COVID-19 Pandemisinde Üreme Sağlığı ve Modern Aile Planlaması Yöntem Danışmanlığı

Yıl 2023, Cilt: 6 Sayı: 2, 497 - 504, 01.09.2023

Zeliha Elkan Kiyat , Hatice Kahyaoğlu Süt

https://doi.org/10.38108/ouhcd.1068848

Cited By: 2

Öz

COVID-19 pandemisi cinsel şiddet, istenmeyen gebelik artışı gibi üreme sağlığı için önemli bir risk oluşturmaktadır. Üreme sağlığı ve aile planlaması hizmetleri pandemide öncelikli olarak tartışılmalı, doğum kontrolü ve kadınlara yönelik cinsel şiddeti önleme çalışmalarına sağlık hizmetlerinde yer verilmelidir. Pandemi sürecinde sağlık kaynaklarının pandemi ile mücadeleye yöneltilmesi aile planlaması hizmetlerine erişimin önüne engel olarak çıkmaktadır. Danışmanlık hizmetlerinin devamını sağlamak için yenilikçi stratejiler geliştirilerek bireylerin ihtiyaçlarına öncelik verilmelidir. Danışmanlık hizmeti sunulurken COVID-19 enfeksiyonunu önlemek için sağlık kuruluşu teması en aza indirilecek şekilde planlama yapılmalıdır. Çiftler, bireysel aile planlaması yöntemleri hakkında bilgilendirilmeli ve mevcut kullandıkları yöntemlerin kullanım süresi genişletilmelidir. Doğum ve kürtaj gibi sağlık teması gerektiren özel durumlardan sonra danışmanlık ve yöntem kullanımı için oluşan fırsat değerlendirilmelidir. Yüz yüze görüşülmesi gereken durumlarda yüz yüze hizmet sunulup geri kalan hizmetler uzaktan sağlık bilgi sistemi ile sunulmalıdır. COVID-19 ile enfekte olmuş bireylere aile planlaması danışmanlığının devamlılığı sağlanmalıdır. Tüm bireylere üreme sağlığı ve aile planlaması danışmanlık hizmetlerinin ulaştırılmasıyla, istenmeyen gebeliklerin önlenmesi dolayısıyla kadın sağlığının korunması ve geliştirilmesi mümkündür. Bu sebeple kadın ve çiftlerle en fazla etkileşim halinde olan hemşirelerin ve ebelerin pandemi sırasında ve sonrasında danışmanlık hizmetlerini sürdürmesi önemlidir.

Anahtar Kelimeler

COVID-19, pandemi, üreme sağlığı, aile planlaması, danışmanlık

Reproductive Health and Modern Family Planning Method Counseling in the COVID-19 Pandemic

Öz

The COVID-19 pandemic poses an important risk to reproductive health, such as sexual violence and increased unwanted pregnancy. Reproductive health and family planning services should be discussed as a priority during the pandemic, and contraception and prevention of sexual violence against women should be included in health services. In the pandemic process, directing health resources to combat the pandemic is an obstacle to access to family planning services. In order to ensure the continuation of consultancy services, the needs of individuals should be given priority by developing innovative strategies. In order to prevent COVID-19 infection, planning should be done to minimize contact with the healthcare provider while providing the counseling service. Couples should be informed about individual family planning methods and the period of use of the methods they use should be extended. After special situations that require health contact such as birth and abortion, the opportunity for counseling and method use should be evaluated. In cases where face-to-face meetings are required, face-to-face service should be provided, and the remaining services should be offered via virtual health options. Continuity of family planning counseling should be provided to individuals infected with COVID-19. By providing reproductive health and family planning consultancy services to all individuals, it is possible to protect and improve women's health by preventing unwanted pregnancies. For this reason, it is important that nurses and midwives, who have the most interaction with women and couples, continue their counseling services during and after the pandemic.

Anahtar Kelimeler

COVID-19, pandemic, reproductive health, family planning, counseling

Kaynakça

• American College of Obstetricians and Gynecologists (ACOG). (2020a). COVID-19 FAQs For Obstetricians-Gynecologists, Gynecology. Erişim tarihi:20.12.2021, https://www.acog.org/clinical-information/physician-faqs/COVID19-faqs-for-ob-gyns-gynecology
• American College of Obstetricians and Gynecologists (ACOG). (2020b). Fertility Awareness-Based Methods of Family Planning. Erişim tarihi:14.01.2022, https://www.acog.org/womens-health/faqs/fertility-awareness-based-methods-of-family-planning
• American College of Obstetricians and Gynecologists (ACOG). (2020c). Policy Priorities: Family Planning. Erişim tarihi:14.01.2022, https://www.acog.org/advocacy/policy-priorities/family-planning
• American College of Obstetricians and Gynecologists (ACOG). (2020d). Resumption of Comprehensive Women’s Health Care Policies and Processes: Position Statement. Erişim tarihi:14.01.2022, https://www.acog.org/clinical-information/policy-and-position-statements/position-statements/2020/resumption-of-comprehensive-womens-health-care-policies-and-processes
• American College of Obstetricians and Gynecosts (ACOG). logi(2021a). Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Practice Bulletin: Number 186. Erişim tarihi:15.01.2022,https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2017/11/long-acting-reversible-contraception-implants-and-intrauterine-devices
• American College of Obstetricians and Gynecologists (ACOG). (2021b). Access to Postabortion Contraception Committee Opinion: Number 833. Erişim tarihi:15.01.2022, https://www.acog.org/ clinical/clinical-guidance/committee-opinion/ articles/2021/08/access-to-postabortion-contraception
• Arifa R, Sulistiawan D, Budisantoso M. (2021). Family planning counseling during the covid-19 pandemic. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(1), 37-44. DOI: 10.30604/jika.v6i1.414
• Bellizzi S, Pichierri G, Napodano C, Picchi S, Fiorletta S, Panunzi MG et. al. (2020). Access to modern methods of contraception in Italy: Will the COVID-19 pandemic be aggravating the issue?. Journal of global health, 10(2), 020320. DOI: 10.7189/jogh.10.020320
• Benson LS, Madden T, Tarleton J, Micks EA. (2021). Society of Family Planning interim clinical recommendations: Contraceptive provision when healthcare access is restricted due to pandemic response-2021 update. Society of Family Planning, 1-9. DOI: 10.46621/UYGR2287
• Cagnacci A, Xholli A. (2020). Age-related difference in the rate of COVID-19 mortality in women versus men. American Journal of Obstetrics and Gynecology, 223(3), 453–454. DOI: 10.1016/ j.ajog.2020.05.039.
• Centers for Disease Control and Prevention (CDC). (2021). Ensuring access to family planning services during COVID-19. Erişim tarihi:14.12.2021, https://www.cdc.gov/reproductivehealth/contraception /COVID-19-family-planning-services.html
• Cinsel Sağlık ve Üreme Sağlığı Hakları Platformu (CİSÜ). (2020). Pandemi Dönemlerinde Cinsel Sağlık ve Üreme Sağlığı (CSÜS) Hizmetleri: Toplum Temelli Hizmetler için Rehber. Erişim tarihi:14.12.2021, https://www.tapv.org.tr/wp-content/ uploads/2021/07/CISU_Rehber_Tasarimi_ Dijital.pdf
• Cui S, Chen S, Li X, Liu S, Wang F. (2020). Prevalence of venous thromboembolism in patients with severe novel coronavirus pneumonia. Journal of Thrombosis and Haemostasis, 18(6), 1421-1424. DOI:10.1111/ jth.14830.
• Ferreira-Filho ES, Melo NR, Sorpreso ICE, Bahamondes L, Simões RDS, Soares-Júnior JM et.al. (2020). Contraception and reproductive planning during the COVID-19 pandemic. Expert Review of Clinical Pharmacology, 13(6), 615-622. DOI: 10.1080/17512433.2020.1782738
• Fruzzetti F, Cagnacci A, Primiero F, De Leo V, Bastianelli C, Bruni V et. al. (2020). Contraception during Coronavirus-COVID-19 pandemia. Recommendations of the Board of the Italian Society of Contraception. The European Journal Of Contraception & Reproductive Health Care, 25(3), 231–232. DOI: 10.1080/13625187.2020.1766016 Halk Sağlığı Uzmanları Derneği (HASUDER). (2020). COVID-19 Pandemisinde Cinsel Sağlık ve Üreme Sağlığı. Erişim tarihi:16.12.2021, https://korona.hasuder.org.tr/COVID-19-pandemisinde-cinsel-saglik-ve-ureme-sagligi/ International Federation of Gynecology and Obstetrics (FIGO). (2020). COVID-19 Contraception and Family Planning – April 2020 guidance. Erişim tarihi:14.12.2021, https://www.figo.org/COVID-19-contraception-family-planning
• Katsoularis, I., Fonseca-Rodríguez, O., Farrington, P., Jerndal, H., Lundevaller, E. H., Sund, M., Lindmark, K., & Fors Connolly, A. M. (2022). Risks of deep vein thrombosis, pulmonary embolism, and bleeding after covid-19: nationwide self-controlled cases series and matched cohort study. BMJ (Clinical research ed.), 377, e069590. https://doi.org/10.1136/bmj-2021-069590
• Khowaja BMH, Shalwani Q. (2021). Impact of COVID-19 on family planning. European Journal of Midwifery, 5(22), 1-2. DOI: 10.18332/ejm/137484
• Kumar N. (2020). COVID-19 era: a beginning of upsurge in unwanted pregnancies, unmet need for contraception and other women related issues. The European Journal of Contraception & Reproductive Health Care, 25(4), 323-325. DOI: 10.1080/13625187.2020.1777398
• Mickler AK, Carrasco MA, Raney L, Sharma V, May AV. & Greaney J. (2021). Applications of the High Impact Practices in Family Planning during COVID-19. Sexual and Reproductive Health Matters, 29(1), 1-9. DOI: 10.1080/26410397.2021.1881210
• Middeldorp S, Coppens M, Haaps TF van, Foppen M, Vlaar AP, Müller MCA, et al. (2020). Incidence of venous thromboembolism in hospitalized patients with COVID-19. J Thromb Haemost, 19(8), 1995-2002. DOI: 10.1111/jth.14888.
• Nanda K, Lebetkin E, Steiner MJ, Yacobson I, Dorflinger LJ. (2020). Contraception in the era of COVID-19. Global Health: Science and Practice, 8(2), 166-168. DOI: 10.9745/GHSP-D-20-00119
• Riley T, Sully E, Ahmed Z, Biddlecom A. (2020). Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health In Low- and Middle-Income Countries. International perspectives on sexual and reproductive health, 46, 73-76. DOI: 10.1363/46e9020 Süt HK. (2017). Suriye’den göç eden kadınlar ve üreme sağlığı sorunları. Sağlık ve Toplum, 27(1), 3-7. T.C.Sağlık Bakanlığı. (2022). Uzaktan Sağlık Hizmetlerinin Sunumu Hakkında Yönetmelik. Erişim Tarihi:08.05.2022, https://www.resmigazete.gov.tr/eskiler/2022/02/20220210-2.htm
• Türkiye Aile Sağlığı ve Planlaması Vakfı (TAPV). (2001). Cinsel Sağlık Danışma Hattı. Erişim Tarihi:13.01.2022,https://www.tapv.org.tr/programlar/ergen-ve-genclik-calismalari/cinsel-saglik-danisma-hatti-tanitim/
• Türkiye Aile Sağlığı ve Planlaması Vakfı (TAPV). (2020). Pandemi Öncesi ve Sırasında Türkiye’de Cinsel Sağlık ve Üreme Sağlığı Hizmetleri İzleme Raporu. Erişim Tarihi:13.01.2022, https://www.tapv .org.tr/wp-content/uploads/2021/07/Pandemi-Oncesi-ve-Sirasinda-Turkiyede-CSUS-Hizmetleri-Izleme-Raporu-9.pdf Türkiye Nüfus ve Sağlık Araştırması (TNSA). (2018). Erişim tarihi:10.11.2021, http://www.hips.hacettepe. edu.tr /tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
• United Nations Population Fund (UNFPA). (2020a). Impact of the COVID-19 Pandemic on Family Planning and Ending Gender-based Violence, Female Genital Mutilation and Child Marriage. Erişim Tarihi: 11.11.2020. https://www.unfpa.org/sites/default/ files/resource-pdf/COVID-19_impact_brief_for _UNFPA_24_April_2020_1.pdf
• United Nations Population Fund (UNFPA). (2020b). Coronavirus Disease (COVID-19) Preparedness and Response UNFPA Interim Technical Brief. Erişim tarihi:10.11.2021,https://www.unfpa.org/sites/ default/files/resource-pdf/COVID-19_ Preparedness_and_Response_-_UNFPA_Interim_ Technical_Briefs_Contraceptices_and_Medical_Supplies_23_March.pdf
• Ünal B, Gülseren L. (2020). COVID-19 pandemisinin görünmeyen yüzü: Aile içi kadına yönelik şiddet (The hidden side of COVID-19 pandemic: Domestic violence). Klinik Psikiyatri Dergisi, 23, 89-94.
• Ünal E, Atik D, Gözüyeşil E. (2021). COVID-19 Pandemisi ve Kadınlar. Haliç Üniversitesi Sağlık Bilimleri Dergisi, 4(1), 1-8. DOI: 10.48124/husagbilder.825346
• Yılmaz E, Doğan RA. (2021). COVID-19 Pandemisi Nedeniyle Yaşanılan Toplumsal İzolasyonun Aile İçi ve Kadına Yönelik Şiddet Üzerine Etkisi. Unika Sağlık Bilimleri Dergisi, 1(1), 39-48. DOI: 10.47327/unikasaglik.15
• Women’s Preventıve Servıces Inıtıatıve (WPSI). (2021). Faq For Telehealth Services. Erişim tarihi:10.11.2021, https://www.womenspreventive health.org/wp-content/uploads/WPSI-Telehealth-FAQ.pdf
• World Health Organization (WHO). (2020a). Pulse survey on continuity of essential health services during the COVID-19 pandemic: interim report. Erişim tarihi:10.11.2021, https://www.who.int/ publications/i/item/WHO-2019-nCoV-EHS_continuity-survey-2020.1
• World Health Organization (WHO). (2020b). Coronavirus disease (COVID-19): Contraception and family planning. Erişim tarihi:10.11.2021, https://www.who.int/news-room/q-a-detail/ contraception-family-planning-and-COVID-19 World Health Organization (WHO), (2020c). Coronavirus disease (COVID-19): Violence against women. Erişim tarihi:15.11.2021, https://www.who. int/emergencies/diseases/novel-coronavirus-2019 /question-and-answers-hub/q-a-detail/coronavirus-disease-COVID-19-violence-against-women