Holistic Approach in Pregnant Women with COVID-19
Yıl 2021,
Cilt: 5 Sayı: 1, 1 - 6, 03.04.2021
Emine Kınık
,
Handan Özcan
Öz
Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered species of
corona virus. The first cases were seen in Wuhan, China, in December 2019. With the rapid spread of
the corona virus outbreak, it has been declared an ‘Internationally Important Emergency Public Health
Situation’ by the World Health Organization. Concerns about the pregnancy process are also increasing
since the severe infectivity of the disease and that its effects on pregnancy is largely unknown. Pregnancy
is a condition which the immune system is partially suppressed, and although current evidence shows
that COVID-19 infection is less aggressive in pregnancy than the Severe Acute Respiratory Syndrome
and Middle East Respiratory Syndrome virus, pregnant women should be considered as an unstable
population that requires special care. In the pandemic process, the need for holistic care increases
in supplying with the special care and needs of pregnant women. In COVID-19 disease, the care of
pregnant women should be addressed with a holistic (holistic) approach as well as modern health care
concepts. Holistic care method satisfies the special care of pregnant women and guides midwives and
nurses. Holistic care during the entire epidemic process of pregnant women is important for improving
the quality of care.
Kaynakça
-
1. Zaigham M, Andersson O. Maternal and perinatal outcomes
with COVID-19: A systematic review of 108 pregnancies. Acta
Obstet Gynecol Scand 2020;99(7):823-829.
-
2. Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir
A, Iosifidis C, Agha R. World Health Organization declares
global emergency: A review of the 2019 novel coronavirus
(COVID-19). Int J Surg 2020; 76: 71-76.
-
3. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan
G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin
W, Li H, Liu M, Xiao Y, Gao H , Guo L, Xie J , Wang G, Jiang
R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients
infected with 2019 novel coronavirus in Wuhan, China. Lancet
2020;395:497-506.
-
4. World Health Organization. WHO Coronavirus Disease
(COVID-19) Dashboard. Available from: https://covid19.who.
int. Erişim tarihi: 10 Aralık 2020.
-
5. Abdollahpour S, Khadivzadeh T. Improving the quality of care
in pregnancy and childbirth with coronavirus (COVID-19): A
systematic review. J Matern Fetal Neonatal Med 2020; 1-9.
-
6. Liang H, Acharya G. Novel corona virus disease (COVID-19)
in pregnancy: What clinical recommendations to follow? Acta
Obstet Gynecol Scand 2020; 99: 439-444.
-
7. Englund JA, Chu HY. Respiratory virus infection during
pregnancy: Does it matter? J Infect Dis 2018; 218: 512-515.
-
8. Goodnight WH, Soper DE. Pneumonia in pregnancy. Crit Care
Med 2005; 33:390-397.
-
9. O’Day MP. Cardio-respiratory physiological adaptation of
pregnancy. Semin Perinatol 1997; 21:268-275.
10. Nelson-Piercy C. Respiratory disease. In: Handbook of
Obstetric Medicine. Boca Raton: CRC Press; 2015:371.
-
11. van Well GTJ, Daalderop LA, Wolfs T, Kramer BW. Human
perinatal immunity in physiological conditions and during
infection. Mol Cell Pediatr 2017:4:4.
-
12. Siston AM, Rasmussen SA, Honein MA, Fry AM, Seib K,
Callaghan WM, Louie J, Doyle TJ, Crockett M, Lynfield R,
Moore Z, Wiedeman C, Anand M, Tabony L, Nielsen CF, Waller
K, Page S, Thompson JM, Avery C, Springs CB, Jones T,
Williams JL, Newsome K, Finelli L, Jamieson DJ, Pandemic
H1N1 Influenza in Pregnancy Working Group. Pandemic 2009
Influenza A(H1N1) Virus Illness Among Pregnant Women in
the United States. JAMA 2010;303(15):1517-1525.
-
13. Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, Ng
PC, Lam PWY, Ho LC, To WWK, Lai ST, Yan WW, Tan PYH.
Pregnancy and perinatal outcomes of women with severe acute
respiratory syndrome. Am J Obstet Gynecol 2004; 191:292-
297.
-
14. 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: 501-503.
-
15. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang
J, Liu Y, Wei Y, Xia J , Yu T, Zhang X, Zhang L. Epidemiological
and clinical characteristics of 99 cases of 2019 novel
coronavirus pneumonia in Wuhan, China: A descriptive study.
Lancet 2020;395:507-13.
-
16. Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, Li J, Zhao
D , Xu D, Gong Q, Liao J, Yang H, Hou W, Zhang Y. Clinical
characteristics and intrauterine vertical transmission potential
of COVID-19 infection in nine pregnant women: a retrospective
review of medical records. Lancet 2020;395:809-815.
-
17. Zhu H, Wang L, Fang C, Peng S, Zhang L , Chang G, Xia S,
Zhou W. Clinical analysis of 10 neonates born to mothers with
2019-nCoV pneumonia. Transl Pediatr 2020; 9:51-60.
-
18. Zeng H, Xu C, Fan J, Tang Y, Deng Q , Zhang W, Long
X. Antibodies in infants born to mothers with COVID-19
pneumonia. JAMA 2020;323(18):1848-1849.
-
19. Knight M, Bunch K, Vousden N, et al. Characteristics and
outcomes of pregnant women hospitalised with confirmed
SARS-CoV-2 infection in the UK: A national cohort study using
the UK Obstetric Surveillance System (UKOSS). Available
from: https://www.npeu.ox.ac.uk. Erişim tarihi: 11 Mayıs 2020.
-
20. Gatta AN, Rizzo R, Pilu G, Simonazzi G. Coronavirus disease
2019 during pregnancy: A systematic review of reported cases.
Am J Obstet Gynecol 2020;223:36-41.
-
21. Sarah K, Katz D, Hughes BL. Considerations for obstetric care
during the COVID-19 pandemic. Am J Perinatol 2020; 37(8):
773-779.
-
22. Papathanasiou I, Sklavou M, Kourkouta L. Holistic nursing
care: Theories and perspectives. Am J Nurs Sci 2013;2(1): 1-5.
-
23. Demirsoy N. Eski uygarlıklardan günümüze yansıyan holistik tıp
uygulamaları. Türkiye Klinikleri J Med Ethics 2014;22(3):106-
119.
-
24. Erickson HL. Philosophy and theory of holism. Nurs Clin North
Am 2007; 42:139-63.
-
25. Poon LC, Yang H, Lee JCS, Copel JA, Leung TY, Zhang Y,
Chen D, Prefumo F. ISUOG interim guidance on 2019 novel
coronavirus infection during pregnancy and puerperium:
Information for healthcare professionals. Ultrasound Obstet
Gynecol 2020; 55(5):700-708.
-
26. Chen YH, Keller J, Wang IT, Lin CC, Lin HC. Pneumonia and
pregnancy outcomes: A nationwide population-based study.
Am J Obstet Gynecol 2012; 207:288.
-
27. Yang H, Wang C, Poon LC. Novel coronavirus infection and
pregnancy. Ultrasound Obstet Gynecol 2020;55(4):435‐437.
-
28. Wang H, Zeng T, Wu X, Sun H. Holistic care for patients with
severe coronavirus disease 2019: An expert consensus. Int J
Nurs 2020; 55(3): 337-342.
-
29. Centers for disease control and prevention. Coronavirus
disease 2019 (COVID-19) situation summary. Available from:
https ://www.cdc.gov, Erişim Tarihi: 20 Mayıs 2020.
-
30. Ranganathan R, Khan AM, Chhabra P. Antenatal care, care
at birth, and breastfeeding during the coronavirus (COVID-19)
pandemic. Indian Journal of Community Health 2020;32(1):17-
20.
-
31. Royal College of Obstetricians and Gynaecologists, 2020.
Royal College of Midwives. Coronavirus (COVID-19) Infection
in pregnancy. Information for healthcare professionals. Version
9. Published May 13 th. Available from: https://www.rcog.org.
uk, Erişim tarihi: 15 Mayıs 2020.
-
32. Kadın Sağlığı Hemşireleri ve Ebelere Yönelik Gebelik ve
Doğum Sonrası Dönem COVID-19 Yönetimi. Kadın Sağlığı
Hemşireliği Derneği. COVID-19 (SARS-Cov-2 Enfeksiyonu)
Özel Bülteni, 7 Nisan 2020.
-
33. Richens Y, Wilkinson M, Connor D. Guidance for the provision
of antenatal services during the COVID-19 pandemic. Br J
Midwifery 2020; 28(5): 324-327.
-
34. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, Tao Q, Sun Z, Xia
L. Correlation of chest CT and RT-PCR testing in coronavirus
disease 2019 (COVID-19) in China: A report of 1014 cases.
Radiology 2020; 296(2): 32-40.
-
35. Wang M, Cao R, Zhang L, Yang X, Liu J, Xu M, Shi Z, Hu
Z, Zhong W, Xiao G. Remdesivir and chloroquine effectively
inhibit the recently emerged novel coronavirus (2019-nCoV) in
vitro. Cell Res 2020; 30: 269-271.
-
36. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation
parameters are associated with poor prognosis in patients
with novel coronavirus pneumonia. J Thromb Haemost
2020;18(4):844‐847.
-
37. Erez O, Mastrolia SA, Thachil J: Disseminated intravascular
coagulation in pregnancy: Insights in pathophysiology,
diagnosis and management. Am J Obstet Gynecol 2015;
213(4): 452-463.
-
38. Lam CM, Wong SF, Leung TN, Chow KM, Yu WC, Wong TY,
Lai ST, Ho LC. A case-controlled study comparing clinical
course and outcomes of pregnant and non-pregnant women
with severe acute respiratory syndrome. BJOG 2004; 111(8):
771-774.
-
39. Bouaziz J, Even M, Isnard-Bogillot F, Vesale E, Nikpayam
M, Mihalache A, et al. COVID-19 in pregnancy: What do we
really know? [version 1;peer review: Awaiting peer review].
F1000Research, 2020;9(362):1-16.
-
40. Eskici G. COVID-19 Pandemisi: Karantina için beslenme
önerileri. Anadolu Kliniği Tıp Bilimleri Dergisi 2020; 25(1): 124-
129.
-
41. Alder J, Fink N, Bitzer J, Hösli I, Holzgreve W. Depression and
anxiety during pregnancy: A risk factor for obstetric, fetal and
neonatal outcome? A critical review of the literature. J Matern
Fetal Neonatal Med 2007; 20(3): 189-209.
-
42. Littleton HL, Breitkopf CR, Berenson AB. Correlates of anxiety
symptoms during pregnancy and association with perinatal
outcomes: A meta-analysis. Am J Obstet Gynecol 2007;
196(5): 424-432.
-
43. Ng J, Sham A, Tang PL, et al. SARS: Pregnant women’ s fears
and perceptions. Br J Midwifery 2004; 12(11): 698-702.
-
44. The American Collage of Obstetricians and Gynaecologists.
Coronavirus (COVID-19), Pregnancy, and Breastfeeding: A
Message for Patients. Availablefrom:https:// www.acog.org,
Erişim tarihi: 17 Mayıs 2020.
-
45. Hammond A, Foureur M, Homer CSE, Davis D. Space, place
and the midwife: Exploring the relationship between the birth
enviroment, neurobiology and midwifery practice. Women Birth
2013;26(4):277-81.
-
46. The Lancet. Emerging understandings of 2019-nCoV. Lancet
2020; 395: 311.
COVID-19’lu veya COVID-19 Saptanan Gebelerde Holistik Yaklaşım
Yıl 2021,
Cilt: 5 Sayı: 1, 1 - 6, 03.04.2021
Emine Kınık
,
Handan Özcan
Öz
Koronavirüs hastalığı (COVID-19) yeni keşfedilen bir korona virüs türünün neden olduğu bir enfeksiyon
hastalığıdır. İlk vakalar 2019’un Aralık ayında Çin’in Wuhan şehir merkezinde görülmüştür. Korona virüs
salgının hızla yayılması ile Dünya Sağlık Örgütü tarafından ‘Uluslararası Öneme Sahip Acil Halk Sağlığı
Durumu’ olarak ilan edilmiştir. Hastalığın ciddi enfektivitesi ve gebelik üzerine olan etkilerinin büyük
ölçüde bilinmemesi nedeni ile gebelik süreci ile ilgili endişeler de artmaktadır. Gebelik immün sistemin
kısmi olarak baskılandığı bir durumdur ve mevcut kanıtlar COVID-19 enfeksiyonunun gebelikte Şiddetli
Akut Solunum Yolu Sendromu (SARS-CoV) ve Orta Doğu Solunum Sendromu’na (MERS-CoV) neden
olan virüslere oranla daha az agresif seyrettiğini gösterse de gebeler özel bakım gerektiren, hastalığa
karşı dayanıksız bir popülasyon olarak düşünülmelidir. Pandemi sürecinde gebelerin özel bakımının
ve ihtiyaçlarının karşılanmasında, holistik bakıma olan ihtiyaç artmaktadır. COVID-19 hastalığında
gebelerin bakımı, modern sağlık bakım kavramlarının yanı sıra holistik (bütünsel) bir yaklaşımla ele
alınmalıdır. Gebelerin özel bakımının karşılanması ve hastalığın yönetiminde holistik bakım yöntemi
ebelere ve hemşirelere rehberlik edebilir. Gebelerin tüm salgın sürecinde holistik bakım alması bakımın
kalitesinin artması açısından önemlidir.
Kaynakça
-
1. Zaigham M, Andersson O. Maternal and perinatal outcomes
with COVID-19: A systematic review of 108 pregnancies. Acta
Obstet Gynecol Scand 2020;99(7):823-829.
-
2. Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir
A, Iosifidis C, Agha R. World Health Organization declares
global emergency: A review of the 2019 novel coronavirus
(COVID-19). Int J Surg 2020; 76: 71-76.
-
3. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan
G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin
W, Li H, Liu M, Xiao Y, Gao H , Guo L, Xie J , Wang G, Jiang
R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients
infected with 2019 novel coronavirus in Wuhan, China. Lancet
2020;395:497-506.
-
4. World Health Organization. WHO Coronavirus Disease
(COVID-19) Dashboard. Available from: https://covid19.who.
int. Erişim tarihi: 10 Aralık 2020.
-
5. Abdollahpour S, Khadivzadeh T. Improving the quality of care
in pregnancy and childbirth with coronavirus (COVID-19): A
systematic review. J Matern Fetal Neonatal Med 2020; 1-9.
-
6. Liang H, Acharya G. Novel corona virus disease (COVID-19)
in pregnancy: What clinical recommendations to follow? Acta
Obstet Gynecol Scand 2020; 99: 439-444.
-
7. Englund JA, Chu HY. Respiratory virus infection during
pregnancy: Does it matter? J Infect Dis 2018; 218: 512-515.
-
8. Goodnight WH, Soper DE. Pneumonia in pregnancy. Crit Care
Med 2005; 33:390-397.
-
9. O’Day MP. Cardio-respiratory physiological adaptation of
pregnancy. Semin Perinatol 1997; 21:268-275.
10. Nelson-Piercy C. Respiratory disease. In: Handbook of
Obstetric Medicine. Boca Raton: CRC Press; 2015:371.
-
11. van Well GTJ, Daalderop LA, Wolfs T, Kramer BW. Human
perinatal immunity in physiological conditions and during
infection. Mol Cell Pediatr 2017:4:4.
-
12. Siston AM, Rasmussen SA, Honein MA, Fry AM, Seib K,
Callaghan WM, Louie J, Doyle TJ, Crockett M, Lynfield R,
Moore Z, Wiedeman C, Anand M, Tabony L, Nielsen CF, Waller
K, Page S, Thompson JM, Avery C, Springs CB, Jones T,
Williams JL, Newsome K, Finelli L, Jamieson DJ, Pandemic
H1N1 Influenza in Pregnancy Working Group. Pandemic 2009
Influenza A(H1N1) Virus Illness Among Pregnant Women in
the United States. JAMA 2010;303(15):1517-1525.
-
13. Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, Ng
PC, Lam PWY, Ho LC, To WWK, Lai ST, Yan WW, Tan PYH.
Pregnancy and perinatal outcomes of women with severe acute
respiratory syndrome. Am J Obstet Gynecol 2004; 191:292-
297.
-
14. 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: 501-503.
-
15. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang
J, Liu Y, Wei Y, Xia J , Yu T, Zhang X, Zhang L. Epidemiological
and clinical characteristics of 99 cases of 2019 novel
coronavirus pneumonia in Wuhan, China: A descriptive study.
Lancet 2020;395:507-13.
-
16. Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, Li J, Zhao
D , Xu D, Gong Q, Liao J, Yang H, Hou W, Zhang Y. Clinical
characteristics and intrauterine vertical transmission potential
of COVID-19 infection in nine pregnant women: a retrospective
review of medical records. Lancet 2020;395:809-815.
-
17. Zhu H, Wang L, Fang C, Peng S, Zhang L , Chang G, Xia S,
Zhou W. Clinical analysis of 10 neonates born to mothers with
2019-nCoV pneumonia. Transl Pediatr 2020; 9:51-60.
-
18. Zeng H, Xu C, Fan J, Tang Y, Deng Q , Zhang W, Long
X. Antibodies in infants born to mothers with COVID-19
pneumonia. JAMA 2020;323(18):1848-1849.
-
19. Knight M, Bunch K, Vousden N, et al. Characteristics and
outcomes of pregnant women hospitalised with confirmed
SARS-CoV-2 infection in the UK: A national cohort study using
the UK Obstetric Surveillance System (UKOSS). Available
from: https://www.npeu.ox.ac.uk. Erişim tarihi: 11 Mayıs 2020.
-
20. Gatta AN, Rizzo R, Pilu G, Simonazzi G. Coronavirus disease
2019 during pregnancy: A systematic review of reported cases.
Am J Obstet Gynecol 2020;223:36-41.
-
21. Sarah K, Katz D, Hughes BL. Considerations for obstetric care
during the COVID-19 pandemic. Am J Perinatol 2020; 37(8):
773-779.
-
22. Papathanasiou I, Sklavou M, Kourkouta L. Holistic nursing
care: Theories and perspectives. Am J Nurs Sci 2013;2(1): 1-5.
-
23. Demirsoy N. Eski uygarlıklardan günümüze yansıyan holistik tıp
uygulamaları. Türkiye Klinikleri J Med Ethics 2014;22(3):106-
119.
-
24. Erickson HL. Philosophy and theory of holism. Nurs Clin North
Am 2007; 42:139-63.
-
25. Poon LC, Yang H, Lee JCS, Copel JA, Leung TY, Zhang Y,
Chen D, Prefumo F. ISUOG interim guidance on 2019 novel
coronavirus infection during pregnancy and puerperium:
Information for healthcare professionals. Ultrasound Obstet
Gynecol 2020; 55(5):700-708.
-
26. Chen YH, Keller J, Wang IT, Lin CC, Lin HC. Pneumonia and
pregnancy outcomes: A nationwide population-based study.
Am J Obstet Gynecol 2012; 207:288.
-
27. Yang H, Wang C, Poon LC. Novel coronavirus infection and
pregnancy. Ultrasound Obstet Gynecol 2020;55(4):435‐437.
-
28. Wang H, Zeng T, Wu X, Sun H. Holistic care for patients with
severe coronavirus disease 2019: An expert consensus. Int J
Nurs 2020; 55(3): 337-342.
-
29. Centers for disease control and prevention. Coronavirus
disease 2019 (COVID-19) situation summary. Available from:
https ://www.cdc.gov, Erişim Tarihi: 20 Mayıs 2020.
-
30. Ranganathan R, Khan AM, Chhabra P. Antenatal care, care
at birth, and breastfeeding during the coronavirus (COVID-19)
pandemic. Indian Journal of Community Health 2020;32(1):17-
20.
-
31. Royal College of Obstetricians and Gynaecologists, 2020.
Royal College of Midwives. Coronavirus (COVID-19) Infection
in pregnancy. Information for healthcare professionals. Version
9. Published May 13 th. Available from: https://www.rcog.org.
uk, Erişim tarihi: 15 Mayıs 2020.
-
32. Kadın Sağlığı Hemşireleri ve Ebelere Yönelik Gebelik ve
Doğum Sonrası Dönem COVID-19 Yönetimi. Kadın Sağlığı
Hemşireliği Derneği. COVID-19 (SARS-Cov-2 Enfeksiyonu)
Özel Bülteni, 7 Nisan 2020.
-
33. Richens Y, Wilkinson M, Connor D. Guidance for the provision
of antenatal services during the COVID-19 pandemic. Br J
Midwifery 2020; 28(5): 324-327.
-
34. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, Tao Q, Sun Z, Xia
L. Correlation of chest CT and RT-PCR testing in coronavirus
disease 2019 (COVID-19) in China: A report of 1014 cases.
Radiology 2020; 296(2): 32-40.
-
35. Wang M, Cao R, Zhang L, Yang X, Liu J, Xu M, Shi Z, Hu
Z, Zhong W, Xiao G. Remdesivir and chloroquine effectively
inhibit the recently emerged novel coronavirus (2019-nCoV) in
vitro. Cell Res 2020; 30: 269-271.
-
36. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation
parameters are associated with poor prognosis in patients
with novel coronavirus pneumonia. J Thromb Haemost
2020;18(4):844‐847.
-
37. Erez O, Mastrolia SA, Thachil J: Disseminated intravascular
coagulation in pregnancy: Insights in pathophysiology,
diagnosis and management. Am J Obstet Gynecol 2015;
213(4): 452-463.
-
38. Lam CM, Wong SF, Leung TN, Chow KM, Yu WC, Wong TY,
Lai ST, Ho LC. A case-controlled study comparing clinical
course and outcomes of pregnant and non-pregnant women
with severe acute respiratory syndrome. BJOG 2004; 111(8):
771-774.
-
39. Bouaziz J, Even M, Isnard-Bogillot F, Vesale E, Nikpayam
M, Mihalache A, et al. COVID-19 in pregnancy: What do we
really know? [version 1;peer review: Awaiting peer review].
F1000Research, 2020;9(362):1-16.
-
40. Eskici G. COVID-19 Pandemisi: Karantina için beslenme
önerileri. Anadolu Kliniği Tıp Bilimleri Dergisi 2020; 25(1): 124-
129.
-
41. Alder J, Fink N, Bitzer J, Hösli I, Holzgreve W. Depression and
anxiety during pregnancy: A risk factor for obstetric, fetal and
neonatal outcome? A critical review of the literature. J Matern
Fetal Neonatal Med 2007; 20(3): 189-209.
-
42. Littleton HL, Breitkopf CR, Berenson AB. Correlates of anxiety
symptoms during pregnancy and association with perinatal
outcomes: A meta-analysis. Am J Obstet Gynecol 2007;
196(5): 424-432.
-
43. Ng J, Sham A, Tang PL, et al. SARS: Pregnant women’ s fears
and perceptions. Br J Midwifery 2004; 12(11): 698-702.
-
44. The American Collage of Obstetricians and Gynaecologists.
Coronavirus (COVID-19), Pregnancy, and Breastfeeding: A
Message for Patients. Availablefrom:https:// www.acog.org,
Erişim tarihi: 17 Mayıs 2020.
-
45. Hammond A, Foureur M, Homer CSE, Davis D. Space, place
and the midwife: Exploring the relationship between the birth
enviroment, neurobiology and midwifery practice. Women Birth
2013;26(4):277-81.
-
46. The Lancet. Emerging understandings of 2019-nCoV. Lancet
2020; 395: 311.