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Table 4 Pros and Cons of room-in versus temporary separation

From: Preparation and consideration for establishment of an isolation maternity unit in a tertiary hospital during COVID-19 pandemic

Neonatal Considerations

Pros

Cons

Room-in

✓ Potentially less resource intensive during the pandemic

✓ Enhance bonding between mother and baby and long-term neonatal development

✓ Promotes establishment of breastfeeding and inherent benefits of breastmilk, including presence of SARS-CoV-2 specific IgA and IgG in the milk

✓ Risk of horizontal transmission

Temporary separation

✓ Reduce risk of horizontal transmission

✓ Benefits of breast milk can still be reaped through feeding of Expressed Breast Milk (EBM)

✓ Symptomatic mothers who are unwell and physically unfit to take care of baby would benefit from help from hospital staff who temporarily take care of baby

✓ Limits establishment of mother-baby bonding