Ümit Ayşe TANDIRCIOĞLU, Özge DOĞAN, Pelin PELİT, Murat CAGAN, Sanem ÖZCAN, Özgür ÖZYÜNCÜ, Şule YİĞİT, Tolga ÇELİK

GEBELİKTE GEÇİRİLEN COVİD-19 ENFEKSİYONUNUN NEONATAL MORBİDİTELER VE MORTALİTE ÜZERİNE ETKİSİ

Amaç: Çin’in Wuhan kentinde ortaya çıkan COVID-19 pandemisi, dünyada 670 milyondan fazla insanı etkilemiştir. Her yaş grubunda görülen hastalığın mortalite ve morbiditesi özellikle yaşlı nüfus, kronik hastalığı olanlar ve gebelerde daha fazla gözlemlenmiştir. Bu çalışmanın amacı, pandemi sürecinde hastanemizde takip edilen ve doğum yapan, gebeliğinde COVID-19 enfeksiyonu geçirmiş gebelerin maternal ve neonatal sonuçlarını-morbiditelerini incelemek ve COVID-19 geçirmemiş gebelerin sonuçları ile karşılaştırmaktır. Gereç ve Yöntemler: Hastanemizde Nisan 2020-Haziran 2021 tarihleri arasında izlenen ve çalışma şartlarını sağlayan gebelerin ve bebeklerin maternal-neonatal verileri dosya kayıtlarından alınarak, gebelikte COVID-19 enfeksiyonu geçiren ve geçirmeyen gebeler ve bebeklerinden oluşan ikili gruplar karşılaştırıldı. Bulgular: Çalışmaya 2164 anne ve bebek çifti dahil edildi. Gebeliğinde COVID-19 geçirmiş (n=66) ve geçirmemiş olan anneler (n=2098) ve bebekleri arasında anne yaşı, doğum şekli, doğum ağırlığı, doğum haftası, cinsiyet, APGAR skorları, yenidoğan yoğun bakım ünitesinde yatma süreleri bakımından anlamlı fark saptanmadı. Sonuç: Çalışma sonuçlarımız henüz etiyopatogenezi yeterince aydınlatılamamış olan COVID-19 enfeksiyonunun, maternal-neonatal risk ve hastalıkların üzerine etkisinin halen tam olarak bilinmediği görüşünü desteklemektedir.

Anahtar Kelimeler:

COVID-19, yenidoğan, term, prematüre

The Effect of COVID-19 Infection During Pregnancy on Neonatal Morbidities and Mortality

Objective: The COVID-19 pandemic, which emerged in Wuhan, China has affected more than 670 million people in the world. The mortality and morbidity of Coronavirus which is seen in all age groups, has been observed more especially in the elderly population, those with chronic diseases and pregnant women. The aim of this study is to examine the morbidity and the maternal-neonatal outcomes of COVID-19 infection during pregnancy. Material and Methods: The maternal-neonatal data of the pregnant women and babies who met the study critera and were followed up in our hospital between April 2020 and June 2021, were obtained from file records. The dual groups of pregnant women who had and did not have COVID-19 infection during pregnancy and their babies were compared. Results: A total of 2164 mother and infant couples were included in the study. No significant difference was found between mothers who had COVID-19 during pregnancy (n=66) and mothers who did not (n=2098) and their babies in terms of maternal age, delivery type, birth weight, birth week, gender, APGAR scores, and length of stay in the neonatal intensive care unit. Conclusion: The results of our study is consistent with the idea that the effect of maternal COVID-19 infection on maternal-neonatal risk and diseases, is still unknown.

Keywords:

COVID-19, newborn, term, premature,

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