COVID-19 is not an indication to alter the route of delivery Cesarean delivery is performed for standard obstetric indications, which may include acute decompensation of mother with COVID-19. In one study of 37 cesarean and 41 vaginal deliveries in COVID-19 patients, cesarean birth was associated with an increased risk for clinical deterioration (8/37 versus 2/41 ),. Even if vertical transmission is confirmed as additional data are reported, this would not be an indication for cesarean delivery since it would increase maternal risk and would be unlikely to improve newborn outcome.