tetano
Editor, Senior Moderator
J Obstet Gynaecol
. 2024 Dec;44(1):2362968.
doi: 10.1080/01443615.2024.2362968. Epub 2024 Jun 17. Modes of delivery and indications in women with COVID-19: a regional observational study in Japan
Shoichi Magawa[SUP] 1 [/SUP], Shintaro Maki[SUP] 1 [/SUP], Yuya Tamaishi[SUP] 1 [/SUP], Naosuke Enomoto[SUP] 1 [/SUP], Sho Takakura[SUP] 1 [/SUP], Masafumi Nii[SUP] 1 [/SUP], Kyohei Yamaguchi[SUP] 2 [/SUP], Toru Hirata[SUP] 3 [/SUP], Kenji Nagao[SUP] 4 [/SUP], Yuka Maegawa[SUP] 5 [/SUP], Kazuhiro Osato[SUP] 6 [/SUP], Hiroaki Tanaka[SUP] 1 [/SUP], Eiji Kondo[SUP] 1 [/SUP], Tomoaki Ikeda[SUP] 1 [/SUP]
Affiliations
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.
Keywords: COVID-19; Omicron; caesarean section; mode of delivery; neonatal complication; vaginal delivery.
. 2024 Dec;44(1):2362968.
doi: 10.1080/01443615.2024.2362968. Epub 2024 Jun 17. Modes of delivery and indications in women with COVID-19: a regional observational study in Japan
Shoichi Magawa[SUP] 1 [/SUP], Shintaro Maki[SUP] 1 [/SUP], Yuya Tamaishi[SUP] 1 [/SUP], Naosuke Enomoto[SUP] 1 [/SUP], Sho Takakura[SUP] 1 [/SUP], Masafumi Nii[SUP] 1 [/SUP], Kyohei Yamaguchi[SUP] 2 [/SUP], Toru Hirata[SUP] 3 [/SUP], Kenji Nagao[SUP] 4 [/SUP], Yuka Maegawa[SUP] 5 [/SUP], Kazuhiro Osato[SUP] 6 [/SUP], Hiroaki Tanaka[SUP] 1 [/SUP], Eiji Kondo[SUP] 1 [/SUP], Tomoaki Ikeda[SUP] 1 [/SUP]
Affiliations
- PMID: 38885134
- DOI: 10.1080/01443615.2024.2362968
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.
Keywords: COVID-19; Omicron; caesarean section; mode of delivery; neonatal complication; vaginal delivery.