Tugba Yılmaz ESENCAN, Ayça DEMİR YILDIRIM

Uluslararası Kılavuzlar ve Uzman Görüşleri Işığında Covid-19 Sürecinde Antenatal, Perinatal ve Postnatal Ebelik Bakımı

Covid- 19 salgını, küresel sağlığa yönelik en önemli tehditlerden biri haline gelmiştir. Ebeler Covid-19 pandemisinde sağlık sistemi içerisinde en çok unutulan ama oldukça önemli bir yeri olan sağlık insan kaynağıdır. Dünya Sağlık Örgütü güncel verilerine göre ebeler, dünyada her yıl gerçekleşen 130 milyon doğumun gerçekleşmesine ve desteklenmesine yardımcı olmaktadır. Yaşam kurtaran ve kadınların her daim destekçisi olan ebeler gebeliğin ve doğumun seyrinde benzersiz hizmetler sunmaktadır. Ebelik bakımının pandemi öncesindeki sürece yakın bir şekilde devam etmesinin kötü obstetrik sonuçların önüne geçilmesinde önemli bir etken olduğu belirtilmektedir. Covid-19 pandemisi Antenatal, perinatal ve postnatal süreçte takip ve bakımın sürdürülmesinde ebelerin bir kez daha ne kadar değerli ve önemli oldukları görülmüştür. Covid-19 pandemisi süresince gebelik ve doğum süreci ile ilgili yapılan çalışmalarda vaka sayısı az olmakla birlikte yapılan çalışmalarda virüsün göbek kordonu, vajinal sıvı ve mukozada bulunmadığına dair veriler bulunmaktadır. Ancak ebelerin antenatal izlemlerde, travay takibinde, doğum eylemi sırasında ve postpartum bakım sırasında bulaş riskine karşı kendilerini korumaları ve enfeksiyon kontrol önlemlerini almaları da yaşamsal önem taşımaktadır. Bu derlemede uluslararası kılavuzlar ve uzman görüşleri incelenerek Covid-19 pandemisinde verilecek ebelik bakımının devamlılığının sağlanması için öneriler değerlendirilmektedir.

In the Light of International Guides and Expert Opinions, Antenatal, Perinatal and Postnatal Midwifery Care during the COVID-19 Pandemic

Covid-19 pandemic became one of the most important threats to global health. Midwives are the most forgotten but quite important human resource in the health system during the Covid-19 pandemic. According to the latest WHO (World Health Organization) data, midwives provide assistance and support in 130 million births that occur annually around the World. Midwives, who save lives and always support women, perform unique services during the course of pregnancy and delivery. It is stated that the continuity of midwifery care in a manner similar to that in the periods before the pandemic is an important factor in preventing poor obstetric outcomes. In Covid-19 pandemic, it was seen once again how important and valuable midwives are in maintaining the continuity of antenatal, perinatal and postnatal care and monitoring. Although the number of cases in the studies conducted during Covid-19 pandemic on pregnancy and childbirth was low, yet there are findings obtained in these studies, indicating that no virus has been presented within the umbilical cord, vaginal discharge and mucosa. However, protecting themselves from the risk of transmission and taking infection control precautions as well in the course of antenatal follow-up visits, in monitoring during labour, throughout delivery and postpartum care are of vital importance for midwives. In this review, the advices for maintaining the continuity of midwifery care to be provided during Covid-19 pandemic were assessed by examining international guides and expert opinions.

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