Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Koronavirüs Hastalığı-2019'un Gebelik ve Yenidoğanlar Üzerine Etkileri ve Hemşirelik Yaklaşımı
Effects of the Coronavirus Disease-2019 on Pregnancy and Newborns and Nursing Approach
Nurcan KIRCAa, Meryem ÖNGENa
aAkdeniz Üniversitesi Hemşirelik Fakültesi, Doğum ve Kadın Hastalıkları Hemşireliği ABD, Antalya, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(3):397-404
doi: 10.5336/nurses.2020-76364
Article Language: TR
Full Text
ÖZET
 COVID-19, ilk kez Aralık 2019 tarihinde Çin'in Wuhan kentinde tanımlanan bir solunum yolu enfeksiyonudur. Dünya Sağlık Örgütü tarafından 11 Mart 2020 tarihinde pandemi olarak ilan edilmiştir. COVID-19 olan çoğu vakada, hastalık hafif veya komplikasyonsuz seyrederken, vakaların yaklaşık %14'ünde hastaneye yatış ve oksijen desteği, %5'inde ise yoğun bakım ünitesinde bakım gerektiren ağır hastalık tablosu meydana gelmektedir. Ağır vakalarda ARDS, sepsis, septik şok, renal ve kardiyak hasarı da içeren çoklu organ yetmezliği durumu meydana gelebilmektedir. Gebelikte, kardiyovasküler sistem ve solunum sisteminde meydana gelen fizyolojik değişimler ve immünolojik adaptasyonlar nedeni ile viral enfeksiyonlar sırasında gebe kadınlarda komplikasyon gelişme riski artar. Geçmişte SARS-CoV veya MERS-CoV ile enfekte olan gebe kadınlarda gelişen komplikasyonlar da bu olasılığı desteklemektedir. SARS-CoV-2'de vertikal transmisyon henüz bildirilmemiştir. Ancak geçmişteki salgınların gebelik sırasında, anne ve bebek üzerindeki fiziksel etkileri göz önüne alındığında, COVID-19'da gebelik sonuçlarında benzer etkilere sebep olabilir. Bu nedenle gebe kadının ve fetüsün/yenidoğanın doğum öncesi, doğum ve doğum sonrası bakımı önem taşımaktadır.

Anahtar Kelimeler: COVID-19; gebelik; hemşirelik; pandemi; yenidoğan
ABSTRACT
 COVID-19 is a respiratory infection that was first identified in Wuhan, China in December 2019. It was declared as a pandemic by the World Health Organization on 11 March 2020. In most cases with COVID-19, while the disease is mild or uncomplicated, approximately 14% of cases have hospitalization and oxygen support, and 5% have a severe disease requiring care in the intensive care unit. In severe cases, ARDS, sepsis, septic shock, and multiple organ failure involving renal and cardiac damage can occur. In addition, signs and symptoms associated with due to physiological changes and immunological adaptations in the cardiovascular system and respiratory system during pregnancy, the risk of developing complications increases in pregnant women during viral infections. Complications in pregnant women infected with SARS-CoV or MERS-CoV in the past also support this possibility. Vertical transmission has not been reported in SARS-CoV-2 yet. Given the physical effects of past outbreaks on mother and baby during pregnancy, COVID-19 may have similar effects on pregnancy outcomes. For this reason, prenatal, birth and postpartum care of pregnant woman and fetus/newborn is important.

Keywords: COVID-19; pregnancy; nursing; pandemic; newborn
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30.03.2014

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