The Effect of the Mode of Delivery on Probable Vertical Transmission in COVID-19-Positive Mothers
Elhakem, B., Alnazer, M., Ghanem, M., Riad, A. (2023). The Effect of the Mode of Delivery on Probable Vertical Transmission in COVID-19-Positive Mothers. EKB Journal Management System, 1(1), 57-64. doi: 10.21608/arcmed.2023.200292.1020
Bahaa Abdelaziz Elhakem; Mohamed Adel Alnazer; Medhat Mohamed Ghanem; Amr Ahmed Riad. "The Effect of the Mode of Delivery on Probable Vertical Transmission in COVID-19-Positive Mothers". EKB Journal Management System, 1, 1, 2023, 57-64. doi: 10.21608/arcmed.2023.200292.1020
Elhakem, B., Alnazer, M., Ghanem, M., Riad, A. (2023). 'The Effect of the Mode of Delivery on Probable Vertical Transmission in COVID-19-Positive Mothers', EKB Journal Management System, 1(1), pp. 57-64. doi: 10.21608/arcmed.2023.200292.1020
Elhakem, B., Alnazer, M., Ghanem, M., Riad, A. The Effect of the Mode of Delivery on Probable Vertical Transmission in COVID-19-Positive Mothers. EKB Journal Management System, 2023; 1(1): 57-64. doi: 10.21608/arcmed.2023.200292.1020

The Effect of the Mode of Delivery on Probable Vertical Transmission in COVID-19-Positive Mothers

ARCADEs of MEDICINE
Volume 1, Issue 1, December 2023, Page 57-64  XML PDF (356.3 K)
Document Type: Original Research
DOI: 10.21608/arcmed.2023.200292.1020
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Authors
Bahaa Abdelaziz Elhakem email 1; Mohamed Adel Alnazer1; Medhat Mohamed Ghanem2; Amr Ahmed Riad3
1Obstetrics and Gynecology department, Armed Forces College of Medicine, Cairo, Egypt
2Obstetrics and Gynecology, Military Medical Academy, Cairo, Egypt
3Obstetrics and Gynecology, Armed Forces College of Medicine, Cairo, Egypt
Abstract
Background:

Recent research indicates that human-to-human contact is the primary mode of transmission for SARS-coronavirus 2 (SARS-CoV-2), the disease-causing agent of COVID-19. However, information on the vertical spread of COVID-19 among newborns is scarce and contradictory. The study aims to assess the association between delivery methods and the risk of vertical transmission of COVID-19 to newborns.

Methods:

This was a retrospective cohort study conducted at Misr El Gedida Military Hospital and El Obour Specialized Hospital of Ain Shams University on 100 pregnant women with confirmed COVID-19 infection, divided into two groups: Group A: those who delivered vaginally (n = 15); and Group B: those who delivered by cesarean section (n = 85) in the period between March 2020 and March 2022.

Results:

Pregnancy outcomes did not vary significantly (P-value > 0.05) between groups A and B. There was no significant difference between both groups in stillbirth rate, viral status, APGAR score, or ‎newborn weight (p-value > 0.05). In addition, there was no significant difference (p-value > 0.05) between ‎groups A and B in the rates of admission to the NICU‎.

Conclusion:

There was no association between the mode of delivery (vaginal vs. cesarean) and the rates of COVID-19 infection in newborns or neonatal mortality. These results do not lend credence to the idea that cesarean sections prevent the vertical transmission of COVID-19 from pregnant women to their newborn babies more effectively than vaginal births.
Keywords
COVID-19; cesarean delivery; pregnancy; vaginal delivery; vertical transmission
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