Maternal COVID infection by itself is not an indication of CS@. The vertical transmission is still controversial. But, isolation of the newborn and the infected postpartum women is recommended based on WHO and CDC.

Thanks for your answer and explanation Dr.

Recommendation for COVID19 and Pregnancy.

Thanks Dr. Ahsan

No, covid-19 can not be considered as a sign for preferring cesarean section as till date, vertical transmission of deadly virus is not confirmed yet. World wide, natural deliveries are taking place except for the mothers who are at high risk pregnancy. Even infected mothers can feed their new born after taking proper precautions to avoid it's communication or can provide pump feed

Thanks

No. Covid 19 is not an indication for cesareian delivery. Vertical transmission is still not proven.

I think mild non pulmonary cases can deliver vaginally as indicated but moderate pulmonary cases and cases requiring ventilation,delivery by CS is strongly recommended

No ...it depends on obstetric indications . Routine CS is not preferred

COVID-19 is not an indication to alter the route of delivery . Cesarean delivery is performed for standard obstetric indications, which may include acute decompensation of mother with COVID-19.

Even if vertical transmission is confirmed as additional data are reported, this would not be an indication for cesarean delivery since it would increase maternal risk and would be unlikely to improve newborn outcome. Reports of COVID-19 infection in the neonate have generally described mild disease

Refrences:

1- World Health Organziation. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance 13 March 2020. https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected (Accessed on April 10, 2020).

2- https://www.acog.org/ (Accessed on March 25, 2020).

no yet

COVID 19 is not an indication for caesarean, however an increase in this caesarean time has been seen. Vertical transmission is still controversial, since in recent reports cases of virus have been found in the placenta, however, it is believed that this may be associated with the patient's viral load.

COVID 19 is not an indication for caesarean.Certainly the obstetrics indications have the vital role in the kind of the delivery,but mother's conditions is very important. for example fever makes the FHR Tachycardied and it can effect the way if deliver(indirect relationship)

COVID positive women have recovered and given birth at term vaginally , when they were infected early on in the pregnancy, both the mother and the neonate being healthy.

When women are near term and were deteriorating we have delivered them by emergency CS for maternal health. As a woman keeps deteriorating and with desaturation , vaginal birth become not achievable as some of these women have deteriorated suddenly. After the delivery, if intubation is needed it becomes easier and managing in an ITU set up easier.

This said and done, for the fetal health there is no indication for CS delivery.

There have been an occasional case of virus in amniotic fluid but still need further evidence. Also there needs to be prospective cohort studies for evaluating fetal effects of virus.

When delivery is needed for maternal health, it is better be sooner than later as a further decline in lung function will make regional anaesthesia unsafe and woman has to be delivered with GA

The determination of mode of delivery should be based on obstetric indications; however, the safety of vaginal birth, caesarean section or other methods of delivery in the context of COVID‐19 infection has yet to be confirmed.

Obstetric experts in Wuhan issued the following recommendations:

1. During the current period of emergency, the indications for caesarean section for women with COVID‐19 infection should be applied flexibly and the threshold for caesarean section lowered.

2. In particular, the threshold for caesarean section on the basis of delay in the first stage of labour should be lowered.

Qi H, Luo X, Zheng Y, et al. Safe delivery for pregnancies affected by COVID-19 [published online ahead of print, 2020 Mar 26]. BJOG. 2020;10.1111/1471-0528.16231.

Not yet. Covid-19 is not an indication fort caesarean.

The virus is newly discovered and there is limited data for its vertical transition. In the first trimester and even in the second trimester more time and studies are required to show whether the virus can be vertically transmitted to the embryo and whether it cause any permanent defect to the baby. in the third trimester, it is still not well documented that it could be transmitted but the need for Cesarean section is reserved for improving maternal condition and to when the maternal disease result in impact on the fetal well being. After delivery, it need to be confirmed whether the viral particles are present in the maternal breast milk and if their presence can result in neonatal infection.

The indication of c section can not be made only if covid infection.

There is not yet enough evidence to support the cesarian.

Decision should be made on maternal and fetal indication. There are no data at the moment to support the presence of virus in the vagina and the risk of fetal aspiration during the birth process with subsequent fetal infection.

No evidence of any increased benefit of CS Versua Vaginal delivey in Covid patients

thanks for your kindful contribution dear Dr. María Guadalupe Berumen Lechuga

thanks for your kindful contribution dear Dr. Maria Fernanda Paz Y Miño

thanks for your kindful contribution dear Dr. Mansoureh Hasanzadeh

Thriveni Ballekere Krish Negowda thanks for your kindful contribution dear

Philémon Mulongo Mbarambara thanks for your kindful contribution dear

thanks for your kindful contribution dear Dr. Sarab Meekha

thanks for your kindful contribution dear Dr. Doinita Gache

thanks for your kindful contribution dear Dr. Nashwa Eltaweel

maternal Covid-19 is not a cesarean indication up to now. In case of complications, it can be useful to practise a cesarean section to save the mother and baby

thanks for your kindful contribution dear Philémon Mulongo Mbarambara

you are welcome