Objectives: To report the case of a live newborn with coronavirus infection in the immediate postpartum period after recent maternal COVID infection19
Methods: Case report of a patient admitted to the Municipal Hospital and Maternidade Amador Aguiar, Osasco-SP / Brazil, in labor associated with the suspicion of COVID-19, being attended by a multidisciplinary team. Your partner introduced COVID 5 days ago. JDS, 25 years old, female, married, brown, born in Osasco. Second pregnancy, normal delivery, without abortion, 39 weeks of gestation. For six days with sore throat, dry cough, runny nose and slight difficulty in breathing. Conscious, afebrile, without pain. Pulmonary auscultation: normal. Vaginal touch: cervical dilation 5 cm, cephalic, intact pouch; Uterine height: 32 cm, 128 beats / minute, three contractions of 30 seconds in 10 minutes. Interned for isolation delivery, clinical-obstetric support and appropriate preventive measures.
Results: Vaginal delivery occurred 6 hours after admission. The amniotic sac broke spontaneously at 7 cm. Live newborn, male, 2780g, Apgar 8/9. Positive maternal and fetal RT-PCR-SARS-COV-2 performed 24h after birth, remained asymptomatic during hospitalization. After 72h, hospital discharge, mother and son. Puerpêra without clinical worsening, used only symptomatic
Conclusions: Adequate care during childbirth and the puerperium is essential to reduce the possible maternal-fetal transmission of the coronavirus. To avoid false positives, it is necessary to repeat the fetal RT-PCR, discarding the positive test due to transmission by viral fragments during delivery. Thus, further investigations on the subject are necessary for preventive measures and new protocols.