{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T18:21:23Z","timestamp":1772821283039,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:00:00Z","timestamp":1590624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To report mode of delivery and immediate neonatal outcome in women infected with COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Twelve hospitals in northern Italy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Pregnant women with COVID\u201019\u2010confirmed infection who delivered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Exposure<\/jats:title><jats:p>COVID 19 infection in pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>SARS\u2010CoV\u20102\u2010infected women who were admitted and delivered from 1 to 20 March 2020 were eligible. Data were collected from the clinical records using a standardised questionnaire on maternal general characteristics, any medical or obstetric co\u2010morbidity, course of pregnancy, clinical signs and symptoms, treatment of COVID 19 infection, mode of delivery, neonatal data and breastfeeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome and measures<\/jats:title><jats:p>Data on mode of delivery and neonatal outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 42 women with COVID\u201019 delivered at the participating centres; 24 (57.1%, 95% CI\u00a041.0\u201372.3) delivered vaginally. An elective caesarean section was performed in 18\/42 (42.9%, 95% CI 27.7\u201359.0) cases: in eight cases the indication was unrelated to COVID\u201019 infection. Pneumonia was diagnosed in 19\/42 (45.2%, 95% CI 29.8\u201361.3) cases: of these, 7\/19 (36.8%, 95% CI 16.3\u201361.6) required oxygen support and 4\/19 (21.1%, 95% CI\u00a06.1\u201345.6) were admitted to a critical care unit. Two women with COVID\u201019 breastfed without a mask because infection was diagnosed in the postpartum period: their newborns tested positive for SARS\u2010Cov\u20102 infection. In one case, a newborn had a positive test after a vaginal operative delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although postpartum infection cannot be excluded with 100% certainty, these findings suggest that vaginal delivery is\u00a0associated with a low risk of intrapartum SARS\u2010Cov\u20102 transmission to the newborn.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>This study suggests that vaginal delivery may be associated with a low risk of intrapartum SARS\u2010Cov\u20102 transmission to the newborn.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16278","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T21:01:30Z","timestamp":1588021290000},"page":"1116-1121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":219,"title":["Vaginal delivery in SARS\u2010CoV\u20102\u2010infected pregnant women in Northern Italy: a retrospective analysis"],"prefix":"10.1111","volume":"127","author":[{"given":"E","family":"Ferrazzi","sequence":"first","affiliation":[{"name":"Department of Woman, Child and Neonate Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico Milan Italy"},{"name":"Department of Clinical Sciences and Community Health University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Frigerio","sequence":"additional","affiliation":[{"name":"Dept of Obstetrics and Gynecology Papa Giovanni XXIII Hospital Bergamo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Savasi","sequence":"additional","affiliation":[{"name":"Department of Woman, Mother and Neonate Sacco Hospital\u2010ASST Fatebenefratelli\u2010Sacco Milan Italy"},{"name":"Dept of Biomedical and Clinical Sciences University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Vergani","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Fondazione MBBM San Gerardo Hospital Monza Italy"},{"name":"University of Milano Bicocca Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7793-714X","authenticated-orcid":false,"given":"F","family":"Prefumo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Spedali Civili di Brescia Brescia Italy"},{"name":"University of Brescia Brescia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Barresi","sequence":"additional","affiliation":[{"name":"Dept of Obstetrics and Gynecology Papa Giovanni XXIII Hospital Bergamo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health University of Milan Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Ciriello","sequence":"additional","affiliation":[{"name":"Dept of Obstetrics and Gynecology Papa Giovanni XXIII Hospital Bergamo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Facchinetti","sequence":"additional","affiliation":[{"name":"Obstetrics Unit Mother Infant Department AOU of Modena Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MT","family":"Gervasi","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Unit Department of Woman\u2019s and Child\u2019s Health University Hospital of Padua Padua Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Iurlaro","sequence":"additional","affiliation":[{"name":"Department of Woman, Child and Neonate Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico Milan 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