GEBELİK VE LAKTASYON DÖNEMİNDE COVID 19 ENFEKSİYONUNA KARŞI AŞILAMA: KISA BİR DEĞERLENDİRME

Yıl 2023, Cilt: 47 Sayı: 3, 1132 - 1140, 20.09.2023

Asım Emre Biçer , Aysel Pehlivanlı , Arif Tanju Özçelikay

https://doi.org/10.33483/jfpau.1261673

Öz

Amaç: Aşılama, Covid 19 enfeksiyonuna karşı korunmada hayati rol oynamaktadır. Bununla birlikte, gebe ve emziren kadınlar aşının anne adayı, fetüs ve bebek üzerindeki bilinmeyen etkileri nedeniyle aşıların klinik denemelerinin dışında tutulmaktadır. Gebelik ve onu takip eden laktasyon dönemleri, anne ve bebek için pek çok uygulamanın tartışıldığı, kendine has fizyolojik, psikolojik ve patolojik özellikleri olan uzun bir süreçtir. Aşı türlerinin etki mekanizmalarına ilişkin mevcut sınırlı verilere dayanarak, Covid 19 aşılarının hamile kadınlar ve emziren anneler için herhangi bir risk oluşturması muhtemel değildir. Öte yandan, şu anda hamile ve emziren kadınlarda Covid 19 aşılarının güvenliğine ilişkin yeterli veri bulunmamaktadır.
Sonuç ve Tartışma: Hamile ve emziren kadınların aşılar hakkında karar vermesini desteklemek için aşılar hakkında kanıta dayalı ve kişiselleştirilmiş bilgilere ihtiyaç vardır. Tüm gebe ve emziren kadınlara Covid 19 aşılarının yararları ve riskleri hakkında yeterince bilgi verildikten ve onamları alındıktan sonra aşı önerilmelidir. Bu bağlamda bu kısa derleme gebelik ve laktasyon döneminde Covid 19 enfeksiyonuna karşı aşılamanın bilimsel verilere ve literatüre dayalı olarak tartışılması amacıyla yapılmıştır.

Anahtar Kelimeler

Aşılama, Covid 19 enfeksiyonu, gebelik, laktasyon

VACCINATION AGAINST COVID 19 INFECTION DURING PREGNANCY AND LACTATION: A BRIEF REVIEW

Öz

Objective: Vaccination plays a crucial role in the protection against the Covid 19 infection. However, pregnant and lactating women are excluded from clinical trials of vaccines due to the unknown effects of the vaccine on the expectant mother, fetus, and infant. Pregnancy and the following lactation periods are long processes with unique physiological, psychological, and pathological characteristics, in which many practices are discussed for the mother and the baby. Based on the limited data available on the mechanisms of action of vaccine types, Covid 19 vaccines cannot possibly cause any risk to pregnant women and nursing mothers. On the other hand, there is currently insufficient data on the safety of Covid 19 vaccines in pregnant and lactating women.
Result and Discussion: Evidence-based and personalized information about vaccines is needed to support pregnant and breastfeeding women's decision-making about vaccines. Vaccination should be recommended to all pregnant and lactating women after they have been sufficiently informed about the advantage and risks of Covid 19 vaccines and their consent has been obtained. This brief review was conducted to discuss vaccination against Covid 19 infection during pregnancy and the lactation period based on scientific data and literature.

Anahtar Kelimeler

Covid 19 infection, lactation, pregnancy, vaccination

Kaynakça

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