Evidence summary: In pregnant women who have tested positive for COVID-19 is there any evidence in relation to the safest mode of delivery — caesarean or vaginal — for the woman, her baby and those caring for her?
| dc.contributor.author | National Health Library and Knowledge Service Evidence Team | |
| dc.contributor.author | Clark, Helen | |
| dc.contributor.author | Barrett, Shauna | |
| dc.contributor.author | Corey, Gillian | |
| dc.contributor.author | Leen, Brendan | |
| dc.date.accessioned | 2020-05-07T14:23:18Z | |
| dc.date.available | 2020-05-07T14:23:18Z | |
| dc.date.issued | 2020-04-16 | |
| dc.identifier.uri | http://hdl.handle.net/10147/627596 | |
| dc.description | The RCPI Institute of Obstetricians and Gynaecologists confirms in recent guidance1 that there is as yet limited evidence to support changing routine care practices in labour and at delivery. There is currently no evidence from the published literature to favour one mode of birth over another: cesarean vs vaginal 1, 6. The mode of delivery is directed by obstetric factors and clinical urgency10. The RCPI notes however that caesarean delivery involves significantly more staff input and potential for exposure to SARS-CoV21. The RCOG agrees that obstetric management of elective caesarean birth should be according to usual practice, with no obstetric contraindication to any method except water2. BMJ Best Practice4 states that choice of delivery and timing should be individualised based on gestational age, as well as maternal, fetal and delivery conditions. Induction of labour and vaginal delivery is preferred in pregnant women with confirmed COVID-19 infection to avoid unnecessary surgical complications; however, an emergency caesarean delivery may be required if medically justified: eg in patients with complications such as sepsis or if there is fetal distress. UpToDate5 reiterates that COVID-19 positive is not an indication to alter the route of delivery. Cesarean delivery is performed for standard obstetric indications. | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | Health Service Executive | en_US |
| dc.relation.ispartofseries | Evidence summaries | en_US |
| dc.subject | CORONAVIRUS | en_US |
| dc.subject | COVID-19 | en_US |
| dc.subject | CHILDBIRTH | en_US |
| dc.subject | OBSTETRICS | en_US |
| dc.title | Evidence summary: In pregnant women who have tested positive for COVID-19 is there any evidence in relation to the safest mode of delivery — caesarean or vaginal — for the woman, her baby and those caring for her? | en_US |
| dc.type | Other | en_US |
| refterms.dateFOA | 2020-05-07T14:23:19Z |
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HSE Library Summaries of Evidence
Evidence summaries and reviews on the management and treatment of Novel Coronavirus Covid-19 and other clinical topics