COVID-19 Pandemisinin Maternal-Neonatal Etkileri ve Yönetimi

Yıl 2020, , 96 - 104, 30.09.2020

Gamze Acavut , Ramazan Erda Pay , Mustafa Ulubay , Özlem Evliyaoğlu

https://doi.org/10.46969/ezh.757567

Cited By: 3

Öz

Coronavirüs hastalığı, SARS-Cov-2 virüsünün neden olduğu solunum yolu hastalığıdır. İnsanlar arasında hızlı bir yayılım gösteren bu virüs pandemi olarak ilan edilmiştir ve tüm dünya sağlığını tehdit etmektedir. Damlacık yolu ve kontamine yüzeyler ile temas sonrası bulaşabilen virüs riskli gruplarda ölümcül olabilmektedir. Bu nedenle gebeler ve yenidoğanlar üzerinde hassasiyetle durulması gereken gruplardandır. Gebelikte ortaya çıkan anatomik ve fizyolojik değişiklikler, yenidoğanın immatür olması COVID-19 pandemisinin ele alınmasını önemli hale getirmiştir. COVID-19 pozitif olan gebelerin intrapartum ve postpartum dönemde yakın izlemi ve koruyucu ekipmanlar ile doğumun gerçekleştirilmesi gerekmektedir. İntrapartum dönemde mutlaka elektronik fetal monitörizasyon izlemi yapılmalıdır. Kullanılan tüm ekipmanların dezenfeksiyonu, en az sayıda sağlık ekibi ile doğumun gerçekleştirilmesi ve multidisipliner bir yaklaşım ile sürecin yönetilmesi gerekmektedir. Ayrıca yenidoğanın ilk bulguları ve APGAR skoru yakından izlenmeli, enfekte anne ile bebeği arasındaki mesafenin korunmasına özen gösterilmelidir. Yenidoğanın resüsitasyon ihtiyacı belirlenmeli, COVID-19 semptomları incelenmeli ve yoğun bakıma transferine karar verilmelidir. Transfer sırasında kullanılan ekipmanların dezenfeksiyonuna özen gösterilmelidir. Yoğun bakımda izlenen bebeklerin, anne ile birlikte negatif basınçlı odada izole edilmesi önerilmektedir. COVID-19’un emzirmeye engel olmadığı, koruyucu önlemler altında emzirmenin en erken sürede başlatılması gerektiği belirtilmektedir. Taburcu edilen olguların on dört gün izlenmesi önerilmektedir. Virüsün maternal ve neonatal etkileri göz önüne alınarak etkili biçimde yönetilmesi gerekmektedir.

Anahtar Kelimeler

maternal yönetimi, neonatal etkileri, neonatal yönetimi, maternal etkileri, COVID-19, COVID-19, COVID-19, COVID-19, pandemi, emzirme, izolasyon

Destekleyen Kurum

Hiç bir kurumdan destek alınmamıştır.

Proje Numarası

yok

Maternal-Neonatal Effects and Management of COVID-19 Pandemic

Öz

Coronavirus disease is a respiratory disease caused by the SARS-Cov-2 virus. Rapidly spreading among people, this virus has been declared as a pandemic and threatens the health of the whole world. The virus that can be transmitted by droplets and after contact with contaminated surfaces can be fatal in risk groups. For this reason, pregnant women and newborns are among the groups that should be emphasized sensitively. The anatomical and physiological changes that occur during pregnancy and the immature of the newborn have made it essential to handle the COVID-19 pandemic. Pregnant women who are COVID-19 positive should be monitored closely during the intrapartum and postpartum period, and delivery should be performed with protective equipment. Electronic fetal monitoring must be performed during the intrapartum period. Disinfection of all the equipment used, delivery with the least number of healthcare teams and the process should be managed with a multidisciplinary approach. Besides, the first signs of the newborn and the APGAR score should be closely monitored, and care should be taken to maintain the distance between the infected mother and her baby. The need for resuscitation of the newborn should be determined, the symptoms of COVID-19 should be examined, and its transfer to intensive care should be decided. Care should be taken to disinfect the equipment used during the transfer. It is recommended that babies monitored in intensive care are isolated in a negative pressure room together with the mother. It is stated that COVID-19 does not prevent breastfeeding and breastfeeding should be started as soon as possible under protective measures. It is recommended to monitor the discharged cases for fourteen days. The virus needs to be managed effectively, taking into account maternal and neonatal effects.

Anahtar Kelimeler

COVID-19, COVID-19, pandemic, maternal effects, maternal management, neonatal effects, neonatal management, breastfeeding, isolation

Proje Numarası

yok

Kaynakça

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