Coronavirus and Pregnancy
This virus, known as the new type of coronavirus Covid-19 or SARS-COV-2 and which has caused serious fear all over the world for about 3 months, is actually a family of viruses that have caused serious respiratory diseases such as SARS and MERS and have made serious epidemics in the world in previous years member of.
Coronavirus, in pregnancy known as the new type of coronavirus Covid-19 or SARS-COV-2 and which has been causing serious fear all over the world for about 3 months, is actually a family of viruses that have caused serious respiratory diseases such as SARS and MERS and have made serious epidemics in the world in previous years. member of.
So what awaits pregnant women? What should we do to be protected? What are the symptoms of the disease? What harm does a coronavirus infection during pregnancy caused to mother and baby? Is there an infection in the unborn baby? What should be the way we were born? What is necessary to protect our baby after birth? If I am sick, can I breastfeed my baby? Will they take it from me? Every worried pregnant woman wants to know the answers to these questions. I would like to answer all these questions for the readers of Medicine in the light of current developments and recent scientific studies. Namely; The British Royal Obstetrics Association has published special information on coronavirus and pregnancy, evaluating the studies on cases seen especially in China and the USA in the last month. Questions found their answers with this guide.
How does the virus spread?
Although the virus initially started as transmitted from animals to humans in a seafood market in Wuhan, China, the currently acceptable route of transmission is from person to person. It is a respiratory virus that spreads very quickly.
What are the signs of coronavirus infection in pregnant women?
Findings of coronavirus infection in pregnant women are not different from those in other individuals. It usually presents with mild or moderate flu or flu-like symptoms. Cough, fever, shortness of breath, and other respiratory problems may accompany. Pneumonia and severe respiratory failure are findings that we usually see in older and frail, immunocompromised individuals.
The effect on the unborn baby?
A case in which the coronavirus is passed from mother to baby during pregnancy has not yet been shown. Especially in studies conducted in China, the country where the disease is most common, no virus was observed in the amniotic fluid of the baby, cord blood, swab samples were taken from the throat of the newborn baby immediately after birth, and breast milk. For this reason, in light of current information, it is accepted that the coronavirus infection does not pass to the baby in the womb. Although serious miscarriage and preterm birth risk has been observed in SARS and MERS diseases caused by other members of the same virus family, there is no increase in the risk of miscarriage or premature birth in a new type of coronavirus infection.
What do we recommend to pregnant women?
1-It is recommended that pregnant women who plan to travel to risky regions postpone their travels.
2- All pregnant women who have traveled to risky areas and had coronavirus infection or had contact with a suspicious person are recommended to apply to health institutions.
3-It is especially recommended to pay attention to personal hygiene rules, frequent hand washing, and avoid collective areas with risk of infection as much as possible.
What to do if infection occurs during pregnancy?
Despite all precautions, people who have had coronavirus infection during pregnancy should be quarantined by health institutions immediately and necessary treatment should be started. The treatment and follow-up process is not different from other individuals. Especially during this period, x-rays and tomographs may affect the baby, causing mothers to worry, but these examinations should be allowed after taking the necessary protection measures for the unborn baby. Because maternal health is always the top priority.
The virus has an incubation period of approximately 14 days after ingestion. For this reason, even if there are no symptoms of the disease in pregnant women who are infected close to birth, disease findings can be seen after birth. In such a case, a doctor should be consulted.
Does coronavirus infection affect the mode of delivery?
According to the results obtained from the cases and studies all over the world, coronavirus infection does not affect your mode of delivery. You do not need to be cesarean due to infection. As long as the mother and baby’s health is good, normal vaginal delivery should be expected. However, a cesarean may be considered if there are serious problems related to infection in the general condition of the mother.
Can a mother infected with coronavirus breastfeed her baby?
It has been clearly shown that the coronavirus is not passed from mother to baby in the womb. However, the transmission may occur due to contact with the mother immediately after birth. In some countries, babies of mothers with coronavirus were observed in another environment taken immediately after birth, and breast milk was not given. However, the approach that is currently accepted all over the world is that the mother and the baby stay together. Ensuring mother-baby attachment is vitally important for both mother and baby to take breast milk easily for the health of the baby. For this reason, the mother and baby can be followed in the same room by taking some precautions.
These measures are:
Hands must be washed before breastfeeding the baby or touching materials such as pacifiers.
A protective face mask must be worn when taken to the breast for breastfeeding.
If breast milk is given by expressing it, milking sets and pumps must be sterilized under appropriate conditions.
If milk is given by expressing it, someone else experienced in this field should give the milk or formula to the baby.