COVID-19 Pandemic Process and Care in the Intrapartum Period

Öz

ABSTRACT Aim: This study was planned to review current information on care in the intrapartum period during the COVID-19 pandemic. Material and Method: This study is a general review and made by summarizing the literature. Results: A global pandemic Coronavirus disease (COVID-19), which can cause severe acute respiratory syndrome, has had effects on health services, prenatal, natal and postnatal processes, as well as many areas of life. Especially maternal and newborn health services were affected, and quantitative and qualitative differences occurred in service delivery. Therefore, current recommendations regarding care in the intrapartum period in the COVID-19 pandemic should be addressed. It is important for women in the intrapartum period to apply to the hospital, to prevent infection in the hospital, to prevent transmission, to benefit from the care services of infected individuals and to provide management for maternal and fetal health. Protective measures such as reducing the contact of pregnant women with people infected or suspected with COVID-19 during the intrapartum period are stated as the main method of protection from the virus. Effective management of the intrapartum period depends on strong and coordinated health systems where pregnant women deliver safely and the needs of newborn babies are met. A strong cooperation should be established between midwives, nurses, obstetricians and neonatologists, who play an active role in this period. Having emergency strategic action plans created in this regard ensures that pregnant women can access appropriate care at the appropriate time. Conclusion: The care provided during the intrapartum period is important for the protection of maternal and fetal health, and effective control and management of infection, the use of appropriate protective equipment by health personnel and pregnant women, and isolation measures are required.

Anahtar Kelimeler

• Labor
• COVID-19
• pandemic
• midwifery

COVID-19 Pandemi Süreci ve İntrapartum Dönemde Bakım

Öz

Öz Amaç: Bu çalışma, COVID-19 pandemi sürecinde intrapartum dönemde bakıma ilişkin güncel bilgilerinin gözden geçirilmesi amacıyla planlanmıştır. Gereç ve Yöntemler: Bu çalışma genel bir derleme olup literatürün özetlenmesiyle yapılmıştır. Bulgular: Şiddetli akut solunum sendromuna neden olabilen küresel bir pandemi Coronavirüs hastalığının (COVID-19) yaşamın birçok alanına olduğu gibi sağlık hizmetlerine, doğum öncesi, doğum ve doğum sonrası sürece etkileri olmuştur. Özellikle anne ve yenidoğan sağlığı hizmetleri etkilenmiş, hizmet sunumunda nicel ve nitel farklılıklar oluşmuştur. Bu nedenle COVID-19 pandemisinde intrapartum dönemde bakım ile ilgili güncel önerilerin ele alınması gerekmektedir. İntrapartum dönemdeki kadınların hastaneye başvuru zamanları, hastanede enfeksiyondan korunma, bulaşın önlenmesi, enfekte bireylerin bakım hizmetlerinden faydalanması ve yönetimin sağlanması maternal ve fetal sağlığın korunması açısından önemlidir. İntrapartum dönemde gebenin COVID-19 ile enfekte ya da şüpheli kişilerle temasının azaltılması gibi koruyucu önlemler virüsten korunmada temel yöntem olarak belirtilmektedir. İntrapartum dönemin etkin yönetilmesi gebelerin güvenli bir şekilde doğum yaptığı, yeni doğan bebeklerin ihtiyaçlarının karşılandığı güçlü ve koordineli sağlık sistemlerine bağlıdır. Bu dönemde etkin rol alan ebeler, hemşireler, kadın doğum uzmanları ve neonatologlar arasında güçlü bir iş birliği sağlanması gerekmektedir. Bu konuda oluşturulmuş Acil stratejik eylem planlarının olması, gebelerin uygun zamanda uygun bakıma erişebilmelerini sağlamaktadır. Sonuç: İntrapartum dönemde sunulan bakım maternal ve fetal sağlığın korunması açısından önemli olup, enfeksiyonun etkin kontrol ve yönetimi, sağlık personelinin ve gebenin uygun koruyucu ekipman kullanımının sağlanması ve izolasyon önlemlerinin alınması gerekmektedir.

Anahtar Kelimeler

• Doğum;
• COVID-19
• pandemi
• ebe

Kaynakça

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