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Perinatal Dönemde COVID-19 Enfeksiyonu Yönetimi: Sağlık Çalışanlarına Öneriler

Yıl 2020, Cilt: 7 Sayı: Özel Sayı, 25 - 33, 09.08.2020
https://doi.org/10.31125/hunhemsire.775670

Öz

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.

Kaynakça

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

Yıl 2020, Cilt: 7 Sayı: Özel Sayı, 25 - 33, 09.08.2020
https://doi.org/10.31125/hunhemsire.775670

Öz

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.

Kaynakça

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  • 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.
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  • 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
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  • 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
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  • 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
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  • 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.
Toplam 60 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Çiğdem Yücel Bu kişi benim 0000-0001-9287-356X

Gülten Koç Bu kişi benim 0000-0002-1094-5003

Yayımlanma Tarihi 9 Ağustos 2020
Gönderilme Tarihi 10 Mayıs 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 7 Sayı: Özel Sayı

Kaynak Göster

Vancouver Yücel Ç, Koç G. Perinatal Dönemde COVID-19 Enfeksiyonu Yönetimi: Sağlık Çalışanlarına Öneriler. HUHEMFAD. 2020;7(Özel Sayı):25-33.