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Modes of delivery and indications in women with COVID-19: a regional observational study in Japan

Authors :
Shoichi Magawa
Shintaro Maki
Yuya Tamaishi
Naosuke Enomoto
Sho Takakura
Masafumi Nii
Kyohei Yamaguchi
Toru Hirata
Kenji Nagao
Yuka Maegawa
Kazuhiro Osato
Hiroaki Tanaka
Eiji Kondo
Tomoaki Ikeda
Source :
Journal of Obstetrics and Gynaecology, Vol 44, Iss 1 (2024)
Publication Year :
2024
Publisher :
Taylor & Francis Group, 2024.

Abstract

Background During the coronavirus disease (COVID-19) pandemic, caesarean section (CS) has been the preferred deliver method for pregnant women with COVID-19 in order to limit the use of hospital beds and prevent morbidity among healthcare workers.Methods To evaluate delivery methods used during the COVID-19 pandemic as well as the rates of adverse events and healthcare worker morbidity associated with caesarean deliveries.Methods We investigated maternal and neonatal backgrounds, delivery methods, indications and complication rates among pregnant women with COVID-19 from December 2020 to August 2022 in Mie Prefecture, Japan. The predominant mutation period was classified as the pre-Delta, Delta and Omicron epoch.Results Of the 1291 pregnant women with COVID-19, 59 delivered; 23 had a vaginal delivery and 36 underwent CS. Thirteen underwent CS with no medical indications other than mild COVID-19, all during the Omicron epoch. Neonatal complications occurred significantly more often in CS than in vaginal delivery. COVID-19 in healthcare workers was not attributable to the delivery process.Conclusion The number of CS with no medical indications and neonatal complications related to CS increased during the COVID-19 pandemic. Although this study included centres that performed vaginal deliveries during COVID-19, there were no cases of COVID-19 in healthcare workers. It is possible that the number of CS and neonatal complications could have been reduced by establishing a system for vaginal delivery in pregnant women with recent-onset COVID-19, given that there were no cases of COVID-19 among the healthcare workers included in the study.

Details

Language :
English
ISSN :
01443615 and 13646893
Volume :
44
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Obstetrics and Gynaecology
Publication Type :
Academic Journal
Accession number :
edsdoj.544a2c0edc8645308f92bc87cebcf8b2
Document Type :
article
Full Text :
https://doi.org/10.1080/01443615.2024.2362968