Covıd-19 Pandemisinde Gebelikte Yaklaşım ve Yönetim

SARS-CoV-2 (2019-nCoV) ile enfekte gebelerde maternal ve perinatalsonuçlara ait bilgiler birkaç vaka serisinden oluşan oldukça kısıtlı verilerdir. Bu vaka serilerinde olgu sayıları az, bulgular da çok çeşitlidir. Ancak dünya çapında virüsün yayılımının devam etmesi nedeniyle hassaspopülasyonlardan biri olan gebelerde hastalığa yaklaşım ve yönetimde,koruyucu önlemlerin ve tedavi protokollerinin önemi giderek artmaktadır.Bu öneriler dinamik olup hastalığın gebe popülasyonda epidemiyolojisi,patogenezi, progresyonu ve klinik seyrine ait bilgiler arttıkça daha dageliştirilecektir.

___

  • 1-World Health Organization. Director-General’s remarks at the media briefing on 2019- nCoV on 11 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefingon-2019-ncov-on-11-february-2020 (Accessed on February 12, 2020).
  • 2-T.C Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü COVID-19 (SARS-CoV-2 Enfeksiyonu) Rehberi. Bilim Kurulu Çalışması. 12 Nisan 2020. https://covid19bilgi.saglik.gov.tr/ depo/rehberler/COVID-19_Rehberi.pdf
  • 3-Dashraath P, Jing Lin Jeslyn W, Mei Xian Karen L, Li Min L, Sarah L, Biswas A, Arjandas Choolani M, Mattar C, Lin SL. Coronavirus Disease 2019 (COVID-19) Pandemic and Pregnancy. Am J Obstet Gynecol. 2020 Mar 23. pii: S0002-9378(20)30343-4.]
  • 4-Tang A, Tong ZD, Wang HL, et al. Detection of Novel Coronavirus by RT-PCR in Stool Specimen from Asymptomatic Child, China. Emerg Infect Dis 2020; 26.
  • 5-Chen W, Lan Y, Yuan X, et al. Detectable 2019-nCoV viral RNA in blood is a strong indicator for the further clinical severity. Emerg Microbes Infect 2020; 9:469.
  • 6-Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-2019). February 16-24, 2020. http://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf (Accessed on March 04, 2020).
  • 7-Uptodate. Coronavirus Disease 2019 (COVID-19): Pregnancy Issues. https://www.uptodate.com/contents/coronavirus-disease-2019-covid-19-pregnancy-issues.
  • 8- Rasmussen S, Smulian J, Lednicky J, et al. Coronavirus Disease 2019 (COVID-19) and Pregnancy: What obstetricians need to know. Am J Obstet Gynecol 2020 doi: https:// doi.org/10.1016/j.ajog.2020.02.017)
  • 9-T.C Sağlık Bakanlığı Olası COVID-19 Vaka Sorgulama Kılavuzu. https://covid19bilgi. saglik.gov.tr/depo/formlar/COVID19-VAKA-SORGULAMA-KILAVUZU-A4_1.pdf
  • 10- 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 Feb 26:200642.
  • 11-Moro F, Buonsenso D, Moruzzi MC, et al. How to perform lung ultrasound in pregnant women with suspected COVID-19 infection. Ultrasound Obstet Gynecol. 2020 Mar 24. doi:10.1002/uog.22028.
  • 12-Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA.2020 Feb 24)
  • 13-Zaigham M, Andersson O. Maternal and Perinatal Outcomes with COVID-19: a systematic review of 108 pregnancies. Acta Obstet Gynecol Scand. 2020 Apr 7.
  • 14-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 Mar 7;395(10226):809-815.
  • 15-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 Feb;9(1):51-60.
  • 16-Zhang L, Jiang Y, Wei M, Cheng BH, Zhou XC, Li J, Tian JH, Dong L, Hu RH. Analysis of the pregnancy outcomes in pregnant women with COVID-19 in Hubei Province. Zhonghua Fu Chan Ke Za Zhi. 2020 Mar 7;55(0):E009.
  • 17-Breslin, N., Baptiste, C., Miller, R., Fuchs, K., Goffman, D., Gyamfi-Bannerman, C. D’Alton, M. COVID-19 in pregnancy: early lessons. American Journal of Obstetrics & Gynecology MFM, 2020 Mar 27. https://doi.org/10.1016/j.ajogmf.2020.100111.
  • 18-Di Mascio D, Khalil A, Saccone G, et al. Outcome of Coronavirus spectrum infections (SARS, MERS, COVID 1 -19) during pregnancy: a systematic review and metaanalysis. Am J Obstet Gynecol MFM 2020. (Available at: https://www.sciencedirect.com/science/ article/pii/S2589933320300379).
  • 19-Fan C, Lei D, Fang C, Li C, Wang M, Liu Y, Bao Y, Sun Y, Huang J, Guo Y, Yu Y, Wang S. Perinatal Transmission of COVID-19 Associated SARS-CoV-2: Should We Worry? Clin Infect Dis. 2020 Mar 17. pii: ciaa226.
  • 20-Chen S, Huang B, Luo DJ, Li X, Yang F, Zhao Y, Nie X, Huang BX. Pregnant women with new coronavirus infection: a clinical characteristics and placental pathological analysis of three cases]. Zhonghua Bing Li Xue Za Zhi. 2020 Mar 1;49(0):E005.
  • 21-Schwartz DA. An Analysis of 38 Pregnant Women with COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes. Arch Pathol Lab Med. 2020 Mar 17.
  • 22-Dong L, Tian J, He S, Zhu C, Wang J, Liu C, Yang J. Possible Vertical Transmission of SARS-CoV-2 From an Infected Mother to Her Newborn. JAMA. 2020 Mar 26.
  • 23-https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns obstetrics (Accessed on April 14, 2020).
  • 24-Erdeve Ö, Çetinkaya M, Baş AY, et al. The Turkish Neonatal Society proposal for the management of COVID-19 in the neonatal intensive care unit. Turk Pediatri Ars 2020;55:86–92.
  • 25-Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html (Accessed on April 14, 2020).
  • 26-https://www.who.int/news-room/q-a-detail/q-a-on-covid-19-pregnancy-childbirth-and-breastfeeding (Accessed on April 14, 2020).
  • 27-Puopolo KM, Hudak ML, Kimberline DW, Cummings J. Initial Guidance: Management of Infants Born to Mothers with COVID-19 https://downloads.aap.org/AAP/PDF/ COVID%2019%20Initial%20Newborn%20Guidance.pdf (Accessed on April 14, 2020).
  • 28-Poon LC, Yang H, Kapur A, Melamed N, Dao B, Divakar H, David McIntyre H, Kihara AB, Ayres-de-Campos D, Ferrazzi EM, Carlo Di Renzo G, Hod M. Global interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. Int J Gynaecol Obstet. 2020 Apr 4. 29-L. C. Poon H. Yang J. C. S. Lee J. A. Copel T. Y. Leung Y. Zhang D. Chen F. Prefumo. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals. Available at: https:// obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.22013
Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2004
  • Yayıncı: -
Sayıdaki Diğer Makaleler

SEFAL HEMATOM NEDENİYLE İZLENEN HASTALARIN RETROSPEKTİF DEĞERLENDİRİLMESİ

Esra ÖZMEN, Burak CERAN, Ufuk ÇAKIR, Cüneyt TAYMAN

Hiperemezis Gravidarumda Önemli Bir Nokta: D Vitamini ve Tiroid Fonksiyonları

Eda TÜRE, Huri GÜVEY, Bahadır YAZICIOĞLU, Samettin ÇELIK, Canan Soyer ÇALIŞKAN, Burak YAŞAR, Hasan ULUBAŞOĞLU

Mülteci Olmak Erken Term Doğum İçin Risk Faktörü Olabilir Mi?

Evrim ALYAMAÇ DİZDAR, Fatma Nur SARI, Esra BEŞER ÖZMEN, Esin OKMAN, Merve KÜÇÜKOĞLU KESER

Konjenital toksoplazmosiz, nadir bir olgu sunumu

Mustafa Şenol AKIN, Fatma SARI, Evrim ALYAMAC DİZDAR, Cüneyt TAYMAN, Şerife OĞUZ

BİR AİLE SAĞLIĞI MERKEZİNE BAŞVURAN KADINLARIN PAP SMEAR TESTİ YAPTIRMA DURUMLARI İLE SERVİKS KANSERİNE VE PAP SMEAR TESTİNE YÖNELİK SAĞLIK İNANÇLARI

Pınar KILIÇSOKAN, Nesrin İLHAN

Yenidoğan Yoğun Bakım Ünitesinde İdrar Yolu Enfeksiyonu Tanısı ile İzlenen Preterm Bebeklerin Retrospektif Değerlendirilmesi

Evrim ALYAMAÇ DİZDAR, Handan BEZİRGANOĞLU, Fatma Nur SARI, Cüneyt TAYMAN, Esra BEŞER ÖZMEN, Burak CERAN, Şerife Suna OĞUZ

Uterusa Sınırlı Endometroid Endometrium Kanserinde Tümör Lokalizasyonunun Prognostik Etkisi

Mehmet ALİ VARDAR, Ümran KÜÇÜKGÖZ GÜLEÇ, Derya GÜMÜRDÜLÜ, Ghanim KHATIB, Ahmet BARIŞ GÜZEL, Sevtap SEYFETTİNOĞLU, Kübra DURAN

Covid-19 pandemisi sırasında bir pandemi hastanesinde jinekolojik kanser nedeniyle opere olan hastalarda kısa dönem cerrahi sonuçlar: Tek Merkezli Retrospektif Olgu-kontrol çalışması

Özlem MORALOĞLU TEKİN, Burak ERSAK, Zeliha FIRAT CÜYLAN, Murat ÖZ, Bülent ÖZDAL, Müfide İclal ALTINTAŞ

Primer Dismenore ve Kişilik

Öznur YAŞAR, Dilek YILDIRIM, Selda TURHAN

HİPEREMEZİS GRAVİDARUMDA ÖNEMLİ BİR NOKTA: D VİTAMİNİ VE TİROİD FONKSİYONLARI

Samettin ÇELİK, Canan SOYER, Huri GÜVEY, Burak YAŞAR, Bahadır YAZICIOĞLU, Eda TÜRE, Hasan ULUBAŞOĞLU