COVID-19: Maternal and Child Health Care

Yıl 2020, , 180 - 184, 19.09.2020

Humaira Zafar Irfan Ali Mırza Wajid Hussain Khadija Iqbal

https://doi.org/10.5455/umj.20200812015436

Öz

In the sunset of 2019, the world encountered the beginning of a pandemic due to corona viral infection disease (COVID-19). The rapid spread via respiratory route transmission, absence of a vaccine and specific antivirals is the main reason for making the situation worse. Like every aspect, COVID-19 was found to be of great concern in maternal and child health care. The objective of this short communication was to found the effects of COVID-19 on maternal and child health care. It was identified that the clinical manifestations of COVID in pregnant and non-pregnant patients have the same manifestations. The mode of delivery even has no significant association with a specific infection. The evidence to support inutero peripartum or postpartum transmission is also deficient. The only positive finding observed was the presence of fetal distress. So it was clinched that after birth neonates must be kept in isolation for careful evaluation of any sign of infection and hence its management. It was concluded that serial follow-up investigations like cardiotocography, Doppler’s and amniocentesis should be done to assess fetal well-being in the intrauterine period. However, in the postpartum period both mother and baby should remain in isolation for careful monitoring of any signs of infection and hence time management.

Anahtar Kelimeler

COVID-19, Pregnancy, Maternal outcom, Diagnostic modalities

Kaynakça

• Chen Y, Liu Q, Guo D. Emerging coronaviruses: Genome structure, replication, and pathogenesis. J Med Virol. 2020; 92(4):418-423
• Riou J, Althaus CL. Pattern of early human-to-human transmission of Wuhan 2019 novel coronavirus (2019-nCoV). Euro Surveill. 2020;25(4):20-58
• Li Q, Guan X, Wu P. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med 2020;382:1199-1207
• Rothe C, Schunk M, Sothmann P. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med 2020;382:970-971
• Chan JF, Kok KH, Zhu Z, Chu H, To KK, Yuan S, etal. Genomic characterization of the 2019 novel human-pathogenic coronavirus isolated from a patient with atypical pneumonia after visiting Wuhan. Emerg Microbes Infect. 2020;9(1):221-236
• Stumpfe FM, Titzmann A, Schneider MO, Stelzl P, Kehl S, Fasching PA, etal. SARS-CoV-2 Infection in Pregnancy - a Review of the Current Literature and Possible Impact on Maternal and Neonatal Outcome. Geburtshilfe Frauenheilkd. 2020;80(4):380-390
• Zhang N, Jiang S, Du L. Current advancements and potential strategies in the development of MERS-CoV vaccines. Expert Rev Vaccines. 2014;13(6):761–774
• Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia. Mil Med Res. 2020;7(1):4
• Alfaraj SH, 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(3):501-503
• Mullins E, Evans D, Viner RM, Brien OP, Morris E. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol. 2020;55(5):586-592
• Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, etal. Clinical analysis of 10 neonates born to mothers with 2019‐nCoV pneumonia. Transl Pediatr. 2020;9(1):51-60
• Ng WF, Wong SF, Lam A. The placentas of patients with severe acute respiratory syndrome: a pathophysiological evaluation. Pathology. 2006;38(3):210-218
• Zhu H, Wang L, Fang C. et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr 2020;9(1):51-60
• Coronavirus/COVID-19 und Stillen: Aktuelle Empfehlun gen. Website:[http://www.stillen-institut.com/de/coronavirus-co vid-19-und-stillen-aktuelle-empfehlungen. html?fbclid=IwAR3F8_iFQDAmyHxhGHtGlXPLy8VPGKFW9DlOsFKH2cTqE2ci6_rEN7yed3c] Retrieved on 9, 2020
• Coronavirus (SARS-CoV-2) Website:[ https://www.dggg. de/ news/hinweise-und-faq-zum-coronavirus-fuer-schwangere-und-saeuglinge-1181/] Retrieved on 19, 2020
• Liang H, Acharya G. Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow?. Acta Obstet Gynecol Scand. 2020;99(4):439-442
• Rasmussen SA, Smulian JC, Lednicky JA.. Coronavirus Disease 2019 (COVID-19) and Pregnancy: What obstetricians need to know. Am J Obstet Gynecol 2020;222(5):415-426