Objective To report mode of delivery and immediate neonatal outcome in women infected with COVID-19. Design Retrospective study. Setting Twelve hospitals in northern Italy. Participants Pregnant women with COVID-19-confirmed infection who delivered. Exposure COVID 19 infection in pregnancy. Conclusions Although postpartum infection cannot be excluded with 100% certainty, these findings suggest that vaginal delivery is associated with a low risk of intrapartum SARS-Cov-2 transmission to the newborn.

Vertical transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for coronavirus disease 2019 (COVID-19), is still a controversial issue and studies on transplacental transmission correlations are still limited. We report on our experience with placental SARS-CoV-2 markers of infection in a series of mothers who received a diagnosis of COVID-19 in their third trimester of pregnancy.

Table 1. Countries, territories or areas with reported laboratory-confirmed COVID-19 cases and deaths. Data as of 13 April 2020 * Reporting Country/ Territory/Area † Total confirmed ‡ cases Total confirmed new cases Total deaths Total new deaths Transmission classification § Days since last reported case Western Pacific Region China 83597 115 3351 2 Clusters of cases Republic of Korea 10537 25 217 3 Clusters of cases Japan 7255 507 102 4 Clusters of cases Australia 6322 33 61 4 Clusters of cases Malaysia 4683 153 76 3 Clusters of cases Philippines 4648 220 297 50 Clusters of cases Singapore 2532 233 8 0 Clusters of cases New Zealand 1064 15 5