Gebelik ve Emzirme Dönemime Ait COVİD-19 Hikayem: Anne ve Yenidoğan Verileri

Öz

Yeni tip coronoviruss bağlı olan Coronovirus 19 hastalığı, 2019’dan beri tüm dünyanın sağlık problemi haline gelmiştir. Gebelik sürecinde de enfeksiyonun görülme sıklığı artmaktadır. Gebelikte enfeksiyonun seyri asemptomatik, hafif bulgular (hipoksi ve pnömoni olmaksızın), viral pnömoni ve en nihayet ağır hastalık (akut solunumsal stres sendromu, sepsis, septik şok, pulmoner emboli veya akut koroner sendrom) şeklinde olmakla birlikte çoğunlukla asemptomatik bir seyir görülmektedir. Enfekte anneden fetusa geçen virusun, fetusta nasıl bir etkiye yol açtığı ve antikorların koruyucu etkisi tam olarak netlik kazanmamıştır. Her ne kadar pek çok yenidoğan asemptomatik olsa da, yenidoğanın geçici takipnesi şeklinde bulgular görülebilmektedir. Ek olarak, Coronovirus 19 hastalığının, kalp, beyin, akciğer, gastrointestinal sistem gibi bazı organ ve/veya sistemlere ait geç dönemde komplikasyonları da olabilmektedir. Burada, gebeliğin son döneminde Coronovirus 19 hastalığı geçiren, sonrasında geçici ve aralıklı kardiyak disritmi bulguları olan bir vaka tartışılmıştır.

Anahtar Kelimeler

• Covid 19
• Gebelik
• Emzirme
• Kardiyak disritmi

This is My COVID-19 History During Pregnancy and Breastfeeding Period: Maternal and Neonatal Outcomes

Öz

The novel type coronoviruses spreaded all around the world, and caused a global health problem around the world since 2019. The number of pregnant women infected by new type of coronoviruses have been on the rise. COVID-19 infection in pregnancy can be experienced with different symptoms as like asymptomatic infection, mild disease (no evidence of pneumonia or hypoxia), moderate disease (viral pneumonia), severe disease (severe pneumonia) or critical illness (acute respiratory distress syndrome, sepsis, septic shock, or complications such pulmonary embolism or acute coronary syndrome). Fortunately, most pregnant women infected with SARS-CoV-2 are asymptomatic, and most symptomatic women experience only mild or moderate cold/flu-like symptoms. The effect of these viruses on the fetus, virus transmission from mother to baby and the protective role of antibodies are not clear yet. Although, the majority of newborns were asymptomatic; tachypnea, most likely secondary to transient tachypnea observed as the most common symptom. On the other hand, late complications of the Coronovirus disease-19 can be presented in some organs and/or systems like heart, brain, lung, gastrointestinal system. Here described a case, whose got Coronovirus disease-19 during third trimester of the pregnancy with transient cardiac dysrhythmia after Coronovirus disease-19.

Anahtar Kelimeler

• COVID 19
• Pregnancy
• Breastfeeding
• Cardiac Dysrhythmia

Kaynakça

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