Yenidoğan Covid 19 Enfeksiyonu ve Güncel Ebelik Yaklaşımları

Çin’de Aralık 2019’da görülen ve ardından pandemi olarak ilan edilen Coronavirus (COVID-19) enfeksiyonun her yaş grubunda etkili olduğu görülmektedir. Ancak yenidoğanlar bağışıklık sistemlerinin gelişmemiş olması, maternal vertikal geçiş olasılığı, vajinal doğumlarda perinatal temas olasılığı ve şüpheli enfekte anne ile doğumdan sonra yakın temas nedeniyle yüksek risk grubundadır. Bu durum yenidoğanlara yaklaşımın nasıl olacağı ve emzirmenin güvenli olup olmadığı gibi sorunları beraberinde getirmiştir. COVID-19’lu gebeler ve yenidoğanlar ile ilgili mevcut veriler sınırlıdır. Çalışma alanlarında gebe ve yenidoğanlara hizmet sunan ebelerin bu enfeksiyon varlığında yenidoğan bakımında nasıl bir yol izleyeceklerini bilmeleri önemlidir. Bu makale literatür ışığında yenidoğan ve gebelerde COVID-19 enfeksiyonu yönetimi hakkında güncel bilgiler sunmayı amaçlamıştır.

Anahtar Kelimeler:

Covid 19, Ebelik, Yenidoğan, Güncel yaklaşımlar

Neonatal Covid 19 Infection and Current Midwifery Approaches

Coronavirus (COVID-19) infection seen in China in December 2019 and declared as a pandemic seems to be effective in the ground age group. However, newborns are at high risk due to the immature of immune systems, the possibility of maternal vertical transition, the possibility of perinatal contact via stool and urine during deliveries and close contact with the infected mother after birth. This situation brought about problems such as how to approach newborns and whether breastfeeding is safe or not. Available data on COVID-19 pregnant women and newborns are limited. It is important for midwives serving pregnant women and newborns in their study areas to know how to take care of newborns in the presence of this infection. This article aims to present current information about COVID-19 infection management in newborns and pregnant women in literature.

Keywords:

COVID-19, Midwifery, Newborn, Current approaches,

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1. Deng, C. X. (2020). The global battle against SARS-CoV-2 and COVID-19. International Journal of Biological Sciences, 16(10), 1676-1677.
2. World Health Organization (WHO). WHO Timeline - COVID-19, 2019 (Erişim Tarihi: 10 Mayıs 2020). https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19
3. Cao, Q., Chen, Y. C., Chen, C. L., & Chiu, C. H. (2020). SARS-CoV-2 infection in children: transmission dynamics and clinical characteristics. Journal of the Formosan Medical Association, 119(3), 670–673.
4. Zeng, L. K., Tao, X. W., Yuan, W. H., Wangi, J., Liui, X., Liu, Z. S. (2020). First case of neonate with COVID 19 in China. Zhonghua Er Ke Za Zhi, 58(4), 279-80.
5. Euronews haber portal: Sağlık Bakanı Koca: Türkiye'de ilk koronavirüs (Covid-19) vakası tespit edildi. (Erişim Tarihi: 2 Mayıs 2020). https://tr.euronews.com/2020/03/10/sagl-k-bakan-koca-koronavirus-covid- 19-salg-n-ile-ilgili-ac-klama-yap-yor
6. Türkiye İstatistik Kurumu (TUİK). Doğum İstatistikleri 2020. (Erişim Tarihi: 15 Aralık 2021) https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri-2020- 37229#:~:text=Canl%C4%B1%20do%C4%9Fan%20bebek%20say%C4%B1s%C4%B1%201,%2C7'si%20k%C4%B1z%20 oldu.
7. Lu, Q., Shi, Y. (2020). Coronavirus disease (COVID-19) and neonate: what neonatologist need to know. Journal of Medical Virology, 92(6), 564–567.
8. T.C. Sağlık Bakanlığı Halk Sağlığı Müdürlüğü, COVID-19 (SARS-CoV2 Enfeksiyonu) Rehberi Sağlık Personeline Yönelik Eğitim Sunumu Rehber Nisan 2020 Versiyonu. (Erişim Tarihi: 8 Mayıs 2020). https://covid19bilgi.saglik.gov.tr/tr/covid-19-rehberi.html
9. Dong, L., Tian, J., He, S., Zhu, C., Wang, J., Liu, C. et al. (2020). Possible vertical transmission of SARS-CoV-2 from an infected mother to her newborn. JAMA, 323(18), 1846–1848.
10. Chandrasekharan, P., Vento, M., Trevisanuto, D., Partridge, E., Underwood, M. A., Wiedeman, J. et al. (2020). Neonatal resuscitation and postresuscitation care of infants born to mothers with suspected or confirmed SARS-CoV-2 infection. American Journal of Perinatology, 37(8), 813–824.
11. Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W. et al. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet (London, England), 395(10226), 809–815.
12. Akyıldız, D., & Çamur, Z. (2021). Comparison of early postnatal clinical outcomes of newborns born to pregnant women with COVID-19: a case–control study. The Journal of Maternal-Fetal & Neonatal Medicine, 1-8.
13. World Health Organization (WHO). Clinical management of severe acute respiratory infection when COVID-19 disease is suspected: Interim guidance 13 March 2020. (Erişim Tarihi: 2 Mayıs 2020). https://apps.who.int/iris/handle/10665/331446
14. Wang, L., Shi, Y., Xiao, T., Fu, J., Feng, X., Mu, D., et al. (2020). Working committee on perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection (2020). Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection (First edition). Annals of Translational Medicine, 8(3), 47.
15. Erdeve, Ö., Çetinkaya, M., Baş, A. Y., Narlı, N., Duman, N., Vural, M. et al. (2020). The Turkish Neonatal Society proposal for the management of COVID-19 in the neonatal intensive care unit. Turkish Archives of Pediatrics, 55(2), 86–92.
16. Kamali Aghdam, M., Jafari, N., & Eftekhari, K. (2020). Novel coronavirus in a 15-day-old neonate with clinical signs of sepsis, a case report. Infectious Diseases (London, England), 52(6), 427–429.
17. De Luca, D. (2020). Managing neonates with respiratory failure due to SARS-CoV-2. The Lancet. Child & Adolescent Health, 4(4), e8.
18. Deniz, M., Tezer, H., Tapısız, A. (2020). Yenidoğan ve gebelerde yeni coronavirüs hastalığı 2019 (Covid 19). Turkish Journal of Pediatric Disease, 14, 274-278.
19. Türk Neonatoloji Derneği. Covıd-19 (Sars-Cov2) enfeksiyonu veya şüphesi olan yenidoğan bebeklere neonatal ve perinatal dönemde yaklaşım önerileri v.2, 2020. (Erişim Tarihi: 11 Mayıs 2020). https://www.neonatology.org.tr/storage/2020/04/Untitled-attachment-00052.pdf_
20. Mullins, E., Evans, D., Viner, R. M., O'Brien, P., & Morris, E. (2020). Coronavirus in pregnancy and delivery: rapid review. Ultrasound in Obstetrics & Gynecology, 55(5), 586–592.
21. Royal College of Obstetricians & Gynecologists. Coronavirus (COVID-19) infection in pregnancy. information for healthcare professionals. version 2: published Thursday 26 March, 2020. (Erişim Tarihi: 8 Mayıs 2020). https://www.rcog.org.uk/globalassets/documents/guidelines/2020-03-26-covid19 pregnancy-guidance.pdf.
22. Stuebe A. (2020). Should infants be separated from mothers with COVID-19? first, do no harm. Breastfeeding Medicine, 15(5), 351–352.
23. Davanzo, R., Moro, G., Sandri, F., Agosti, M., Moretti, C., & Mosca, F. (2020). Breastfeeding and coronavirus disease-2019: Ad interim indications of the Italian Society of Neonatology endorsed by the Union of European Neonatal & Perinatal Societies. Maternal & child nutrition, 16(3), e13010.
24. Türk Neonatoloji Derneği. Covıd-19 (Sars-Cov2) enfeksiyonu veya şüphesi olan yenidoğan bebeklere neonatal ve perinatal dönemde yaklaşım önerileri 20.01.2021 v.3. (Erişim Tarihi: 15 Aralık 2021). http://www.neonatology.org.tr/neonatoloji/onergeler/
25. Roberton, T., Carter, E. D., Chou, V.B., Stegmuller, A. R., Jackson, B.D., Tam, Y. et al. (2020). Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle- income countries: a modelling study. The Lancet. Global Health, 8(7), e901-e908.
26. Renfrew, M. J., Cheyne, H., Craig, J., Duff, E., Dykes, F., Hunter, B. et al. (2020). Sustaining quality midwifery care in a pandemic and beyond. Midwifery, 88, 102759