Mother to infant transmission is the commonest route of hepatitis C virus infection
in children. Most infected children remain well but are at high risk of developing
chronic liver problems during adulthood.
There is no evidence from randomised controlled trials regarding the benefits
and harms of planned elective caesarean section versus planned vaginal birth
for women with hepatitis C virus infection at birth.
Evidence from randomised controlled trials is needed to inform policy options;
in the meantime, systematic reviews of observational studies and syntheses
of qualitative data to inform women and health professionals would be necessary.