Management of Infertility and Assisted Reproductive Techniques in COVID-19 Infection and Nursing

Öz

Anahtar Kelimeler

• COVID-19
• Infertility
• Assisted Reproductive Techniques

COVID-19 Enfeksiyonunda İnfertilite ve Yardımcı Üreme Tekniklerinin Yönetimi ve Hemşirelik

Öz

Özet

Üreme sağlığında önemli bir yere sahip olan infertilite ve yardımcı üreme teknikleri yeni koronavirüs pandemisinden etkilenebilecek bir alandır. Salgının yayılmasının önlenmesine yönelik alınan tedbirler yardımcı üreme tekniklerini de kapsamaktadır. Bu amaçla ulusal ve uluslararası otoriteler tarafından bazı öneriler yayınlanmıştır. İnfertil hastalara yönelik bu öneriler tedavi programlarının ertelenmesini, COVID-19 semptomu gösteren hastaların yönetimini, doğurganlığın korunmasına yönelik girişimlerin düzenlenmesini, olası emosyonel etkinin azaltılmasına yönelik girişimleri, tedavilerin finansman sorunlarının düzenlenmesini ve sağlık profesyonellerinin çalışma koşullarına yönelik düzenlemeleri içermektedir. Bu derlemenin amacı COVID-19 salgınının infertilite ve yardımcı üreme teknikleri üzerindeki etkilerine dikkat çekerek yayınlanan önerileri sunmak ve bu doğrultuda infertilite ve yardımcı üreme teknikleri alanında çalışan hemşirelerin rol ve sorumluluklarına yönelik önerilerde bulunmaktır.

Anahtar Kelimeler: COVID-19, infertilite, hemşirelik, yardımcı üreme teknikleri.

Abstract

Infertility and assisted reproductive techniques, which have an important place in reproductive health, is an area that can be affected by the new corona virus pandemic. The precautions taken to prevent the spread of the infection also include assisted reproductive techniques. For this purpose, some suggestions have been published by national and international authorities. These recommendations for infertile patients include postponing treatment programs, management of patients with the symptoms of COVID-19, regulation of interventions for the protection of fertility, attempts to reduce the potential emotional impact, regulating the funding concerning issues and regulations for the working conditions of health professionals. The aim of this review is highlight the effects of the COVID-19 outbreak on infertility and assisted reproductive techniques and to make suggestions regarding the roles and responsibilities of nurses working in the field of infertility and assisted reproductive techniques.

Keywords: COVID-19, infertility, nursing, assisted reproductive techniques. 

Anahtar Kelimeler

• COVID-19
• İnfertilite
• Hemşirelik
• Yardımcı Üreme Teknikleri

Kaynakça

1. Abobaker, A., & Raba, A. A. (2020). Does COVID-19 affect male fertility?. World Journal of Urology, 1-2. https://doi.org/10.1007/s00345-02003208-w
2. American Society for Reproductive Medicine (ASRM). Patient management and clinical recommendations during the coronavirus (COVOD-19) pandemic. Retreived May 2, 2020, from https://www.asrm.org/news-and-publications/COVID-19/ statements/patient-management-and-clinical-recommendationsduring-the-coronavirus-COVID-19-pandemic/
3. British Fertility Society. (2020). 18 Mart 2020 Guidance for the care of fertility patients during the coronavirus COVID-19 pandemic. Retreived May 2, 2020, from https://www.britishfertilitysociety. org.uk/2020/03/18/guidance-for-the-care-of-fertility-patientsduring-the-coronavirus-COVID-19-pandemic/
4. Colaco, S., Chhabria, K., Singh, N., Bhide, A., Singh, D., Singh, A., et al. (2020). Expression of SARS-CoV-2 receptor ACE2 and the spike protein processing enzymes in developing human embryos. arXiv preprint arXiv:2004.04935.
5. Ding, Y., He, L., Zhang, Q., Huang, Z., Che, X., Hou, J., et al. (2004). Organ distribution of severe acute respiratory syndrome (SARS) associated coronavirus (SARS‐CoV) in SARS patients: implications for pathogenesis and virus transmission pathways. The Journal of Pathology: A Journal of the Pathological Society of Great Britain and Ireland, 203(2), 622-630.
6. Europian Society of Human Reproduction and Embriology (ESHRE). (2020, April 23). Guidance on recommencing ART treatments. Retreived May 2, 2020, from https://www.eshre.eu/COVID19WG
7. Rodriguez‐Wallberg, K. A., & Wikander, I. (2020). A global recommendation for restrictive provision of fertility treatments during the COVID‐19 pandemic. Acta Obstetricia et Gynecologica Scandinavica, 99: 569–570.
8. Segars, J., Katler, Q., McQueen, D. B., Kotlyar, A., Glenn, T., Knight, Z., et al. (2020). Prior and novel coronaviruses, COVID-19, and human reproduction: What is known?. Fertility and Sterility. doi:https://doi. org/10.1016/j.fertnstert.2020.04.025.

9. Society for Assisted Reproductive Technology (SART). (2020). A message for patients from the society for assisted reproductive technology. Retreived May 3, 2020, from https://www.sart.org/patients/ COVID-19-alert-for-patients/
10. Turocy, J. M., Robles, A., Hercz, D., D’Alton, M., Forman, E. J., & Williams, Z. (2020). The emotional impact of the ASRM guidelines on fertility patients during the COVID-19 pandemic. medRxiv. doi: https://doi. org/10.1101/2020.03.29.20046631
11. Türkiye Üreme Sağlığı ve İnfertilite Derneği (TSRM) ve Klinik Embriyoloji Derneği. (2020). COVID-19 sonrası yeniden başlangıç önerileri. https://www.tsrm.org.tr/pro/tsrm-egitim/bilgilendirme/tsrmCOVID-19-sonrasi-yeniden-baslangic-onerileri-el-kitabi Erişim tarihi: 03.05.2020.
12. Türkiye Üreme Sağlığı ve İnfertilite Derneği (TSRM). (2020). TSRM ÖNEMLİ !!! Elektif işlemlerin ertelenmesi ve diğer alınacak tedbirler. https://www.tsrm.org.tr/pro/tsrm-haber/onemli-elektifi-slemlerin-ertelenmesi-ve-diger-alinacak-tedbirler Erişim tarihi: 03.05.2020
13. Vaiarelli, A., Bulletti, C., Cimadomo, D., Borini, A., Alviggi, C., Ajossa, S., et al. (2020). COVID-19 and ART: the view of the Italian Society of Fertility and Sterility and Reproductive Medicine. Reproductive BioMedicine Online. doi: https://doi.org/10.1016/j.rbmo.2020.04.003
14. Wang, Z., & Xu, X. (2020). scRNA-seq profiling of human testes reveals the presence of the ACE2 receptor, a target for SARS-CoV-2 infection in spermatogonia, leydig and sertoli cells. Cells, 9(4), 920.
15. World Health Organization (WHO). (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Retreived May 3, 2020, from https://www.who.int/dg/ speeches/detail/who-director-general-s-opening-remarks-at-themedia-briefing-on-covid-19---11-march-2020