The natural physiological process of pregnancy puts pressure on the cardiovascular system and respiratory tract. Additionally, as it is known, pregnant women are in an immunosuppressive state and their oxygen consumption is high.
Coronavirus infection is much more severe in pregnant women compared to women of the same age group. The rate of admission to intensive care is high, and unfortunately, it is very sad for pregnant women who are followed up in intensive care, but the truth is; Our loss of mothers remains very high. The risk of preterm labor, premature rupture of membranes and fetal loss increases in an infected pregnancy.
Let's continue the most curious points in the form of questions and answers.
Should all pregnant women be screened?
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What should pregnant women do, especially during the pandemic period?
How should pregnancy follow-up be during the pandemic? How often should it be done?
Is Covid 19 infection an indication for cesarean section?
How should breastfeeding and mother-baby contact be?
The babies of pregnant women infected with the virus during early pregnancy will have more complications later in life. Will there be any anomalies?
What are the concerns and questions about the vaccine during pregnancy?
Approximately 1.5 million women become pregnant annually in Turkey. After evaluating the pros and cons by comparing obstetric complications and obstetric risks with follow-up risks, a follow-up protocol should be created to determine how often and in what way pregnant women will be followed. In the routine antenatal follow-up of Covid-negative pregnant women who do not have any risk conditions, only mandatory follow-ups and vaccination appointments should be made and companions should be limited. But mandatory monitoring should also be limited. If pregnancy termination is considered, it should be postponed for 7 days in mild cases (old cs etc.) and 14 days if there is a Covid 19 positive case in the family. In case of an obstetric emergency and in the presence of symptoms, immediate medical attention should be sought. Risky pregnancies should apply in accordance with the follow-up protocol.
Although there is no proven publication yet regarding the vertical transmission of the virus from the mother's womb to the baby, the virus has not been found in amniotic fluid, placenta, umbilical cord, vaginal discharge and breast milk.
Findings regarding whether anomalies will occur in the future in the babies of mothers who had Covid 19 infection during pregnancy continue for a long time. The relationship will be understood by following. We do not have data on this at the moment.
We do not strictly prohibit breastfeeding, but breastfeeding is recommended by taking the necessary precautions to prevent transmission through droplets between mother and baby. However, if the mother's health is not suitable for breastfeeding, it is more appropriate to express breast milk and give it to the baby.
Pregnant women with Covid 19 infection do not have to give birth by cesarean section. Cesarean birth is determined only by obstetric conditions. Induction should be considered to accelerate vaginal birth.
Screening for all pregnant women is not recommended. Only the risky group should be screened. In the studies conducted, no Covid infection was detected in the babies of mothers who had Covid 19.
Follow-up and treatment in Covid 19 positive pregnant women are decided according to the course of the disease. Pregnancy is a long and stressful period. Our priority is maternal health.
As physicians, our duty is to slow down the course of this disease both in the preventive and treatment fields.
Vaccination is twice as important in pregnant women. The vaccine does not cause any harm to expectant mothers and babies.
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