COVID-19 in Pregnancy, Worse C-Section Outcomes- Study
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Pregnant women with COVID-19 who deliver by cesarean section may be at greater risk for complications that affect them and their babies, new research suggests. The study focused on 82 women with COVID-19 -- four of them with severe symptoms -- who gave birth in hospitals in Spain. Thirty-seven women delivered by cesarean section (C-section), including eight as a direct result of COVID-19 issues. Nearly 30% of babies delivered by C-section had to go to the neonatal intensive care unit, compared with fewer than 20% of babies delivered vaginally, the researchers found.

The study found that women who had a C-section were more likely to wind up in the intensive care unit themselves. They also were more likely to be obese, in need of oxygen when they entered the hospital and to have abnormal chest X-rays. None of the mothers who delivered vaginally developed severe medical problems, while nearly 14% who had a C-section had to go to the ICU. Five percent of women who delivered vaginally saw their COVID-19 worsen, compared with 22% who had a C-section, according to the report.

Whether COVID-19 can be passed to a baby in the womb isn't known, but this study may shed some light on the possibility.

Of 72 newborns tested for COVID-19 within six hours of birth, 4% were positive for the virus. Repeat testing after 48 hours found that all tested negative. None of these babies developed COVID-19 symptoms within 10 days, the study authors said. However, two babies delivered by C-section did develop COVID-19 symptoms within 10 days. Both had contact with their parents immediately after birth, the researchers said. Their symptoms resolved within two days.