Modes of delivery and indications in women with COVID-19: a regional observational study in Japan
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...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Journal of Obstetrics and Gynaecology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2024.2362968 |
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| author | Shoichi Magawa Shintaro Maki Yuya Tamaishi Naosuke Enomoto Sho Takakura Masafumi Nii Kyohei Yamaguchi Toru Hirata Kenji Nagao Yuka Maegawa Kazuhiro Osato Hiroaki Tanaka Eiji Kondo Tomoaki Ikeda |
| author_facet | Shoichi Magawa Shintaro Maki Yuya Tamaishi Naosuke Enomoto Sho Takakura Masafumi Nii Kyohei Yamaguchi Toru Hirata Kenji Nagao Yuka Maegawa Kazuhiro Osato Hiroaki Tanaka Eiji Kondo Tomoaki Ikeda |
| author_sort | Shoichi Magawa |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-544a2c0edc8645308f92bc87cebcf8b2 |
| institution | Kabale University |
| issn | 0144-3615 1364-6893 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj-art-544a2c0edc8645308f92bc87cebcf8b22025-01-09T12:13:17ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2362968Modes of delivery and indications in women with COVID-19: a regional observational study in JapanShoichi Magawa0Shintaro Maki1Yuya Tamaishi2Naosuke Enomoto3Sho Takakura4Masafumi Nii5Kyohei Yamaguchi6Toru Hirata7Kenji Nagao8Yuka Maegawa9Kazuhiro Osato10Hiroaki Tanaka11Eiji Kondo12Tomoaki Ikeda13Department of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie Central Medical Center, Tsu, JapanDepartment of Obstetrics and Gynecology, Miyazaki University Faculty Medicine, Miyazaki, JapanDepartment of Obstetrics and Gynecology, Yokkaichi Municipal Hospital, Yokkaichi, JapanDepartment of Obstetrics and Gynecology, Ise Red Cross Hospital, Ise, JapanDepartment of Obstetrics and Gynecology, Mie Prefectural General Medical Center, Yokkaichi, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanDepartment of Obstetrics and Gynecology, Mie University Faculty Medicine, Tsu, JapanBackground 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.https://www.tandfonline.com/doi/10.1080/01443615.2024.2362968COVID-19caesarean sectionneonatal complicationmode of deliveryvaginal deliveryOmicron |
| spellingShingle | Shoichi Magawa Shintaro Maki Yuya Tamaishi Naosuke Enomoto Sho Takakura Masafumi Nii Kyohei Yamaguchi Toru Hirata Kenji Nagao Yuka Maegawa Kazuhiro Osato Hiroaki Tanaka Eiji Kondo Tomoaki Ikeda Modes of delivery and indications in women with COVID-19: a regional observational study in Japan Journal of Obstetrics and Gynaecology COVID-19 caesarean section neonatal complication mode of delivery vaginal delivery Omicron |
| title | Modes of delivery and indications in women with COVID-19: a regional observational study in Japan |
| title_full | Modes of delivery and indications in women with COVID-19: a regional observational study in Japan |
| title_fullStr | Modes of delivery and indications in women with COVID-19: a regional observational study in Japan |
| title_full_unstemmed | Modes of delivery and indications in women with COVID-19: a regional observational study in Japan |
| title_short | Modes of delivery and indications in women with COVID-19: a regional observational study in Japan |
| title_sort | modes of delivery and indications in women with covid 19 a regional observational study in japan |
| topic | COVID-19 caesarean section neonatal complication mode of delivery vaginal delivery Omicron |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2024.2362968 |
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