(1) Background: The ongoing COVID-19 pandemic has led to an increasing number of women giving birth while also grappling with SARS-CoV-2. The objective of this review is to examine the possibility of transmission of the virus from mother to infant through breastfeeding, skin-to-skin contact, and rooming-in and to explore methods for managing COVID-19-positive mother–infant dyads. (2) Methods: A comprehensive search strategy was employed that covered pertinent studies from the Cochrane Library, PubMed Central, and Scopus databases. The Matrix Method and PRISMA guidelines were utilized by the researchers, with the search being updated until 20 December 2021, one year after the initial vaccine delivery. The inclusion criteria for the study involved articles published in English, those employing broad search terms, and those comprising full-text reviews. Additionally, the researchers required that the articles be published from December 2019 onwards. To further analyze the data, a meta-analysis was performed to estimate the rate of infant infection from mothers who engaged in breastfeeding, skin-to-skin contact, and rooming-in practices. (3) Results: Eighteen studies were analyzed in this review, with an infected infant rate of 2.8%. The maternal practices used in these studies ranged from direct separation of the infant to direct skin-to-skin contact, rooming-in, and exclusive breastfeeding. One study investigated the factors associated with positive test results in newborns and found that only the maternal social vulnerability index >90 was a significant predictor. The type of delivery, rooming-in, and the mother’s symptom status were not associated with positive neonatal outcomes. (4) Conclusions: According to current data, the incidence of perinatal infection with SARS-CoV-2 is relatively low. It is advised that mothers adhere to several supportive care measures, including engaging in breastfeeding, skin-to-skin contact, and rooming-in. These measures ought to be complemented by diligent hand hygiene, the wearing of masks, and the cleansing of breasts solely when necessary.

Background: Increased nursing workload (NW) is associated with increased incidence of adverse events. In adult ICUs, one of the factors that increase NW is the severity of illness; however, this has not been adequately investigated in pediatric intensive care unit (PICU).Aim: To explore potential association between clinical severity of critically ill children and NW in PICU.Methods: A descriptive, correlational, cross-sectional study design was employed. Data were collected from three PICUs of Athens, Greece, during November 2015 to March 2016, using a sample of 58 pediatric patients. The Pediatric-Nursing Activities Score (P-NAS) and the Therapeutic Intervention Scoring System 28 (TISS-28) were used to measure NW and the Pediatric Logistic Organ Dysfunction (PELOD) to assess clinical severity. Demographic and clinical variables of the children were also investigated. Multiple linear regressions were used to identify NW predictive factors, at 5% significance level.Results: Participants' median age (interquartile range [IQR]) was 38.5 (7.0–127.0) months and 50% of them were male. PELOD score was significantly correlated with NW scores on the first day of hospitalization in PICU (P-NAS: ρ = .319, p = .020, TISS-28: ρ = .547, p < .0001) and with NW during total PICU stay (TISS-28: ρ = .483, p < .001). The PELOD (β = .694, p = .052) and the elective surgery (β = −13.12, p = .01) were predictors of the P-NAS on the first day of hospitalization, and the PELOD (β = .563, p = .029) and the emergency surgery (β = 16.09, p = .01) were predictors of the P-NAS during total PICU stay. The PELOD (β = .509, p = .001) was a predictor factor of the TISS-28 score on the first day of PICU hospitalization and the PELOD (β = .371, p = .003) and the age (β = .036, p = .005) were predictors of the TISS-28 score during total PICU stay.Conclusions: The clinical severity is a predictive factor of NW required in PICUs.