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Neonatal COVID-19 is uncommon and the rate of maternal transmission is not increased with any particular mode of delivery or type of infant feeding

Neonatal COVID-19 Uncommon, Not Linked to Mode of Delivery

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Risk of transmission from mother to child is not increased with vaginal delivery or breastfeeding
Most of the decline in infant mortality rates from 2000 to 2017 was due to declines in rates across maternal age groups

Drop in Infant Mortality Mainly Due to Drop Across Maternal Age

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Changes in age distribution of women giving birth accounted for part of drop in infant mortality rates
Cesarean birth is associated with clinical deterioration in women with severe acute respiratory syndrome coronavirus 2 and with an increased risk for neonatal intensive care unit admission

Cesarean Delivery Tied to Clinical Deterioration in SARS-CoV-2

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Significant association found with clinical deterioration, risk for NICU admission in adjusted analyses
Filling an opioid prescription in the postpartum period is associated with an increased risk for serious opioid-related events

Filling Opioid Rx Postpartum Ups Serious Opioid-Related Events

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Serious opioid-related event rate increased with increasing number of postpartum opioid prescriptions
Nitrous oxide is a useful

Nitrous Oxide Safe, Effective for Pain Relief During Labor

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Predictors identified for conversion from inhaled N2O to neuraxial analgesia
At the Cedars-Sinai Medical Center in Los Angeles

No SARS-CoV-2 ID’d in Asymptomatic Pregnant Women in Los Angeles

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Among 80 asymptomatic pregnant women admitted to Cedars-Sinai Medical Center, none tested positive
In an American Academy of Pediatrics policy statement

AAP Updates Guidance for Care of Infants Born at Home

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The AAP does not recommendplanned home birth, which is linked to increased risk for infant mortality
Women born by cesarean delivery may have a higher risk for being obese and developing type 2 diabetes during adult life than women born by vaginal delivery

Being Born Via C-Section May Up Risk for T2DM in Adulthood

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Findings also show women born via cesarean are at increased risk for later obesity
From 2016 to 2018

CDC: Rates of STIs Up From 2016 to 2018 Among Women Giving Birth

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Rates of chlamydia, gonorrhea, and syphilis increased 2, 16, and 34 percent, respectively
Women who take less opioid pain medication in the 24-hour period before being discharged from the hospital after a cesarean delivery also use less opioid medication during the four weeks following discharge

Opioid Use Prior to Discharge After C-Section Tied to Later Use

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Level of opioid use within 24 hours predischarge linked to level of use for four weeks postdischarge