I am 38 wks. pregnant and infected with Hepatitis C with a very low viral load. The doctors that I have been seeing admit that there is really no good evidence to support the claim that a c-section reduces the likelihood of transmission compared to a vaginal delivery as does the research that I have done myself. There is one study, however, that says that the risk of transmission maybe be higher for vaginal delivery, albeit statistically insignificant. The risk was found to be 1% higher. This study was not a randomized control study, but an observational study, so the accuracy is very questionable. My doctors seem to be at a loss as to whether I should have a c-section or vaginal delivery and are telling me that it is up to me. When I consider the higher risk to the mother of having a c-section, I really don't know what to do.