Gynecology and Obstetrics Specialist Op. Dr. Demet Dikmen stated that, according to the limited scientific data available, pregnancy and birth do not increase the risk of contracting Covid-19 and said, "It does not aggravate the course of the disease compared to adults of the same age who are not pregnant. In addition, many pregnant women recover without having to be delivered." said.
Evaluating the effects of Covid-19 on pregnancy to AA, Dikmen explained that the increase in fever of the pregnant woman in the first 3 months of pregnancy can lead to congenital anomalies in the baby.
Pregnant women infected with Covid-19 and suffering from pneumonia Giving information that premature birth is more common, Dikmen continued as follows: Part of it is done by cesarean section. Giving birth to pregnant women with Covid-19 infection too early may cause problems related to prematurity in babies. Here, the infection in the mother indirectly affects the baby. The direct effect of the baby occurs when the virus passes to the baby through the placenta, which has not been fully proven yet. "There are newborn babies who have been found to be positive. However, there are some doubts about which tests were performed at which time, so for now the most accepted view in the scientific community is that the virus does not pass to the baby in the womb."
"Normal birth It is very difficult to give a general answer to the question of whether normal birth or cesarean section should be preferred in the presence of Covid-19 in the pregnant woman. It is very difficult to give a general answer to the question of whether normal birth or cesarean section should be preferred, it is necessary to evaluate each pregnant woman on her own. Here, the seriousness of the situation the pregnant woman is in and the week of pregnancy are important.
Dikmen said that pregnant women with Covid-19 whose condition is not serious do not need to be delivered urgently and continued as follows:
"With close monitoring of the baby in the womb. It is also appropriate to continue the treatment of the pregnant woman and, if possible, deliver her when she recovers and her tests become negative, in order to reduce the risk of transmission to the baby. It is not possible to give general guidance for pregnant women with severe respiratory distress, we should evaluate each pregnant woman in her own situation. It needs to be downloaded. Unfortunately, it is not clear whether delivering the baby by emergency cesarean section worsens the mother's condition and whether the virus is more likely to be transmitted to the baby in the delivery room or operating room when the pregnant woman's symptoms are severe. In addition, normally, when a pregnant woman has an infection, some of the antibodies developed by the pregnant woman pass through the placenta to the baby and protect the baby from this disease, at least in the newborn period. Urgent delivery of a pregnant woman in the early stages of Covid-19 may also cause the baby to be deprived of protective antibodies." Emphasizing that it should be planned as a cesarean section only if there is an indication, he said, "Our pregnant women who are nearing their due date are under a lot of stress, which can cause a loss of motivation, and motivation for birth is also necessary. Anxiety, fear and stress can prevent labor from starting or progressing if it has started. This may be a factor that makes normal vaginal birth difficult. Apart from these, they may think that if the birth is prolonged, they will be infected with the virus from hospitals. They may think that they will not be able to reach the team that follows them throughout the pregnancy, for example, in a birth that starts at night, due to staff shortages or because the hospitals where they are followed are pandemic hospitals. These reasons may be pushing our pregnant women away from normal birth." he said. Rapid adaptation to sudden events is required. "In addition, the things we do not know scare us more, so it is especially important to learn about pregnancy and birth and to follow new developments regarding Covid-19," he said.
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