📩 27/04/2020 17:09
Declared as a pandemic by the World Health Organization, Covid-19 virus outbreak affects all people. The epidemic that does not fall off the agenda brings with it many concerns. Since it is a new infection, the lack of clear information about pregnancy and its effects on the baby worries the pregnant women.
indicating that the risk for pregnant women, as in all of Turkey Coronavirus infection Job Bank Associate flourishing Icerenkoy Hospital of Obstetrics and Gynecology Specialist Op. Dr. Ayşe Deniz Şimşir said, “Pregnancy-related physiological changes in pregnant women and suppressed immune system may lead to more severe symptoms. Therefore, protection in pregnant women is especially important. ”
Since the Covid-19 virus, which affects the whole world, is a new infection, its effects on pregnancy and the baby are unknown. Information from previous SARS and MERS infections shows that coronavirus infection did not have a negative effect on the baby in the first six months of pregnancy. However, in the last 3 months of pregnancy, studies are published about the risks that may occur if the mother has Covid-19 infection.
Although the incubation period is 19-2 days in Covid-14 infection, contamination can start before this and asymptomatic people who have no symptoms are also infected. The most common findings are fever, cough and shortness of breath. In addition to these, findings such as taste and smell disturbance and diarrhea can be seen. Especially those with a fever above 37,5 degrees and those with dry cough are critical to apply to the nearest health facility. Covid-19 diagnostic criteria in pregnant women are not different from those who are not pregnant, and PCR tests are performed from secretions. There is no harm in performing lung tomography, which is important in the diagnosis of this disease by performing abdominal protection in pregnant women.
Bayındır İçerenköy Hospital Gynecology and Obstetrics Specialist Opr. Dr. Ayşe Deniz Şimşir said, “The most important issue here is to pay attention to personal and social hygiene. Apart from these, you should not travel, be in crowded places, or use public transportation. At the same time, it is very important for pregnant women to wear masks when leaving the house. We do not recommend using gloves. ”
MOTHER MILK IS IMPORTANT TO EVERYTHING
Şimşir, who said that after birth, due to close contact, the mother may pass coronavirus infection from baby to baby, Şimşir said that the first mothers who gave birth in China left the babies for 2 weeks, “But once again, it was once more important to breastfeed the baby. If the mother is Covid-19 positive, there is no harm in breastfeeding using a mask and washing her hands before touching the baby. It has been proven that Covid-19 does not pass into breast milk. If the baby is feeding with a bottle, the mother must wash her hands and use a mask before touching the bottle, the baby and the milk pump. ”
ROUTINE CONTROLS SHOULD NOT BE TROUBLE
While people who are afraid to go to the hospitals in the extraordinary period experienced do not know how to follow their routine controls, pregnant women are filled with question marks. Opr said that pregnant women should not interrupt their routine examinations with the idea of getting a coronavirus infection. Dr. Ayşe Deniz Şimşir said, “There are some tests that should be done every month of pregnancy. Pregnant women should wear their masks while coming to the hospital, and ensure their transportation by private vehicle. There is no reason for pregnant women to avoid coming to the examination in any hospital where the necessary precautions are taken. ” In addition, Şimşir added: “Just as we suggest that pregnant women do not disrupt their routine examinations, it is especially important to give birth in the hospital during this period. Because we know that there may be asymptomatic pregnants. Since all necessary precautions are taken for healthy delivery in hospitals, you have no reason to avoid giving birth in the hospital. "
COVİD-19 POSITIVE PREGNANCY, OR SHOULD I CHOOSE NORMAL BIRTH?
In studies conducted in China to date, Şimşir said that only one of the 9 Covid-19 positive pregnants passed to the virus baby, while Covid-9 was detected in neither amniotic fluid, placenta, cord blood, or throat swab of the newborn. In addition to the research results obtained, Covid-19 was found in the throat swab of babies of three positive pregnant women who had vaginal delivery at the end of March in the United States. Therefore, cesarean is seen as a better way for the birth of Covid-19 positive pregnant woman. In addition, if there are complaints such as shortness of breath and cough in the mother during vaginal delivery, it is also a known fact that these findings get worse during the tram. ”