key: cord-0854621-0l5vkszl authors: Kohan, Shahnaz; Rahnemaei, Fatemeh Alsadat title: Delayed umbilical cord clamping and breastfeeding after childbirth in mothers affected by COVID 19: Recommended or not? date: 2020-05-28 journal: Eur J Obstet Gynecol Reprod Biol DOI: 10.1016/j.ejogrb.2020.05.041 sha: 8b9449a9a574be4acdb7b5f76cc30091aeaa3166 doc_id: 854621 cord_uid: 0l5vkszl nan Delayed umbilical cord clamping and breastfeeding after childbirth in mothers affected by COVID 19: Recommended or not? Dear Editor COVID-19, as a global crisis, affects all age groups [1] . Newborns are more vulnerable to the potential consequence of the novel coronavirus due to their immature immune systems [2] . There have been several reports about COVID-19 pneumonia in newborns and two infants 36 h after birth in positive mothers [3] [4] [5] . But there is insufficient evidence for vertical transmission from mother to fetus via amniotic fluid, umbilical blood or breast milk [6] . However, due to the novelity of this virus and vulnerability of the fetus, this evidence is not reliable. Therefore, since the respiratory droplets are major way to transmission of the virus to infant [7] during the delivery process, early cord clamping, immediate isolation of the newborn, and lack of skin-to-skin contact can reduce the newborn's infection. Also, mother's with good general condition, can breastfeed the newborn by observing the principles of protection (washing hands and wearing a mask). If the mother is ill and hospitalized in the infectious or intensive care unit, because it is not possible to be present in the mother's bed, neonate feed by formula. Authors have no conflict of interest Novel coronavirus in a 15-day-old neonate with clinical signs of sepsis, a case report Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection Neonatal Early-onset infection with SARS-CoV-2 in 33 neonates born to mothers with COVID-19 in Wuhan, China A case of 2019 Novel Coronavirus in a pregnant woman with preterm delivery Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records Characteristics of COVID-19 infection in Beijing We would like to thank the Nursing and Midwifery Care Research Center of Isfahan University of Medical Sciences.