COVID-19 INFECTION AND MANAGEMENT DURING PREGNANCY, DELIVERY AND POSTPARTUM PERIOD

Year 2021, Volume: 7 Issue: 1, 1 - 5, 05.01.2021

Döndü Sevimli Güler Begüm Aslan Yasemin Aydın Kartal

https://doi.org/10.30934/kusbed.755895

Cited By: 4

Abstract

COVID-19 pandemic is a crisis situation that causes global public health problems with its medical, psychological and social-economic aspects. Its rapid spread lack of treatment, and fatal course have made the disease an international threat. It has not been reported that COVID-19 infection susceptibility has been increased in pregnant women according to general population. However, women during pregnancy are generally more susceptible to various pregnancy-related complications and respiratory pathogens, which increases the risk of developing adverse pregnancy and newborn outcomes. Effective management during pregnancy allows healthcare professionals to take precautionary measures earlier by knowing possible negative consequences and improving perinatal outcomes. In this study; it is aimed to examine the effective control and management of COVID-19 infection in pregnancy, delivery and postpartum period in line with the current literature and to guide health care professionals.

Keywords

COVID-19, pregnancy, delivery, postpartum period

GEBELİK, DOĞUM VE DOĞUM SONU DÖNEMDE COVID-19 ENFEKSİYONU VE YÖNETİMİ

Abstract

COVID-19 pandemisi tıbbi, psikolojik ve sosyal-ekonomik yönleriyle küresel halk sağlığı sorununa neden olan bir kriz durumudur. Hızlı yayılması, tedavisinin olmaması ve ölümcül seyretmesi hastalığı uluslararası bir tehdit haline getirmiştir. Gebe kadınlarda genel popülasyona göre COVID-19 enfeksiyonu için artmış bir duyarlılık bildirilmemiştir. Ancak, gebelik sırasında kadınlar genellikle gebelikle ilgili çeşitli komplikasyonlara ve solunum patojenlerine karşı daha hassastırlar ve bu durum olumsuz gebelik ve yenidoğan sonuçları gelişme riskini artırır. Gebelikte etkin yönetim perinatal sonuçların iyileştirilmesi ve olası olumsuz sonuçların bilinmesi ile sağlık personelinin daha önce ihtiyati önlemler almasına olanak sağlar. Bu çalışmada; gebelik, doğum ve doğum sonu dönemde COVID- 19 enfeksiyonun etkin kontrol ve yönetiminin mevcut literatür doğrultusunda incelenmesi ve sağlık profesyonellerine yol göstermesi amaçlanmıştır.

Keywords

COVID-19, Gebelik, Doğum, doğum sonu dönem

References

• The Royal College of Obstetricians and Gynaecologists (RCOG), Coronavirus (COVID-19) Infection in Pregnancy, Information for healthcare professionals, Version 12: Published Wednesday 14 October 2020. https://www.rcog.org.uk/globalassets/documents/guidelines/2020-10-14-coronavirus-covid-19-infection-in-pregnancy-v12.pdf . 10 Kasım 2020’de erişildi.
• Gorbalenya, A.E. et al. (2020) Severe acute respiratory syndrome-related coronavirus: the species and its viruses – a statement of the Coronavirus Study Group. bioRxiv. doi:10.1101/2020.02.07.937862
• World Health Organization (2020) Novel coronavirus (2019-nCoV). Situation Report 22. 11 February 2020. https://www.who.int/docs/default-source/ coronaviruse/situation-reports/20200211-sitrep-22-ncov.pdf?sfvrsn=fb6d49b1_2. 29 Nisan 2020 tarihinde erişilmiştir.
• Menachery, V. Yount, B., Debbink, K. et al. A SARS-like cluster of circulating bat coronaviruses shows potential for human emergence. Nat Med 21, 1508–1513 (2015). https://doi.org/10.1038/nm.3985
• Türkiye Cumhuriyeti Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü, 2019-nCoV Hastalığı, Sağlık Çalışanları Rehberi (Bilim Kurulu Çalışması), Ocak, 2020. https://hsgm.saglik.gov.tr/depo/haberler/ncov/2019Cov_Hastal_Salk_alanlar_Rehberi.pdf. 21 Mart 2020 tarihinde erişilmiştir.
• Coronavirus and trying to get pregnant, https://www.tommys.org/pregnancy-information/im-pregnant/coronavirus-and-pregnancy/coronavirus-and-trying-get-pregnant. 11Nisan 2020’de erişildi.
• Lei D WC, Li C, Fang C, Yang W, Cheng B, Wei M, Xu X, Yang H, Wang S, Fan C. Clinical characteristics of pregnancy with the 2019 novel coronavirus disease (COVID-19) infection. Chinese Journal Perinatal Medicine. 2020;23(3).
• Chen H, Guo J, Wang C, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809-815. doi:10.1016/S0140-6736(20)30360-3
• 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(3):501-503. doi:10.1016/j.jmii.2018.04.005
• Wong SF, Chow KM, Leung TN, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol. 2004;191(1):292-297. doi:10.1016/j.ajog.2003.11.019
• The American College of Obstetricians and Gynecologists (ACOG), Novel Coronavirus 2019(COVID-19)Practice Advisory, July 2020, https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019 . 10 Kasım 2020’de erişildi.
• Chen S, Huang B, Luo DJ, et al. Zhonghua Bing Li Xue Za Zhi. 2020;49(5):418-423. doi:10.3760/cma.j.cn112151-20200225-00138
• Fan C, Lei D, Fang C, et al. Perinatal Transmission of COVID-19 Associated SARS-CoV-2: Should We Worry? [published online ahead of print, 2020 Mar 17]. Clin Infect Dis. 2020;ciaa226. doi:10.1093/cid/ciaa226
• MMA Khan, MN Khan, MG Mustagir, J Rana, MR Haque, MM Rahman. COVID-19 infection during pregnancy: a systematic review to summarize possible symptoms, treatments, and pregnancy outcomes. MedRxiv. In press. doi: https://doi.org/10.1101/2020.03.31.20049304
• Poon LC, Yang H, Lee JCS, et al. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals. Ultrasound Obstet Gynecol. 2020;55(5):700-708. doi:10.1002/uog.22013
• Kadın Sağlığı Hemşireleri ve Ebelere Yönelik Gebelik ve Doğum Sonrası Dönem Covid-19 Yönetimi, Kadın Sağlığı Hemşireliği Derneği, COVID-19 (SARS-CoV-2 Enfeksiyonu) Özel Bülteni, 7 Nisan 2020.
• Yang H, Wang C, Poon LC. Novel coronavirus infection and pregnancy. Ultrasound Obstet Gynecol. 2020;55(4):435-437. doi:10.1002/uog.22006
• The Society of Obstetricians and Gynaecologists of Canada (SOGC), Committee Opinion No. 400: COVID-19 and Pregnancy, https://www.sogc.org/common/Uploaded%20files/Media%20Updates/EN_Statement-COVID_Pregnancy.pdf . 29 Nisan 2020 tarihinde erişildi.
• T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi, Doğum Masası Siperliği. https://ankarasehir.saglik.gov.tr/TR,449710/mucadelemize-destek-veren-tum-kuruluslara-sukranlarimizi-sunariz.html. 29 Nisan 2020 tarihinde erişildi.
• Covıd-19 Enfeksiyonu Veya Şüphesi Olan Yenidoğan Bebeklere Neonatal Ve Perinatal Dönemde Yaklaşım Önerileri, http://neonatolojihemsireligi.org.tr/covid-19-enfeksiyonu-veya-suphesi-olan-yenidogan-bebeklere-neonatal-ve-perinatal-donemde-yaklasim-onerileri/, 10 Nisan 2020’de erişildi.
• Rashidi Fakari F, Simbar M. Coronavirus Pandemic and Worries during Pregnancy; a Letter to Editor. Arch Acad Emerg Med. 2020;8(1):e21. Published 2020 Mar 16.
• Impact of COVID-19 on violence against women and girls and service provision: UN Women rapid assessment and findings, https://www.unwomen.org/-/media/headquarters/attachments/sections/library/publications/2020/impact-of-covid-19-on-violence-against-women-and-girls-and-service-provision-en.pdf?la=en&vs=0,10 Nisan 2020’de erişildi.
• Qiao Y, Wang J, Li J, Wang J. Effects of depressive and anxiety symptoms during pregnancy on pregnant, obstetric and neonatal outcomes: a follow-up study. J Obstet Gynaecol. 2012;32(3):237-240. doi:10.3109/01443615.2011.647736
• Field T, Diego M, Hernandez-Reif M, et al. Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behav Dev. 2010;33(1):23-29. doi:10.1016/j.infbeh.2009.10.004