Dr Leticia Bazo-Hernández, Rovira I Virgili University, Spain

Fortunately, natural selection, different immunological characteristics, among other assumptions, Sars-Cov-2 affects very few children, and those affected, seem only to be so in a slight way. Despite this, there have been cases of children with Covid-19 and, above all, neonates born to a mother with suspected or confirmed Covid-19. Spain is made up of 17 autonomous communities [Gobierno de España. Comunidades Autónomas, 2020a]. The Community of Madrid and Catalonia are the most affected autonomous communities, especially its two major cities, Madrid and Barcelona. Neonatal care has presented various ways of proceeding, depending on the number of cases, established protocols, human and material resources. In Spanish neonatal nursing we have experienced great confusion in all this process, due to the lack of knowledge about the best management of the disease and the lack of a communication channel, typical of the discipline.
To alleviate this situation, SEEN, the Spanish Society of Neonatal Nursing, has created repositories of the evidence generated on Covid-19 and the management of the child and his family. They transfer said evidence through social networks and the Telegram channel. We have a Telegram group to share doubts and concerns among neonatal nursing. And a reference position regarding care for the suspected or confirmed newborn of Covid-19 [SEEN, 2020a].
One of the topics studied in depth is “Recommendations for the management of the newborn in relation to SARS-CoV-2 infection and breastfeeding” [SEEN, 2020b], a document that presents and details two algorithms that we provide to health professionals for the management of infant feeding. The general recommendations are: the non-separation of the nursing mother and her child, whenever possible and other action measures exist. Respect for the fundamental rights of the child [UNICEF COMITÉ ESPAÑOL, 2015], and the rights of the hospitalized child [Parlamento Europeo, 1992], both defenders of the right of the minor not to be separated from their parents and to apply appropriate treatment on an individual basis. Encourage direct breastfeeding in all cases and, if in any particular case it is not possible, promote and facilitate the extraction of breast milk and its subsequent administration. Working together with other scientific societies and the government of Spain, a document generated is “Management of pregnant women and new-borns with Covid-19” [Gobierno de España – Ministerio de Sanidad, 2020b], a reference document for health professionals associated with perinatal care in our country.
A first COVID19 and neonatal nursing meeting was held through the “I Virtual Session of SEEN with the title of “Neonatal care in the context of Covid-19” in which scientific knowledge and experiences of clinical practice were shared. This meeting was very fruitful to obtain a mapping of Covid-19 neonatal nursing care, transfer material worked on by experts from different autonomous communities and create lines of work appropriate to real needs. The objective of the study is now set in the elaboration of an ecological study that collects epidemiological evidence as well as neonatal care variables. We now seek to maintain a balance between strict Covid-19 isolation and disinfection recommendations and the humanization of care. We must not forget how beneficial the application of Development Centred Care is, a model focused on the performance of interventions that favour the neurodevelopment of the new-born [ Bazo Hernández, 2016], especially skin-to-skin and the strengthening of the maternal-infant bond after childbirthCovid-19. Well worked, everything is possible. And if there is something that characterizes paediatric nurses, and even more so neonatal nurses, it is the ability to adapt resources to offer quality care to our small patients, it will not be different with the Covid-19.

I’m Lora Alexander, one of the Quality Improvement coaches in a busy Level 3 NICU. QI is all about understanding problems, thinking of solutions, implementing ideas and analysing the results.
My name is Adedoyin Yissau, also known as Dee. I am the Education and Workforce Lead for the London Operational Delivery Network. I came into post as a Network Educator in 2019 and have since developed nursing education region wide, with the current focus on developing a nursing career pathway for London.
Neonatal Network Nurse Educator
My name is Dr. Julia Petty, and I am a nurse lecturer specialising in children’s nursing with a particular interest in neonatal care. My nursing career in paediatric and neonatal clinical nursing practice began after a BSc Hons degree in Psychology at Warwick University, when I moved to Great Ormond Street Hospital, London. Here, I trained in children’s and adult nursing before working there for many years in children’s and neonatal surgical care. I then gained my neonatal nursing qualification at St George’s NHS Trust London and worked at the Whittington NHS Trust NICU before moving back to Great Ormond Street for a senior education role on NICU where I worked until 2001. I then worked as Senior Lecturer at City University, London for 12 years leading the neonatal nursing education portfolio. I studied for a MSc, a PGCE and MA in academic practice during this time, In 2013, I moved to the University of Hertfordshire where my role is Associate Professor (learning and teaching) and Senior lecturer child nursing. I teach on the BSc Hons nursing and master’s degree programmes including leadership of modules, face-to-face/online teaching, assessing and supervision of students at all levels up to doctorate level. I am also research active and have completed a Doctorate in Education. As a nurse, educator and post-doctorate researcher, my interests focus on parents’ premature birth experiences, supporting parents in the transition home from NICU, exploring communication needs of neonates and their carers and studying the educational value of digital storytelling. This combination and variety of roles enriches my working life and brings together my experience as a child / neonatal nurse, educator and researcher. My role and related activities enable me to engage in both education and research while supporting students on their nursing career and education pathway, which is a privilege to be part of.
Hello my name is Claire Richards and I’m the Lead Nurse for the Wales Maternity and Neonatal Strategic Network. This covers nursing leadership but also Neonatal transport. I also have a clinical honorary contract in one Health Board.
Hello, my name is Kim Edwards, and I am a Neonatal Nurse. I am currently the Lead Nurse and Workforce, Education Lead for the Thames Valley and Wessex Neonatal Operational Delivery Network (ODN)
Hello, my name is Jean and I am a registered children’s nurse with 27 years experience. I qualified with a DipHE after struggling academically due to dyslexia. Over my career I have worked mainly in PICU, NICU and children’s cardiac critical care. I am dual qualified in speciality (QIS) for both Neonatal and Paediatrics. The QIS program is a post graduate modular course completed at level 6/7. To be considered QIS you must successfully complete 4 separate modules, each have an academic and practical component. Only on completion of the QIS course can you apply for a band 6 role. In addition to the above qualifications it is expected you would have several years proven experience in speciality at Band 6 and 7 prior to applying for a Matron’s role.
My name is Lisa Baker, I’m a Ward Manager on a Level 2 Special Care Baby Unit in South Wales and I’ve been in this role since 2020.
Hello, my name is Wesell, and I am currently a trainee Advanced Neonatal Nurse Practitioner (ANNP) at Great Western Hospital, which is a Local Neonatal Unit (LNU). Prior to this, I gained substantial experience in a tertiary neonatal unit where I completed my QIS course at master’s level. This course, alongside my role as a senior nurse, provided me with the expertise required to develop my career further in neonatal care.
My name is Hannah Wells, and I am a Neonatal Surgical Clinical Nurse Specialist (CNS).
Hi, I am Amanda and work as the Neonatal Infant Feeding Coordinator for a NICU and a SCBU within one service. While the role is not standardised, many neonatal units now have dedicated posts.
Hello, my name is Daniela Machado, and I am proud to be a Developmental Care Specialist/Lead Nurse and a sister/charge nurse, working across two different trusts. I am originally from Porto, Portugal, and have spent 14 years building my nursing career in the UK. My role involves applying and advancing neuroprotective/developmental care practices for our preterm and neonatal patients/families.
Hello! I am Renjita Raju , a Neonatal Junior Sister working in London. After completing my BSc nursing degree in India, I moved to UK, and completed NMC OSCE to get registered and QIS course to become specialised in neonatal care. I recently qualified as an NLS instructor with the support from NNA scholarship programme. My role involves caring for premature and critically ill newborns, ensuring their safety and health with a highly collaborative multidisciplinary team. I also teach in NLS courses as an instructor following my passion in neonatal resuscitation. I love witnessing infants grow stronger each day and supporting their families through this journey. I’m grateful for the opportunity to provide meaningful compassionate care to the tiniest, most vulnerable patients.