring for children, you can teach them everyday steps (such as proper handwashing) to help them stay healthy and, in turn, help protect yourself and your family.
As the Ministry of Health waits for her results, Emmanual Ainebyoona, Senior Public Relations Officer says the team from Entebbe hospital successfully operated on a mother yesterday who was was referred from Kawempe Hospital.
The reason for referral was that she is a COVID suspect and she came in with cough, chest pain and difficulty in breathing. The baby is 3.9 kg girl
The baby and mother are reported to be in stable conditions but we cant tell if the mother was separated with the mother or was allowed to breastfeed the child.
CDC says newborns can be infected with the virus that causes COVID-19 after being in close contact with an infected person.
Some babies have tested positive for the virus shortly after birth. It is unknown if these babies got the virus before, during, or after birth.
Most newborns who have tested positive for COVID-19 had mild or no symptoms and have recovered fully. However, there are a few reports of newborns with severe illness.
A small number of other problems, such as preterm (early) birth and other problems with pregnancy and birth, have been reported in babies born to mothers who tested positive for COVID-19. We do not know if these problems were related to the virus.
CDC recognizes that the ideal setting for the care of a healthy, full-term newborn during the birth hospitalization is within the mother’s room.
Temporary separation of the newborn from a mother with suspected or confirmed COVID-19 should be considered to reduce the risk of spreading the virus to the newborn.
The risks and benefits of temporary separation of the mother from her newborn should be discussed with the mother by her healthcare team. Decisions about temporary separation should be made with respect to the mother’s wishes.
If the mother chooses a temporary separation to reduce risk of spreading the virus and would like to breastfeed, she should express breast milk and have a healthy caregiver who is not at high-risk for severe illness from COVID-19 bottle feed the newborn the expressed breast milk if possible.
If the mother with suspected or confirmed COVID-19 does not choose temporary separation in the hospital, she should take precautions to avoid spreading the virus to the newborn, including washing her hands and wearing a mask when within 6 feet of her newborn.
The newborn should be kept 6 feet away from the mother, as much as possible, including the use of physical barriers (e.g., placing the newborn in an incubator).
Mothers who are discharged from the hospital but have not met criteria to discontinue isolation may choose to continue to separate from the newborn at home to reduce the risk of spreading the virus, if a healthy caregiver is available.
If a healthy caregiver is not available, a mother with COVID-19 can still care for her infant if she is well enough while using precautions (for example, hand washing, wearing a mask).
Separation from the newborn may make it harder for some new mothers to start or continue breastfeeding. Frequent hand expression or pumping, ideally with a hospital-grade pump, is necessary to establish and build milk supply during temporary separation.
Pumping every 2-3 hours (at least 8-10 times in 24 hours, including at night), especially in the first few days, signals the breasts to produce milk and prevents blocked milk ducts and breast infections.
Mothers who are unable to establish milk production in the hospital after birth, or who have to temporarily stop breastfeeding, can re-lactate with skilled assistance from a lactation support provider. Additional information on relactation is available.
COVID-19 and breastfeeding
Mothers who choose to breastfeed:
Breast milk provides protection against many illnesses and is the best source of nutrition for most infants. Learn more about breastfeeding.
You, along with your family and healthcare providers, should decide whether and how to start or continue breastfeeding.
We do not know for sure if mothers with COVID-19 can spread the virus to babies in their breast milk, but the limited data available suggest this is not likely.
If you have COVID-19 and choose to breastfeed: Wear a mask while breastfeeding and wash your hands with soap and water for at least 20 seconds before each feeding.