COVID-19 and Pregnancy

Yıl 2020, COVID-19 Özel Sayı, 10 - 13, 30.04.2020

Mehmet Musa Aslan , Hilal Uslu , Osman Köse , Serhan Cevrioğlu , Selçuk Özden

https://doi.org/10.34084/bshr.713716

Cited By: 6

Öz

Coronaviruses are crucial pathogen of human and animal. At the late 2019, a new type of coronavirus was determined as the cause of pneumonia cases in Wuhan, a city in Hubei state of China. Then it got spread quickly that resulted in an epidemic across China, and an increasing number of cases were observed in other countries around the world. Therefore, in February 2020, the World Health Organization identified COVID-19 disease, which means 2019 coronavirus disease. The virus that caused COVID-19 was nameed as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Coronavirus infection spread worldwide, leading pandemics. Its quick spread, lack of treatment and lethal course make the effect of the virüs crucial. Due to pregnant women are more sensible than normal people, high mortality and morbidity increases the clinical importance of this infection. There is limited knowledge about infection for pregnant women, and management is advised like non-pregnant. It may lead to fetal distress and preterm labor in some pregnant. There is no evidence whether it has transmitted from mother to baby. In pregnancy and childbirth management, isolation under suitable conditions, aggressive infection control management, early mechanical ventilation in progressive respiratory problems, oxygen therapy, refraining excess fluid treatment, close fetal and uterine monitoring are crucial. Management of suspected or infected pregnant women should be handled by a multidisciplinary team.

Anahtar Kelimeler

Covid-19, pregnancy, intrapartum follow-up

COVİD-19 ve Gebelik

Öz

Koronavirüsler önemli insan ve hayvan patojenleridir. 2019' un sonunda, Çin' in Hubei eyaletindeki bir şehir olan Wuhan' da yeni bir koronavirüs, pnömoni vakalarının nedeni olarak tanımlandı. Ardından hızla yayılarak Çin genelinde bir salgın ortaya çıktı ve dünyadaki diğer ülkelerde artan sayıda vakalar izlendi. Bunun üzerine şubat 2020'de Dünya Sağlık Örgütü, 2019 koronavirüs hastalığı anlamına gelen COVID-19 hastalığını tanımladı. COVID-19'a neden olan virüs, ciddi akut solunum sendromu koronavirüs 2 (SARS-CoV-2) olarak adlandırıldı. Koronavirüs enfeksiyonu dünyada yayılarak pandemiye yol açmıştır. Hızlı yayılması, tedavisinin olmaması ve ölümcül seyretmesi virüsün yarattığı etkiyi önemli kılmaktadır. Gebelerin, normal insanlara göre daha duyarlı olmaları nedeniyle, mortalite ve morbiditenin fazla olması bu enfeksiyonun klinik önemini arttırmaktadır. Gebelerde enfeksiyon ile ilgili olarak kısıtlı sayıda bilgi mevcuttur ve şimdilik yönetimin gebe olmayanlar gibi yapılması önerilmektedir. Bazı gebelerde fetal distres ve erken doğum görülmüştür. Anneden bebeğe geçtiğine dair bir kanıt henüz yoktur. Gebelik ve doğum yönetiminde, uygun şartlarda izolasyon, agresif enfeksiyon kontrol yönetimi, ilerleyici respiratuvar sorunlarda erken mekanik ventilasyon, oksijen tedavisi, fazla sıvı tedavisinden kaçınmak, sıkı fetal ve uterin monitörizasyon ön plana çıkmaktadır. Şüpheli yada enfekte gebelerin yönetiminin bu konuda yetkin bir multidisipliner ekip tarafından yapılması gerekmektedir.

Anahtar Kelimeler

covid-19, gebelik, intrapartum takip

Kaynakça

• 1. World Health Organization. Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020 (Accessed on February 12, 2020).
• 2. T.C. Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü. COVID-19 Rehberi. https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/2019-n-cov.html (11-03-2020 tarihinde ulaşıldı)
• 3. McIntosh K. Coronavirus disease 2019 (COVID-19). In:UpToDate Hirsch CH, Bloom H (ed), UpToDate 2020.
• 4. RCOG. Coronavirus (COVID-19) infection in pregnancy, 09/03/2020. https://www.rcog.org.uk/globalassets/documents/guidelines/coronavirus-covid-19- virus-infection-in-pregnancy-2020-03-09.pdf. (Accesed on March 12 2020)
• 5. Rasmussen S, Smulian J, Lednicky J, et al. Coronavirus Disease 2019 (COVID-19) and Pregnancy: What obstetricians need to know. Am J Obstet Gynecol 2020 doi: https://doi. org/10.1016/j.ajog.2020.02.017)
• 6. ACOG. Practice Advisory: Novel Coronavirus 2019 (COVID-19).2020 https://www.acog.org/Clinical-Guidance-and-Publications/PracticeAdvisories/Practice-Advisory-Novel-Coronavirus2019?IsMobileSet=false, (Accessed on March 12 2020)
• 7. 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; Published online February 12, 2020
• 8. Zhu H, Wang L, Fang C, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr 2020.
• 9. Schwartz DA. An Analysis of 38 Pregnant Women with COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes. Arch Pathol Lab Med 2020.
• 10. Liu D, Li L, Wu X, et al. Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis. AJR Am J Roentgenol 2020; :1.
• 11. Favre G, Pomar L, Qi X, et al. Guidelines for pregnant women with suspected SARS-CoV-2 infection. Lancet Infect Dis 2020.
• 12. Centers for Disease Control and Prevention. Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings. https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html#anchor_1582067913610 (Accessed on March 23, 2020).
• 13. Practice Advisory: Novel Coronavirus 2019 (COVID-19) https://www.acog.org/Clinical-Guidance-and-Publications/Practice-Advisories/Practice-Advisory-Novel-Coronavirus2019 (Accessed on March 17, 2020).
• 14. American College of Obstetricians and Gynecologists. COVID-19 FAQs for Obstetrician-Gynecologists, Obstetrics. https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-obstetrics (Accessed on March 25, 2020).
• 15. https://www.bfmed.org/abm-statement-coronavirus (Accessed on March 23, 2020).
• 16. World Health Organization. Home care for patients with suspected novel coronavirus (nCoV) infection presenting with mild symptoms and management of contacts. Updated February 4, 2020. https://www.who.int/publications-detail/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts (Accessed on February 14, 2020).