Pregnancy and COVID-19

Obstetrics and Gynecology Specialist Op. Dr. Demet Dikmen stated that according to the limited scientific data available, pregnancy and childbirth do not increase the risk of contracting Kovid-19. said.

Evaluating the effects of Kovid-19 on pregnancy to AA, Dikmen explained that high fever in the first 3 months of pregnancy can cause congenital anomalies in the baby.

Informing that preterm birth is a little more common in pregnant women who are infected with Kovid-19 and have pneumonia, Dikmen continued as follows:

“In some of these pregnant women, the contractions start early, while in some the water comes early. In some of them, it was thought that the urgent delivery of the pregnants would improve their situation. Most of the deliveries are performed by cesarean section. The premature delivery of pregnant women with Kovid-19 infection may cause problems related to prematurity in babies. Here, the infection in the mother indirectly affects the baby. The baby is directly affected by the transmission of the virus to the baby through the placenta, which has not been fully proven yet. There are some positive newborn babies, however, there are some doubts about which tests are done and when, Therefore, at the moment, the most accepted view by the scientific community is that the virus does not pass to the baby in the mother’s womb.

“It is very difficult to give a general answer to the question of normal birth or cesarean section”

It is very difficult to give a general answer to the question of whether normal delivery or cesarean section should be preferred in the presence of Kovid-19 in the pregnant, it is necessary to evaluate each pregnant woman on her own. Here, the severity of the condition of the pregnant woman and the gestational week are important.

Dikmen, who said that pregnant women with Kovid-19, whose condition is not serious, do not need to be delivered urgently, continued as follows:

“With close monitoring of the baby in the mother’s womb, continuing the treatment of the pregnant woman and delivering when the pregnant woman recovers and her tests become negative is also appropriate in terms of reducing the risk of transmission to the baby. It is not possible to give general guidance for pregnant women with severe respiratory distress, it is necessary to evaluate each pregnant woman in her own situation. Unfortunately, it is not clear whether delivery of the baby by cesarean section worsens the condition of the mother and if the pregnant woman’s symptoms are severe, the possibility of the virus being transmitted to the baby in the delivery room or operating room is unfortunately not clear.In addition, when there is any infection in the pregnant, some of the antibodies developed by the pregnant against it may pass through the placenta to the baby and at least in the newborn. “It protects the baby from this disease during the period. Urgent delivery of the pregnant woman who is in the early stages of Kovid-19 may also cause the baby to be deprived of protective antibodies.”

“Stress distracts our pregnancies from normal delivery”

Emphasizing that the births of pregnant women who do not carry coronavirus should be planned as cesarean section only if there is an indication, Dikmen said, “Our pregnant women who are approaching due date are under a lot of stress, which can cause a loss of motivation, which is also necessary for birth. Worry, fear, stress situations can prevent the birth or its progress if it has started. This may be a factor that complicates normal vaginal delivery. Apart from these, they may think that they will be infected with viruses from hospitals if the delivery is prolonged. They may think that they cannot reach the team that follows them throughout pregnancy, for example, in a birth that starts at night, due to the decrease in staff or because the hospitals where they are followed up are pandemic hospitals. The reasons may be pulling our pregnant women away from normal birth a little bit. used his statements.

Stating that pregnant women can get help from their families, doctors and psychologists to relieve their fears and worries, Dikmen said, “They may have to give birth in a different place than the hospital where they are followed, but in these extraordinary conditions, rapid adaptation is required. In addition, the things we do not know frighten us more, so especially pregnancy and childbirth. It is important to learn about and follow new developments regarding Kovid-19. he said.

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