Perinatal Dönemde COVID-19 Enfeksiyonu Yönetimi: Sağlık Çalışanlarına Öneriler

Year 2020, Volume: 7 Issue: Özel Sayı, 25 - 33, 09.08.2020

Çiğdem Yücel Gülten Koç

https://doi.org/10.31125/hunhemsire.775670

Cited By: 1

Abstract

Aralık ayında Çin’de başlayan ve kısa sürede dünyaya yayılan COVID-19 enfeksiyonu, tüm ülkelerde krize neden olmuştur. Bu salgın, her yaştan bireyleri farklı düzeylerde etkilediği gibi, gebelik, doğum ve doğum sonu dönemde anne ve yenidoğanın sağlığını da etkileyebilmektedir. COVID-19 enfeksiyonunun gebe, fetüs ve yenidoğan üzerine olan etkilerine yönelik çalışmalar bulunmakla birlikte eldeki bulgular halen yetersizdir. Bu derleme makalede, COVID-19’un perinatal dönemde anne ve fetüs/yenidoğan üzerine etkilerini inceleyen çalışmalar ve uluslararası organizasyonlar tarafından yayınlanan rehberler incelenmiş; doğum öncesi, doğum ve doğum sonu dönemin yönetimine ilişkin sağlık çalışanlarına yol gösterici olacağı düşünülen öneriler ile perinatal ekipte yer alan sağlık çalışanlarının yaşadığı sorunlar ve bu sorunlara yönelik çözüm önerileri sunulmuştur.

Keywords

Bakım, Doğum, Doğum sonu bakım, Gebelik, Koronavirüs

COVID-19 Infection Management in Perinatal Period: Recommendations to Healthcare Professionals

Abstract

The COVID-19 infection, which started in China in December and spread to the world in a short time, caused a crisis in all countries. This epidemic affects individual of all ages at different levels, as well as affecting the health of the mother and newborn during pregnancy, delivery and postpartum period. Although there are studies on the effects of COVID-19 infection on pregnant women, fetus and newborn, the findings are still insufficient. In this review article, studies examining the effects of COVID-19 on mother and fetus/newborn in the perinatal period and the guidelines published by international organizations are reviewed; suggestions that are thought to be guiding the healthcare providers regarding the management of antepartum, delivery and postpartum period, and the problems experienced by the healthcare workers in the perinatal team and solutions for these problems are presented.

Keywords

Care, Coronavirüs, Labor, Postpartum period, Pregnancy

References

• 1. World Health Organisation. Virtual press conference on COVID-19 – 11 March 2020 [Internet]. [Erişim Tarihi 17 Mayıs 2020]. Erişim adresi: https://www.who.int/docs/default-source/coronaviruse/transcripts/who-audio-emergencies-coronavirus-press-conference-full-and-final-11mar2020.pdf?sfvrsn=cb432bb3_2
• 2. Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol. 2004;191(1):292-7.
• 3. Alfaraj SH, Al-Tawfiq JA, Memish ZA. Middle East respiratory syndrome coronavirus (MERS-CoV) infection during pregnancy: report of two cases & review of the literature. J Microbiol Immunol Infect. 2019;52:501–3.
• 4. Vincenzo B. Coronavirus disease 2019 (COVID-19): Pregnancy issues [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.uptodate.com/contents/coronavirus-disease-2019-covid-19-pregnancy-issues?search=covid%20pregnancy&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H3682062658
• 5. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA. 2020;323(13):1239-1242.
• 6. World Health Organization, WHO Director-General’s opening remarks at the media briefing on COVID-19- 3 March 2020 [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---3-march-2020
• 7. Liang H, Acharya G. Novel corona virus disease (COVID‐19) in pregnancy: What clinical recommendations to follow?. Acta Obstet Gynecol Scand. 2020;99(4):439-42.
• 8. United States Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19). Caring for children [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children.html
• 9. Elshafeey F, Magdi R, Hindi N, Elshebiny M, Farrag N, Mahdy S, et al. A systematic scoping review of COVID-19 during pregnancy and childbirth. Int J Gynaecol Obstet. (in press). 2020. https://doi.org/10.1002/IJGO.13182
• 10. Breslin N, Baptiste C, Gyamfi-Bannerman C, Miller R, Martinez R, Bernstein K, et al. COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. (in press). 2020. 10.1016/j.ajogmf.2020.100118
• 11. Garg S, Kim L, Whitaker M, O’Halloran A, Cummings C, Holstein R, et al. Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019-COVID-NET, 14 states, March 1-30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(15):458–64.
• 12. World Health Organziation. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance 13 March 2020 [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected
• 13. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). [Internet]. 16-24 February 2020. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf
• 14. Di Mascio D, Khalil A, Saccone G, Rizzo G, Buca D, Liberati M, et al. Outcome of Coronavirus spectrum infections (SARS, MERS, COVID 1 -19) during pregnancy: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. (in press). 2020. 10.1016/j.ajogmf.2020.100107
• 15. Schwartz DA. An analysis of 38 pregnant women with COVID-19, their newborn ınfants, and maternal-fetal transmission of SARS-CoV-2: maternal Coronavirus infections and pregnancy outcomes. Arch Pathol Lab Med. (in press). 2020. 10.5858/arpa.2020-0901-SA
• 16. Khan S, Jun L, Nawsherwan, Siddique R, Li Y, Han G, et al. Association of COVID-19 with pregnancy outcomes in health-care workers and general women. Clin Microbiol Infect. (in press). 2020. 10.1016/j.cmi.2020.03.034
• 17. Sutton D, Fuchs K, D'Alton M, Goffman D. Universal screening for SARS-CoV-2 in women admitted for delivery. N Engl J Med. 2020. 10.1056/NEJMc2009316
• 18. Yang H, Sun G, Tang F, Penga M, Gaoa Y, Peng J, et al. Clinical features and outcomes of pregnant women suspected of coronavirus disease 2019. J Infect. (in press). 2020. https://doi.org/10.1016/j.jinf.2020.04.003
• 19. Della Gatta AN, Rizzo R, Pilu G, Simonazzi G. COVID19 during pregnancy: a systematic review of reported cases. Am J Obstet Gynecol. (in press). 2020. https://doi.org/10.1016/j.ajog.2020.04.013
• 20. Qiancheng X, Jian S, Lingling P, Lei H, Xiaogan J, Weihua L, et al. Coronavirus disease 2019 in pregnancy. Int J Infect Dis. (in press). 2020. https://doi.org/10.1016/j.ijid.2020.04.065
• 21. Yang Z, Wang M, Zhu Z, Liu Y. Coronavirus disease 2019 (COVID-19) and pregnancy: a systematic review. J Matern Fetal Neonatal Med. 2020. https://doi.org/10.1080/14767058.2020.1759541
• 22. Centers For Disease Control and Prevention COVID-19 Response Team. Preliminary estimates of the prevalence of selected underlying health conditions among patients with Coronavirus Disease 2019 - United States, February 12-March 28, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(13):382–6.
• 23. Chen L, Li Q, Zheng D, Jiang H, Wei Y, Zou L, et al. Clinical characteristics of pregnant women with Covid-19 in Wuhan, China. N Engl J Med. 2020. 10.1056/NEJMc2009226
• 24. Mullins E, Evans D, Viner RM, O'Brien P, Morris E. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol. 2020;55:586–92.
• 25. Karami P, Naghavi M, Feyzi A, Aghamohammadi M, Novin MS, Mobaien A, et al. Mortality of a pregnant patient diagnosed with COVID-19: A case report with clinical, radiological, and histopathological findings. Travel Med Infect Dis. (in press). 2020. 10.1016/j.tmaid.2020.101665
• 26. Yan J, Guo J, Fan C, Juan J, Yu X, Li J, et al. Coronavirus disease 2019 (COVID-19) in pregnant women: A report based on 116 cases. Am J Obstet Gynecol. (in press). 2020. https://doi.org/10.1016/j.ajog.2020.04.014
• 27. Li J, Wang Y, Zeng Y, Song T, Pan X, Jia M, et al. Critically ill pregnant patient with COVID-19 and neonatal death within two hours of birth. Int J Gynaecol Obstet. (in press). 2020. https://doi.org/10.1002/ijgo.13189
• 28. Wang W, Xu Y, Gao R, Lu R, Han K, Wu G, et al. Detection of SARS-CoV-2 in different types of clinical specimens. JAMA. 2020. 10.1001/jama.2020.3786
• 29. National Institutes of Health. COVID-19 treatment guidelines [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://covid19treatmentguidelines.nih.gov/overview/management-of-covid-19
• 30. The American College of Obstetricians and Gynecologists. Topics COVID-19 [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.acog.org/topics/covid-19
• 31. Society for Maternal Fetal Medicine. Coronavirus (COVID-19) [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.smfm.org/covid19
• 32. Boelig RC, Saccone G, Bellussi F, Berghella V. MFM guidance for COVID-19. Am J Obstet Gynecol MFM. (in press). 2020. https://doi.org/10.1016/j.ajogmf.2020.100106
• 33. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5),1729.
• 34. Donders F, Lonnée-Hoffmann R, Tsiakalos A, Mendling W, Oliveira JM, Judlin P, et al. ISIDOG recommendations concerning COVID-19 and pregnancy. Diagnostics (Basel). 2020;10(4):243.
• 35. Liang H, Acharya G. Novel corona virus disease (COVID‐19) in pregnancy: What clinical recommendations to follow?. AOGS. 2020;99(4):439-42.
• 36. Thachil J, Tang N, Gando S, Falanga A, Cattaneo M, Levi M, et al. ISTH interim guidance on recognition and management of coagulopathy in COVID-19. J Thromb Haemost. 2020; 18:1023-6.
• 37. American Society of Hematology. COVID-19 and VTE/anticoagulation: frequently asked questions[Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.hematology.org/covid-19/covid-19-and-vte-anticoagulation
• 38. Society of Critical Care Medicine. COVID-19 guidelines[Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.sccm.org/SurvivingSepsisCampaign/Guidelines/COVID-19
• 39. Center for Disease Control and Prevention. Considerations for inpatient obstetric healthcare settings[Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html
• 40. Center for Disease Control and Prevention. Interim infection prevention and control recommendations for patients with suspected or confirmed Coronavirus Disease 2019 (COVID-19) in healthcare settings [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html
• 41. Berghella V. NOW!: Protection for obstetrical providers and patients. Am J Obstet Gynecol MFM. (in press). 2020. https://dx.doi.org/10.1016%2Fj.ajogmf.2020.100109
• 42. Boelig RC, Manuck T, Oliver EA, Di Mascio D, Saccone G, Bellusi F, et al. Labor and delivery guidance for COVID-19. Am J Obstet Gynecol MFM. (in press). 2020. https://doi.org/10.1016/j.ajogmf.2020.100110
• 43. American College of Obstetricians and Gynecologists. COVID-19 FAQs for obstetrician-gynecologists, obstetrics [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-obstetrics
• 44. Webster CM, Smith KA, Manuck TA. Extracorporeal membrane oxygenation in pregnant and postpartum women: a ten-year case series. Am J Obstet Gynecol MFM. (in press). 2020. https://doi.org/10.1016/j.ajogmf.2020.100108
• 45. Stephens AJ, Barton JR, Bentum NA, Blackwell SC, Sibai BM. General guidelines in the management of an obstetrical patient on the labor and delivery unit during the COVID-19 pandemic. Am J Perinatol. (in press). 2020. https://doi.org/10.1055/s-0040-1710308
• 46. Zhang W, Du RH, Li B, Zheng XS, Yang XL, Hu B, et al. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerg Microbes Infect. 2020;9:386-9.
• 47. Ashokka B, Loh MH, Tan CH, SU LL, Young BE, Lye DC, et al. Care of the pregnant woman with COVID-19 in labor and delivery: anesthesia, emergency cesarean delivery, differential diagnosis in the acutely ill parturient, care of the newborn, and protection of the healthcare personnel. Am J Obstet Gynecol. (in press). 2020. https://dx.doi.org/10.1016%2Fj.ajog.2020.04.005
• 48. Favre G, Pomar L, Qi X, Nielsen-Saines K, Musso D, Baud D. Guidelines for pregnant women with suspected SARS-CoV-2 infection. Lancet Infect Dis. 2020. https://doi.org/10.1016/S1473-3099(20)30157-2
• 49. Puopolo KM, Hudak ML, Kimberline DW, Cummings J. INITIAL GUIDANCE: Management of infants born to mothers with COVID-19 [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://downloads.aap.org/AAP/PDF/COVID%2019%20Initial%20Newborn%20Guidance.pdf
• 50. Stuebe A. Should infants be separated from mothers with COVID-19? first, do no harm. Breastfeeding Medicine. (in press). 2020. https://doi.org/10.1089/bfm.2020.29153.ams
• 51. Center for Disease Control and Prevention. Discontinuation of isolation for persons with COVID-19 not in healthcare settings (Interim Guidance) [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html
• 52. American Academy of Pediatrics. Breastfeeding guidance post hospital discharge for mothers or ınfants with suspected or confirmed SARS-CoV-2 infection [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/breastfeeding-guidance-post-hospital-discharge/
• 53. Center for Disease Control and Prevention. Care for breastfeeding women. Interim guidance on breastfeeding and breast milk feeds in the context of COVID-19 [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.cdc.gov/coronavirus/2019-ncov/hcp/care-for-breastfeeding-women.html
• 54. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6.
• 55. Wilson AN, Ravaldi C, Scoullar MJ, Vogel JP, Szabo RA, Fisher JR, et al. Caring for the carers: Ensuring the provision of quality maternity care during a global pandemic. Women and Birth. (in press). 2020. https://doi.org/10.1016/j.wombi.2020.03.011
• 56. Mullins E, Evans D, Viner R, O'Brien P, Morris E. Coronavirus in pregnancy and delivery: rapid review and expert consensus. medRxiv. (in press). 2020. https://doi.org/10.1101/2020.03.06.20032144
• 57. The Lancet, COVID-19: protecting health-care workers, Lancet. 2020;395(10228): 922.
• 58. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. A message for pregnant women and their families [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://ranzcog.edu.au/statements-guidelines/covid-19-statement/information-for-pregnant-women
• 59. Royal College of Obstetricians and Gynaecologists. Coronavirus (COVID-19) infection in pregnancy [Internet]. [Erişim Tarihi 9 Mayıs 2020]. Erişim adresi: https://www.rcog.org.uk/globalassets/documents/guidelines/2020-03-28-covid19-pregnancy-guidance.pdf
• 60. Ravaldi C, Levi M, Angeli E, Romeo G, Biffino M, Bonaiuti R, et al. Stillbirth and perinatal care: are professionals trained to address parents’ needs? Midwifery. 2018;64:53–9.