Coronavirus: mother-baby transmission yet to be proven, obstetrician says
- Wuhan baby confirmed as being infected was tested 36 hours after birth meaning it had been in contact with other people, doctor says
- Tests carried on infant’s placenta and umbilical cord blood at time of delivery by caesarean section came back negative, she says
“We cannot say right now that there is mother-baby vertical transmission because the number of cases is too few,” said Qiao Jie, a doctor from Peking University Third Hospital in Beijing who is now helping to combat the contagion in the central China city.
“But also we don’t dare say there is not one,” she said in an interview with state broadcaster CCTV.
The television report came after tests carried out on a baby 36 hours after its birth at Wuhan Children’s Hospital confirmed it was infected with the coronavirus.
The results sparked concerns that the pathogen was passing from mothers to their babies either in the womb or through their breast milk, a process known as vertical transmission.
The CCTV report said that the infant had a minor liver dysfunction, a lung infection and some problems breathing, but its vital signs were stable and it did not have a fever or a cough. It did not specify the child’s gender.
Qiao said that after being delivered by caesarean section, the baby was moved to a paediatrics ward. The viral infection was confirmed by a throat swab test conducted a day and a half later.
“It was 36 hours after the delivery, so the baby had had contact with other people,” she said.
“Fortunately, tests were also performed [much earlier] on the [baby’s] placenta and blood from the umbilical cord and they came back negative.”
Tests on the mothers’ breast milk also showed no signs of infection, she said.
Similar investigations had been carried out by other teams on a further 20 newborns at the time of their delivery – all by caesarean section – and these too had come back negative, she said.
“So far, there is only one case, but the test was done 36 hours after the birth, therefore we cannot say with certainty [it was] mother-baby transmission,” Qiao said.
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Zeng Lingkong, a doctor in the neonatal department at Wuhan Children’s Hospital, said in the CCTV report that confirmation of the baby’s infection showed “we should be concerned about the possible new transmission route of the coronavirus”.
Chen Zhimin, an expert in respiratory disorders at Zhejiang Children’s Hospital, said last week that while it was possible for mothers to pass their infections on to their babies, “[as yet] we don’t know whether there is vertical transmission. We haven’t ruled out the risk”.
Since the coronavirus outbreak was first reported in December, more than 28,000 people have been infected by it and more than 560 killed.
