key: cord-026528-1ozgabwk
authors: Chen, Zhe; Ma, Xiangyi; Wang, Shixuan
title: Delivery method choice for COVID-19 pregnant women: stick to obstetric indications and avert anorectum contamination
date: 2020-06-09
journal: Am J Obstet Gynecol
DOI: 10.1016/j.ajog.2020.06.013
sha: 
doc_id: 26528
cord_uid: 1ozgabwk

nan

We appreciate that Dr. Carosso brought up several important points about our paper, 16 which are worth discussing and clarifying. 17 We stated that we did not find SARS-CoV-2 in lower female genital tract and our 18 results may provide evidence to guide the choice of delivery method for COVID-19 19 pregnant women. While we did not mean that vaginal delivery should be over 20 encouraged. We quite agree with the opinion that obstetricians should maintain their 21 obstetric indications. However, a high incidence of cesarean sections was mentioned 22 by Dr. Carosso. It might result from concerns that SARS-CoV-2 exists in vagina. It 23 was a reasonable suspicion since SARS-CoV-2 had been identified in anal swabs, 24 urine, and tears in an early time. 1 We did the test of samples from vagina, while no 

Review of the 2019 novel coronavirus 53 (SARS-CoV-2) based on current evidence

Severe 58 COVID-19 during Pregnancy and Possible Vertical Transmission

Severe Acute Respiratory Syndrome Coronavirus 2 63 (SARS-CoV-2) Vertical Transmission in Neonates Born to Mothers With 64

COVID-19) Pneumonia