{"id":12104,"date":"2021-09-30T14:17:07","date_gmt":"2021-09-30T11:17:07","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=12104"},"modified":"2021-10-07T15:58:42","modified_gmt":"2021-10-07T12:58:42","slug":"roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/","title":{"rendered":"R\u00f6portaj: Hamilelik ve emzirme d\u00f6neminde Covid 19"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a57ce7506e6e\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a57ce7506e6e\"  aria-label=\"A\u00e7\/Kapat\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/#Covid_19_asisini_hamilelik_planlayan_anne_adaylari_yaptirabilir_mi\" >Covid 19 a\u015f\u0131s\u0131n\u0131 hamilelik planlayan anne adaylar\u0131\u00a0 yapt\u0131rabilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/#Covid-19_salgininda_yuksek_risk_grubu_icinde_hamileler_de_var_mi\" >Covid-19 salg\u0131n\u0131nda, y\u00fcksek risk grubu i\u00e7inde hamileler de var m\u0131?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/#Hamilelikte_Covid-19_asisi_ne_zaman_yapilir\" >Hamilelikte Covid-19 a\u015f\u0131s\u0131 ne zaman yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/#Emzirme_doneminde_Covid-19_asisi_yaptirilabilir_mi_Asinin_bebege_zarari_olur_mu\" >Emzirme d\u00f6neminde Covid-19 a\u015f\u0131s\u0131 yapt\u0131r\u0131labilir mi? A\u015f\u0131n\u0131n bebe\u011fe zarar\u0131 olur mu?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/#Covid-19_geciren_anne_bebegini_emzirebilir_mi\" >Covid-19 ge\u00e7iren anne bebe\u011fini emzirebilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/annebebekkulubu.com\/blog\/roportaj-hamilelik-ve-emzirme-doneminde-covid-19-2\/#Koronavirus_salgini_gunlerinde_hangi_dogum_cesidi_tercih_edilebilir\" >Koronavir\u00fcs salg\u0131n\u0131 g\u00fcnlerinde hangi do\u011fum \u00e7e\u015fidi tercih edilebilir?<\/a><\/li><\/ul><\/nav><\/div>\n<p>Covid 19 salg\u0131n\u0131 ile beraber g\u00fcndelik ya\u015fant\u0131m\u0131zda bir\u00e7ok de\u011fi\u015fiklik meydana geldi. K\u0131s\u0131tlamalar ve salg\u0131n ne zaman bitecek endi\u015fesi ya\u015farken a\u015f\u0131n\u0131n bulunmas\u0131yla rahat bir nefes al\u0131nd\u0131. Fakat her durumda oldu\u011fu gibi bu yeni vir\u00fcs ve a\u015f\u0131 hakk\u0131nda ak\u0131llarda pek \u00e7ok soru kald\u0131. Hamilelik ve emzirme d\u00f6neminde olanlar a\u015f\u0131 ile ilgili kayg\u0131lar ya\u015famaya ba\u015flad\u0131. Normal \u015fartlar alt\u0131nda her ila\u00e7 ve kullan\u0131m\u0131 m\u00fcmk\u00fcn olmayan bir d\u00f6nem iken a\u015f\u0131lama ile ilgili \u015f\u00fcpheye d\u00fc\u015fenler i\u00e7in<b> MD, PhD, Neonatoloji, \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 ve Yenido\u011fan Uzman\u0131 Merih \u00c7etinkaya<\/b> ile dolu dolu bir r\u00f6portaj ger\u00e7ekle\u015ftirdik.<\/p>\n<figure id=\"attachment_12063\" aria-describedby=\"caption-attachment-12063\" style=\"width: 470px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12063\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/merih_cetinkaya-e1632893454874.jpg?resize=470%2C287&#038;ssl=1\" alt=\"Prof. Dr. Merih \u00c7etinkaya\" width=\"470\" height=\"287\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12063\" class=\"wp-caption-text\">Prof. Dr. Merih \u00c7etinkaya<\/figcaption><\/figure>\n<p>Koronavir\u00fcs salg\u0131n\u0131 yeni varyantlar\u0131yla birlikte t\u00fcm d\u00fcnyay\u0131 etkisi alt\u0131na alm\u0131\u015f durumda. Hastal\u0131\u011f\u0131n \u015fu ana kadar kesin bir tedavisi tedavisi bulunmuyor. Ancak Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri, hamile kad\u0131nlar\u0131n COVID-19 hastal\u0131\u011f\u0131 i\u00e7in y\u00fcksek risk grubunda de\u011ferlendiriliyor ve a\u015f\u0131 olmalar\u0131n\u0131 \u00f6neriyor.<\/p>\n<p><strong>Ba\u015fak\u015fehir \u00c7am ve Sakura Hastanesi\u2019nden Yenido\u011fan Uzman\u0131 Prof. Dr. Merih \u00c7etinkaya ve ekip arkada\u015flar\u0131 40 gebe ve yenido\u011fan bebeklerinin klinik ve laboratuvar verilerini geriye d\u00f6n\u00fck olarak de\u011ferlendirdiler.<\/strong> Bilimsel makale olarak yay\u0131nlanan \u00e7al\u0131\u015fmada hamile anneler ile bebeklerinin Covid-19\u2019dan nas\u0131l etkilendi\u011fi verilerle ortaya koyuldu. Ara\u015ft\u0131rmadan ortaya \u00e7\u0131kan sonu\u00e7lar\u0131 ve hamilelikte koronavir\u00fcs hakk\u0131nda merak edilenleri <strong>Prof. Dr. Merih \u00c7etinkaya<\/strong>\u2019ya sorduk!<\/p>\n<p><strong>\u00d6ncelikle hamile anneler ile yapm\u0131\u015f oldu\u011funuz \u00e7al\u0131\u015fma hakk\u0131nda bilgi verebilir misiniz?<\/strong><\/p>\n<p>Tabii ki, Covid-19 salg\u0131n\u0131n\u0131n ba\u015flang\u0131c\u0131ndan itibaren d\u00fcnya genelinde ve \u00fclkemizde Covid-19 enfeksiyonunun gebeler ve bunlardan do\u011fan yenido\u011fanlar\u0131 nas\u0131l etkiledi\u011fi ve sonu\u00e7lar\u0131n nas\u0131l oldu\u011fu y\u00f6n\u00fcnde \u00e7ok say\u0131da \u00e7al\u0131\u015fma yap\u0131ld\u0131.<\/p>\n<p>Biz de yenido\u011fan yo\u011fun bak\u0131m \u00fcnitemize yat\u0131r\u0131lan Covid-19 enfeksiyonu ge\u00e7iren gebeleri ve onlardan do\u011fan 40 bebe\u011fi de\u011ferlendirdi\u011fimiz bu \u00e7al\u0131\u015fmada annedeki covid-19 enfeksiyonunun ciddiyetinin yenido\u011fan bebekleri ne \u015fekilde etkiledi\u011fini ara\u015ft\u0131rd\u0131k.<\/p>\n<p>\u00c7al\u0131\u015fmam\u0131zda yo\u011fun bak\u0131m \u00fcnitesine yatacak kadar ciddi Covid-19 enfeksiyonu ge\u00e7iren gebelerin normal serviste yatarak veya ayaktan enfeksiyon ge\u00e7iren gebelere g\u00f6re daha erken haftalarda premat\u00fcre do\u011fum yapt\u0131klar\u0131n\u0131, bebe\u011fin do\u011fumdan hemen sonra canland\u0131rma ihtiyac\u0131 g\u00f6sterecek \u015fekilde do\u011far do\u011fmaz a\u011flamad\u0131\u011f\u0131, solunum veya kalp at\u0131mlar\u0131n\u0131n normal seyretmedi\u011fi, bu bebeklerin hem solunum cihaz\u0131nda hem de yenido\u011fan yo\u011fun bak\u0131m \u00fcnitesinde daha uzun s\u00fcre kald\u0131klar\u0131n\u0131 g\u00f6sterdik.<\/p>\n<p>Bir ba\u015fka deyi\u015fle anne hafif semptomatik \u015fekilde evde veya serviste yat\u0131\u015f ihtiyac\u0131 g\u00f6sterecek \u015fekilde Covid-19 enfeksiyonu ge\u00e7iriyorsa onlardan do\u011fan bebeklerin di\u011fer gruba g\u00f6re daha iyi seyrettiklerini g\u00f6sterdik. Bu da gebelikteki \u015fiddetli Covid-19 enfeksiyonunun do\u011fum sonras\u0131 hem anne hem de bebe\u011fi \u00fczerinde ciddi ve \u00f6nemli olumsuz etki olu\u015fturabilece\u011fini g\u00f6stermektedir.<\/p>\n<p>Bu nedenle gebelerin ciddi enfeksiyona kar\u015f\u0131 kendilerini ve bebeklerini korumalar\u0131 gerekti\u011fini g\u00f6stermekte olup, g\u00fcn\u00fcm\u00fczde maske, mesafe ve hijyene ek olarak en \u00f6nemli koruma stratejisi olan a\u015f\u0131laman\u0131n da gebeler ve bebekleri i\u00e7in \u00f6nemini ortaya koymaktad\u0131r.<\/p>\n<figure id=\"attachment_12081\" aria-describedby=\"caption-attachment-12081\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12081\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-27.png?resize=696%2C494&#038;ssl=1\" alt=\"Hamilelik planlama ve Covid 19 a\u015f\u0131lamas\u0131\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-27.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-27.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-27.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-27.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12081\" class=\"wp-caption-text\">Hamilelik planlama ve Covid 19 a\u015f\u0131lamas\u0131<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Covid_19_asisini_hamilelik_planlayan_anne_adaylari_yaptirabilir_mi\"><\/span><strong>Covid 19 a\u015f\u0131s\u0131n\u0131 hamilelik planlayan anne adaylar\u0131\u00a0 yapt\u0131rabilir mi?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gebelerin \u00f6ncelikle hem Covid-19 hem de pek \u00e7ok di\u011fer viral hastal\u0131k i\u00e7in risk alt\u0131nda oldu\u011funu biliyoruz. \u00d6zellikle son zamanlarda ortaya \u00e7\u0131kan daha bula\u015f\u0131c\u0131 ve hastal\u0131k yap\u0131c\u0131 varyantlar\u0131n da gebelerde daha \u015fiddetli seyretti\u011fini g\u00f6rmekteyiz.<\/p>\n<p>Riskli grup olduklar\u0131 i\u00e7in ilk a\u015f\u0131lama \u00e7al\u0131\u015fmalar\u0131na gebeler dahil edilmemi\u015f olsalar da yukar\u0131da bahsetti\u011fimiz nedenlerden dolay\u0131 2021\u2019in ba\u015f\u0131ndan itibaren d\u00fcnya genelinde mevcut a\u015f\u0131lardan bir k\u0131sm\u0131 gebelerde uygulanmaya ba\u015flanm\u0131\u015ft\u0131r.<\/p>\n<p>Bu \u00e7al\u0131\u015fmalarda uygulanan a\u015f\u0131lar\u0131n gebelerde \u00e7ok belirgin bir yan etki olu\u015fturmad\u0131\u011f\u0131n\u0131n g\u00f6r\u00fclmesi \u00fczerine ba\u015fta Amerika Hastal\u0131k ve Kontrol Merkezi, Amerikan Obstetri Jinekoloji Koleji, Maternal Fetal T\u0131p Derne\u011fi gibi \u00f6nemli kurum ve dernekler gebelerde \u00fclkemizde de bulunan <strong>Pfizer Biontech<\/strong> a\u015f\u0131s\u0131n\u0131n yap\u0131lmas\u0131n\u0131 \u00f6nermektedir.<\/p>\n<p>Yap\u0131lacak bu a\u015f\u0131lama ile hem anne hem de bebekte ciddi Covid-19 enfeksiyonu ve ili\u015fkili komplikasyonlar\u0131n azalt\u0131labilece\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir. Anneye uygulanacak a\u015f\u0131 sonras\u0131 Covid-19 enfeksiyonuna kar\u015f\u0131 geli\u015fen antikorlar\u0131n plasenta ya da emzirme ve anne s\u00fct\u00fc arac\u0131l\u0131\u011f\u0131 ile bebe\u011fe ge\u00e7erek bebe\u011fi korudu\u011fu y\u00f6n\u00fcnde \u00e7al\u0131\u015fmalar mevcuttur.<\/p>\n<p>\u00d6zetle, gebeler hekimlerinin de \u00f6nerisi ile d\u00fcnya genelinde gebelerde kullan\u0131lan a\u015f\u0131lar ile a\u015f\u0131lanmal\u0131d\u0131rlar. Bu a\u015f\u0131lama hem anneyi hem de bebe\u011fini i\u00e7erecek \u015fekilde iki can\u0131 koruyacakt\u0131r. Mevcut veriler, gebelikteki a\u015f\u0131lamaya ba\u011fl\u0131 olabilecek olumsuz etkilerden \u00e7ok daha fazla yarar sa\u011flayabilece\u011fini g\u00f6stermektedir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Covid-19_salgininda_yuksek_risk_grubu_icinde_hamileler_de_var_mi\"><\/span><strong>Covid-19 salg\u0131n\u0131nda, y\u00fcksek risk grubu i\u00e7inde <\/strong><strong>hamileler de var <\/strong><strong>m\u0131?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Gebeler<\/strong>; imm\u00fcn sistemlerinin bask\u0131lanm\u0131\u015f olmalar\u0131 ve daha \u00f6nceki y\u0131llarda da belli vir\u00fcslerin neden oldu\u011fu enfeksiyonlara a\u00e7\u0131k olmalar\u0131na ek olarak yap\u0131lan \u00e7al\u0131\u015fmalar gebelerin veya yeni hamile kalan bayanlar\u0131n \u00f6zellikle hastaneye yat\u0131\u015f gerektiren ciddi Covid-19 enfeksiyonu a\u00e7\u0131s\u0131ndan risk alt\u0131nda olduklar\u0131n\u0131 g\u00f6stermektedir.<\/p>\n<p>Bu nedenle gebeler \u015fiddetli Covid-19 enfeksiyonu i\u00e7in daha riskli ve duyarl\u0131 bir gruptur. Gebelerde de ate\u015f, \u00f6ks\u00fcr\u00fck, bo\u011faz a\u011fr\u0131s\u0131, halsizlik, kas a\u011fr\u0131s\u0131, koku duyusu kayb\u0131, ba\u015f a\u011fr\u0131s\u0131, burun ak\u0131nt\u0131s\u0131, solunum s\u0131k\u0131nt\u0131s\u0131 ve ishal gibi semptomlar ile seyredebilece\u011fi bilinmelidir. Bu gibi semptomlar\u0131 olan gebelerin mutlaka Covid-19 enfeksiyonu a\u00e7\u0131s\u0131ndan de\u011ferlendirilmeleri gerekmektedir.<\/p>\n<p>\u00c7al\u0131\u015fmalarda \u00f6zellikle <strong>ileri ya\u015f, obezite, diyabet<\/strong> veya <strong>hipertansiyonu<\/strong> bulunan gebelerde Covid-19 enfeksiyonunun daha ciddi seyretti\u011fi g\u00f6sterilmi\u015f durumda. Enfeksiyonu ciddi ge\u00e7iren gebelerde ise <strong>preeklampsi<\/strong>, <strong>premat\u00fcre<\/strong> <strong>do\u011fum<\/strong> ve <strong>\u00f6l\u00fc do\u011fum<\/strong> riskinin belirgin artt\u0131\u011f\u0131 saptanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Hamile annelerin a\u015f\u0131lanmas\u0131 neden \u00f6nemli? Hamilelik d\u00f6neminde a\u015f\u0131lanan annelerin a\u015f\u0131lanmayan anne adaylar\u0131na g\u00f6re avantajlar\u0131 nelerdir?<\/strong><\/p>\n<p>Ba\u015fta Amerika Birle\u015fik Devletleri Hastal\u0131k Kontrol Merkezi (CDC) olmak \u00fczere pek \u00e7ok kad\u0131n do\u011fum derne\u011fi taraf\u0131ndan daha bula\u015f\u0131c\u0131 ve ciddi hastal\u0131k yap\u0131c\u0131 delta vb. varyantlar\u0131n art\u0131\u015f\u0131 ile birlikte gebeler, emziren anneler ve 12 ya\u015f \u00fcst\u00fc \u00e7ocuklar\u0131n Covid-19 enfeksiyonuna kar\u015f\u0131 a\u015f\u0131lanmalar\u0131 y\u00f6n\u00fcndeki \u00f6nerilerini g\u00fc\u00e7lendirmi\u015ftir.<\/p>\n<p>Bunun en \u00f6nemli sebebi \u00f6zellikle 20. gebelik haftas\u0131ndan \u00f6nce uygulanan a\u015f\u0131n\u0131n gebelikte d\u00fc\u015f\u00fck riskini artt\u0131rmamas\u0131, ayn\u0131 zamanda gebeli\u011fin daha ileri d\u00f6nemlerde uygulanan a\u015f\u0131lar\u0131n da gebe ve bebekte belirgin bir yan etki olu\u015fturmamas\u0131, \u00f6zetle gebelikte uygulanan a\u015f\u0131lar\u0131n mevcut veriler \u0131\u015f\u0131\u011f\u0131nda g\u00fcvenilir ve gebelerde Covid-19 enfeksiyonunu \u00f6nlemede etkili olmas\u0131 olup, t\u00fcm bu yararlar\u0131 nedeni ile gebelikte a\u015f\u0131lama \u00f6nerilmektedir.<\/p>\n<p>Gebelikte a\u015f\u0131lanan gebelerde Covid-19 enfeksiyonuna ve hastal\u0131\u011f\u0131na kar\u015f\u0131 koruma sa\u011flad\u0131\u011f\u0131, plasenta arac\u0131l\u0131\u011f\u0131yla ge\u00e7en antikorlar arac\u0131l\u0131\u011f\u0131 ile bebe\u011fe kar\u015f\u0131 koruma sa\u011flad\u0131\u011f\u0131 ve anne s\u00fct\u00fc arac\u0131l\u0131\u011f\u0131yla da antikorlar\u0131n bebe\u011fe ge\u00e7i\u015f sa\u011flayarak koruyucu oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Burada en \u00f6nemli nokta gebelere etkinli\u011fi ve g\u00fcvenilirli\u011fi kan\u0131tlanm\u0131\u015f a\u015f\u0131lar\u0131n yap\u0131lmas\u0131d\u0131r.<\/p>\n<p><strong>Hamileyken koronavir\u00fcse yakalanan anne adaylar\u0131 karantina g\u00fcnlerini nas\u0131l ge\u00e7irmeli?<\/strong><\/p>\n<p>Normal karantina alt\u0131ndaki Covid-19 enfeksiyonu ge\u00e7iren bireyler gibi hamilelikte Covid-19 enfeksiyonu ge\u00e7iren gebeler de evde izole olmal\u0131, maske-mesafe ve hijyen kurallar\u0131na uymal\u0131, semptomlar\u0131n\u0131 yak\u0131n takip etmeli ve hekim taraf\u0131ndan \u00f6nerilen ila\u00e7lar\u0131 kullanmal\u0131d\u0131r.<\/p>\n<p>Kendilerinin bula\u015ft\u0131r\u0131c\u0131 olma potansiyeli ve hastal\u0131\u011f\u0131 daha \u015fiddetli ge\u00e7irebilme potansiyelleri nedeni ile dikkatli ve yak\u0131n izlem yap\u0131lmal\u0131d\u0131r. Hastal\u0131k bulgular\u0131 \u015fiddetlendi\u011fi takdirde h\u0131zl\u0131 bir \u015fekilde sa\u011fl\u0131k kurumlar\u0131na ba\u015fvurmalar\u0131 son derece \u00f6nemlidir. Hastal\u0131k ge\u00e7irsin ya da ge\u00e7irmesin t\u00fcm gebelerin rutin kontrollerine gitmeleri gerekmektedir.<\/p>\n<figure id=\"attachment_12082\" aria-describedby=\"caption-attachment-12082\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12082\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-28.png?resize=696%2C494&#038;ssl=1\" alt=\"Hamilelikte Covid 19 a\u015f\u0131lamas\u0131 ne zaman yap\u0131lmal\u0131\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-28.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-28.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-28.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-28.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12082\" class=\"wp-caption-text\">Hamilelikte Covid 19 a\u015f\u0131lamas\u0131 ne zaman yap\u0131lmal\u0131<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Hamilelikte_Covid-19_asisi_ne_zaman_yapilir\"><\/span><strong>Hamilelikte Covid-19 a\u015f\u0131s\u0131 ne zaman yap\u0131l\u0131r?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mevcut veriler gebelere Covid-19 a\u015f\u0131s\u0131n\u0131n gebeli\u011fin herhangi bir zaman\u0131nda yap\u0131labilece\u011fi s\u00f6ylense de, baz\u0131 \u00fclkelerde <strong>\u00f6zellikle gebeli\u011fin ilk 12-14 haftas\u0131n\u0131n tamamlanmas\u0131ndan sonra Covid-19 a\u015f\u0131s\u0131n\u0131n yap\u0131lmas\u0131 \u00f6nerilmektedir.<\/strong> Daha \u00f6nce semptomatik veya semptomsuz Covid-19 enfeksiyonu ge\u00e7iren gebelerde ise enfeksiyondan ve antikor titresinden ba\u011f\u0131ms\u0131z olarak h\u0131zl\u0131 bir \u015fekilde a\u015f\u0131 yap\u0131lmas\u0131 \u00f6nerisi mevcuttur.<\/p>\n<p>Amerikan Kad\u0131n Do\u011fum Koleji taraf\u0131ndan gebelikte yap\u0131lan Tetanoz-Difteri-Bo\u011fmaca a\u015f\u0131s\u0131 ile Covid-19 a\u015f\u0131s\u0131 aras\u0131nda 14 g\u00fcn, Kanada Obsteri Jinekoloji Derne\u011fi taraf\u0131ndan ise 28 g\u00fcn olmas\u0131 \u00f6nerilmektedir. Yukar\u0131da bahsetti\u011fim \u015fekilde ciddi Covid-19 enfeksiyonu i\u00e7in risk alt\u0131ndaki gebelerin (ileri ya\u015f, hipertansiyon, diyabet, sigara kullan\u0131m\u0131 vb) <strong>gebeli\u011fin ilk 3 ay\u0131nda a\u015f\u0131lanabilece\u011fi bildirilmektedir.<\/strong><\/p>\n<p><strong>Hamilelikte Covid-19 a\u015f\u0131s\u0131 yapt\u0131rman\u0131n yan etkileri var m\u0131, varsa nelerdir? Hangi durumlarda doktora ba\u015fvurmak gerekir?<\/strong><\/p>\n<p>T\u00fcm a\u015f\u0131lar\u0131n pek \u00e7ok ila\u00e7 ve tedavi gibi gebelerde ve gebe olmayan ki\u015filerde olas\u0131 yan etkileri olabilmektedir. Ancak, a\u015f\u0131lara onay verilirken \u00f6zellikle faz \u00e7al\u0131\u015fmalar\u0131nda a\u015f\u0131n\u0131n etkinli\u011fi ve g\u00fcvenilirli\u011fi sonu\u00e7lar\u0131na bak\u0131lmakta olup, g\u00fcvenilirlik ise yan etkilere g\u00f6re de\u011ferlendirilmektedir.<\/p>\n<p>Covid-19 pandemisi d\u00f6neminde ba\u015fta gebeler olmak \u00fczere t\u00fcm \u00e7al\u0131\u015fmalarda a\u015f\u0131lar\u0131n olas\u0131 yan etkileri ve etkinli\u011fi de\u011ferlendirilerek a\u015f\u0131lar\u0131n potansiyel yararlar\u0131n\u0131n yan etki ve risklerinden daha fazla olmas\u0131 sonucuna g\u00f6re kullan\u0131mlar\u0131na onay verilmi\u015ftir.<\/p>\n<p>Gebe olmayan ki\u015filerde oldu\u011fu gibi gebelerde de a\u015f\u0131 sonras\u0131 k\u0131sa s\u00fcreli olacak \u015fekilde ate\u015f, a\u015f\u0131 b\u00f6lgesinde a\u011fr\u0131, kas a\u011fr\u0131s\u0131, yorgunluk, eklem a\u011fr\u0131s\u0131, lenf bezlerinde \u015fi\u015flik, ve alerjik reaksiyonlar gibi yan etkiler g\u00f6r\u00fclebilmektedir. Pek \u00e7ok \u00e7al\u0131\u015fmaya g\u00f6re gebelikte Covid-19 a\u015f\u0131s\u0131 ile ilgili daha ciddi bir yan etki bildirilmemi\u015ftir.<\/p>\n<p>Sadece belli a\u015f\u0131larda nadir de olsa gebelikte yap\u0131lacak a\u015f\u0131n\u0131n tromboz riski olabilece\u011fi bildirilmi\u015ftir. Gebeli\u011fin erken d\u00f6nemindeki a\u015f\u0131laman\u0131n gebelikte d\u00fc\u015f\u00fck veya bebekte anomali riskini artt\u0131rmad\u0131\u011f\u0131 bildirilmi\u015ftir. G\u00fcn\u00fcm\u00fczde <strong>Biontech<\/strong> ve <strong>Moderna<\/strong> a\u015f\u0131lar\u0131n\u0131n gebelikte uygulanabilece\u011fi ifade edilmektedir.<\/p>\n<p>Burada \u00f6zellikle gebenin a\u015f\u0131lama hakk\u0131nda do\u011fru bilgilendirilmesi en uygun yakla\u015f\u0131m olacakt\u0131r. Ayn\u0131 zamanda a\u015f\u0131n\u0131n g\u00fcvenli oldu\u011fu bilinse de, a\u015f\u0131n\u0131n koruyuculuk d\u00fczeyi, a\u015f\u0131lar aras\u0131 s\u00fcre ve imm\u00fcn yan\u0131t\u0131n de\u011ferlendirilmesi y\u00f6n\u00fcnde \u00e7al\u0131\u015fmalara ihtiya\u00e7 duyulmaktad\u0131r.<\/p>\n<figure id=\"attachment_12083\" aria-describedby=\"caption-attachment-12083\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12083\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-29.png?resize=696%2C494&#038;ssl=1\" alt=\"Covid 19 sebebiyle erken do\u011fum oldu mu?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-29.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-29.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-29.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-29.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12083\" class=\"wp-caption-text\">Covid 19 sebebiyle erken do\u011fum oldu mu?<\/figcaption><\/figure>\n<p><strong>Covid-19 a\u015f\u0131lar\u0131 erken do\u011fuma veya yenido\u011fan bebek \u00f6l\u00fcm\u00fcne neden olur mu? Pandemi d\u00f6neminde premat\u00fcre bebek say\u0131s\u0131nda bir art\u0131\u015f oldu mu?<\/strong><\/p>\n<p>Yukar\u0131da da bahsedildi\u011fi \u00fczere gebelikte a\u015f\u0131lama Covid-19 enfeksiyonunu \u00f6nledi\u011fi i\u00e7in \u00f6nerilirken d\u00fc\u015f\u00fck, erken do\u011fum, \u00f6l\u00fc do\u011fum, konjenital anomali veya yenido\u011fan bebek \u00f6l\u00fcm\u00fcne neden oldu\u011fu y\u00f6n\u00fcnde veri bulunmamaktad\u0131r.<\/p>\n<p>Tam tersine gebelikte ciddi Covid-19 enfeksiyonu ge\u00e7iren gebelerde %14 ile %64 oran\u0131nda premat\u00fcre do\u011fum riski oldu\u011fu bildirilmektedir. Yenido\u011fan d\u00f6neminde Covid-19 enfeksiyonu tek ba\u015f\u0131na \u00f6l\u00fcm riskini artt\u0131rmasa da premat\u00fcrite ili\u015fkili \u00f6l\u00fcmler bildirilmektedir.<\/p>\n<p>Sorunuza cevap olarak <strong>a\u015f\u0131laman\u0131n de\u011fil Covid-19 enfeksiyonunun premat\u00fcre do\u011fum riski ile ili\u015fkili oldu\u011fu ve ciddi Covid-19 enfeksiyonunun yenido\u011fan bebek i\u00e7in de zorlu bir s\u00fcrece neden oldu\u011funu s\u00f6yleyebiliriz.<\/strong><\/p>\n<p><strong>Anne adaylar\u0131 i\u00e7in hangi durumlarda a\u015f\u0131 \u00f6nerilmiyor?<\/strong><\/p>\n<p>Normalde belirlenmi\u015f a\u015f\u0131 kontrendikasyonlar\u0131 d\u0131\u015f\u0131nda gebelerde ba\u015fka bir a\u015f\u0131 \u00f6nerilmeme durumu bulunmamaktad\u0131r.<\/p>\n<figure id=\"attachment_12065\" aria-describedby=\"caption-attachment-12065\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12065\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-20.png?resize=696%2C494&#038;ssl=1\" alt=\"Emzirme d\u00f6neminde Covid 19 a\u015f\u0131lamas\u0131\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-20.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-20.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-20.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-20.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12065\" class=\"wp-caption-text\">Emzirme d\u00f6neminde Covid 19 a\u015f\u0131lamas\u0131<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Emzirme_doneminde_Covid-19_asisi_yaptirilabilir_mi_Asinin_bebege_zarari_olur_mu\"><\/span><strong>Emzirme d\u00f6neminde Covid-19 a\u015f\u0131s\u0131 yapt\u0131r\u0131labilir mi? A\u015f\u0131n\u0131n bebe\u011fe zarar\u0131 olur mu?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Gebelikteki a\u015f\u0131lmaya benzer \u015fekilde yap\u0131lan \u00e7al\u0131\u015fmalar emziren annelerde de Covid-19 a\u015f\u0131lamas\u0131n\u0131n g\u00fcvenilir oldu\u011funu, a\u015f\u0131 yap\u0131lmas\u0131 nedeniyle emzirmeye ara verilmemesi ve a\u015f\u0131 arac\u0131l\u0131\u011f\u0131yla sa\u011flanan antikorlar\u0131n anne s\u00fct\u00fc arac\u0131l\u0131\u011f\u0131yla bebe\u011fe ge\u00e7ebildi\u011fi de g\u00f6sterildi\u011fi i\u00e7in emziren annelerde de \u00e7al\u0131\u015fmalarda g\u00fcvenilirli\u011fi g\u00f6sterilmi\u015f olan Covid-19 a\u015f\u0131lar\u0131n\u0131n yap\u0131labilece\u011fi ve mevcut veriler \u0131\u015f\u0131\u011f\u0131nda bebe\u011fe zarar\u0131 olmad\u0131\u011f\u0131 hatta koruyuculuk sa\u011flayabildi\u011fi g\u00f6sterilmi\u015ftir. <strong>Emziren anneler Covid-19 a\u015f\u0131s\u0131 yapt\u0131rabilirler.<\/strong><\/p>\n<figure id=\"attachment_12079\" aria-describedby=\"caption-attachment-12079\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12079\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-26.png?resize=696%2C494&#038;ssl=1\" alt=\"Y\u00fcksek tansiyonu olan hamilelerde Covid 19\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-26.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-26.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-26.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-26.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12079\" class=\"wp-caption-text\">Y\u00fcksek tansiyonu olan hamilelerde Covid 19<\/figcaption><\/figure>\n<p><strong>Y\u00fcksek tansiyon \u015fikayeti olan gebeler Covid-19 salg\u0131n\u0131ndan nas\u0131l etkileniyor? Hangi durumlarda gebeli\u011fe son verilmesi gerekiyor?<\/strong><\/p>\n<p>Mevcutta y\u00fcksek tansiyon \u015fikayeti olan gebelerde Covid-19 enfeksiyonunun daha ciddi seyretti\u011fi bildirilmekte. Benzer olarak gebelikte tansiyon, protein\u00fcri ve \u00f6dem ile karakterize preeklampsinin de Covid-19 enfeksiyonu ge\u00e7iren gebelerde belirgin olarak artt\u0131\u011f\u0131, gebelikteki ciddi Covid-19 enfeksiyonunun ise erken do\u011fum ba\u015fta olmak \u00fczere olumsuz risklere neden olabilece\u011fi ak\u0131lda tutulmal\u0131d\u0131r.<\/p>\n<p>Y\u00fcksek tansiyonunun anne ve fet\u00fcs\u00fcn hayat\u0131n\u0131 tehdit etti\u011fi durumlarda hekim karar\u0131 ile gebelik haftas\u0131na g\u00f6re en uygun tedavi se\u00e7ene\u011fi anneye sunulmaktad\u0131r.<\/p>\n<figure id=\"attachment_12078\" aria-describedby=\"caption-attachment-12078\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12078\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-25.png?resize=696%2C494&#038;ssl=1\" alt=\"Covid 19 ve emzirme \" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-25.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-25.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-25.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-25.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12078\" class=\"wp-caption-text\">Covid 19 ve emzirme<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Covid-19_geciren_anne_bebegini_emzirebilir_mi\"><\/span><strong>Covid-19 ge\u00e7iren anne bebe\u011fini emzirebilir mi?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anne s\u00fct\u00fc ilk 6 ay boyunca bebe\u011fe tek ba\u015f\u0131na verilmesi gereken tek besin maddesidir. Anne s\u00fct\u00fc i\u00e7eri\u011findeki t\u00fcm bile\u015fenler ile pek \u00e7ok enfeksiyon hastal\u0131\u011f\u0131na, mikrobiyota ve imm\u00fcn sistem geli\u015fimine, zeka geli\u015fimine ve ast\u0131m, alerji, diyabet vb pek \u00e7ok hastal\u0131\u011f\u0131 azalt\u0131c\u0131 yayarlar\u0131 nedeni ile t\u00fcm bebeklerin beslenmesinde en \u00f6nemli besindir.<\/p>\n<p>Bu nedenle Covid-19 pandemisinin ilk g\u00fcnlerinden itibaren D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc, Hastal\u0131k Kontrol Merkezi, t\u00fcm Pediatri Dernekleri taraf\u0131ndan Covid-19 ge\u00e7irmekte olan gebelerin uygun hjyen ko\u015fullar\u0131 alt\u0131nda, ellerini y\u0131kayarak, maske takarak, g\u00f6\u011f\u00fcs u\u00e7lar\u0131n\u0131 temizleyerek bebeklerini emzirmeleri te\u015fvik edilmekte ve \u00f6nerilmektedir.<\/p>\n<p>Yo\u011fun bak\u0131mda olan veya emziremeyecek kadar hasta annelerin ise s\u00fctlerini hijyenik \u015fekilde sa\u011f\u0131larak, sa\u011f\u0131lm\u0131\u015f anne s\u00fct\u00fcn\u00fcn Covid-19 enfeksiyonu olmayan bir ki\u015fi taraf\u0131ndan bebe\u011fe verilmesi \u00f6nerilmektedir.<\/p>\n<p><strong>Hamileler i\u00e7in en g\u00fcvenli a\u015f\u0131 hangisidir? mRNA a\u015f\u0131lar\u0131 m\u0131 yoksa inaktif a\u015f\u0131lar m\u0131 tercih edilmelidir? A\u015f\u0131lar yeni varyantlar\u0131 kar\u015f\u0131 etkili mi?<\/strong><\/p>\n<p>Mevcut a\u015f\u0131lar i\u00e7inde d\u00fcnya genelinde gebelerde \u00e7al\u0131\u015fma baz\u0131nda uygulanan, gebeler i\u00e7in g\u00fcvenli oldu\u011fu kabul edilen ve gebe\/fet\u00fcs i\u00e7in olumsuz risk olu\u015fturmayan mRNA a\u015f\u0131lar\u0131 mevcut tabloda tercih edilmelidir.<\/p>\n<p>\u015eu an i\u00e7in normal eri\u015fkinlerde yeni sonu\u00e7lar\u0131 yay\u0131nlanmaya ba\u015flayan a\u015f\u0131lar\u0131n varyantlara etkisi ile ilgili gebelerde hen\u00fcz yeterli veri bulunmamaktad\u0131r.<\/p>\n<p>Sadece g\u00f6zlemlerimiz g\u00fcn\u00fcm\u00fczde Covid-19 enfeksiyonunun gebelerde daha \u00e7ok yo\u011fun bak\u0131ma ba\u015fvuru ve artm\u0131\u015f anne \u00f6l\u00fcm\u00fcne neden olabilece\u011fi y\u00f6n\u00fcnde oldu\u011fu i\u00e7in \u00f6zellikle yeni varyantlara kar\u015f\u0131 gebelikteki a\u015f\u0131laman\u0131n g\u00fc\u00e7l\u00fc bir \u015fekilde \u00f6nerildi\u011fi en \u00f6nemli bulgudur.<\/p>\n<p><strong>Covid-19 pandemisi s\u0131ras\u0131nda do\u011fum yapan annelerde hastane yat\u0131\u015f s\u00fcresinde bir de\u011fi\u015fiklik oldu mu? Yeni annelere do\u011fum haz\u0131rl\u0131\u011f\u0131 i\u00e7in hangi \u00f6nemli uyar\u0131larda bulunmak istersiniz? Hastane \u00e7antalar\u0131nda olmazsa olmaz diyebilece\u011finiz ihtiya\u00e7lar nelerdir?<\/strong><\/p>\n<p>Covid-19 pandemisi s\u0131ras\u0131nda do\u011fum yapan annelerde yo\u011fun bak\u0131m ihtiyac\u0131nda ve gebelikte enfeksiyonun daha \u015fiddetli seyretti\u011fini g\u00f6zlemlemekteyiz. Bunun yan\u0131 s\u0131ra gebelerin rutin kontrollere daha az gittiklerini de bildirilmekte.<\/p>\n<p>Bu ba\u011flamda gebelerin ciddi enfeksiyon i\u00e7in artm\u0131\u015f risk alt\u0131nda olabileceklerini g\u00f6z \u00f6n\u00fcnde bulundurmalar\u0131, maske-mesafe-hijyen ve a\u015f\u0131 \u00f6nerilerine uymalar\u0131, hekimin \u00f6nerdi\u011fi d\u00f6nemde gebelik kontrollerini yapt\u0131rmalar\u0131, kalabal\u0131k ortamlardan uzak kalmalar\u0131 ve Covid-19 enfeksiyonunu d\u00fc\u015f\u00fcnd\u00fcren bulgular varl\u0131\u011f\u0131nda h\u0131zla bir sa\u011fl\u0131k kurulu\u015funa ba\u015fvurmalar\u0131n\u0131 \u00f6nerebilirim.<\/p>\n<p>Hastanede kendileri ve bebekleri i\u00e7in haz\u0131r bir \u00e7anta haz\u0131rlamalar\u0131 gerekmektedir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Koronavirus_salgini_gunlerinde_hangi_dogum_cesidi_tercih_edilebilir\"><\/span><strong>Koronavir\u00fcs salg\u0131n\u0131 g\u00fcnlerinde hangi do\u011fum \u00e7e\u015fidi tercih edilebilir?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Salg\u0131n\u0131n erken d\u00f6neminde anneden bebe\u011fe vir\u00fcs ge\u00e7i\u015fi tam bilinemedi\u011fi i\u00e7in do\u011fumlar b\u00fcy\u00fck oranda sezeryan ile ger\u00e7ekle\u015ftirilmi\u015f olsa da, g\u00fcn\u00fcm\u00fczde Covid-19 enfeksiyonu i\u00e7in bir endikasyon olmad\u0131\u011f\u0131, anne ve bebe\u011fin mevcut sa\u011fl\u0131k durumuna g\u00f6re kad\u0131n do\u011fum hekiminin do\u011fum \u015fekline karar vermesi, sezaryen endikasyonu bulunmayan Covid-19 gebelerde normal yol ile do\u011fumun belirlenmi\u015f kurallara uyar\u0131larak ger\u00e7ekle\u015ftirilebilece\u011fi bilinmelidir.<\/p>\n<figure id=\"attachment_12076\" aria-describedby=\"caption-attachment-12076\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12076\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-23.png?resize=696%2C494&#038;ssl=1\" alt=\"Covid 19 anne karn\u0131ndaki bebe\u011fe ge\u00e7er mi?\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-23.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-23.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-23.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-23.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12076\" class=\"wp-caption-text\">Covid 19 anne karn\u0131ndaki bebe\u011fe ge\u00e7er mi?<\/figcaption><\/figure>\n<p><strong>Koronavir\u00fcs anne karn\u0131ndaki bebe\u011fe ge\u00e7er mi?<\/strong><\/p>\n<p>Bu sorunun cevab\u0131 tam olarak bilinmese de, \u00e7al\u0131\u015fmalarda %2 ile %4 oran\u0131nda anne karn\u0131nda bebe\u011fe bula\u015f olabilece\u011fi bildirilmektedir. Bizim kendi klinik deneyimimizde \u00f6nlemler alt\u0131nda ger\u00e7ekle\u015ftirilen do\u011fumlardan sonra Covid-19 pozitif anneden bebe\u011fe anne karn\u0131nda bula\u015f olmad\u0131\u011f\u0131n\u0131 g\u00f6rmekteyiz. Ancak, \u00e7ok d\u00fc\u015f\u00fck bir olas\u0131l\u0131kla ge\u00e7ebilece\u011finin d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcn\u00fc ifade edebilirim.<\/p>\n<p><strong>Covid pozitif olan bir annenin bebe\u011finde do\u011fumdan sonra hangi rahats\u0131zl\u0131klar g\u00f6r\u00fclebilir?<\/strong><\/p>\n<p>Covid-19 pozitif annenin bebe\u011finde hi\u00e7bir semptom olmayabilece\u011fi gibi solunum s\u0131k\u0131nt\u0131s\u0131, ate\u015f, \u00f6ks\u00fcr\u00fck, tonusunda azalma, kusma,ishal, beslenme problemleri , huzursuzluk, v\u00fccutta d\u00f6k\u00fcnt\u00fc, g\u00f6zlerde konjonktivit gibi bulgular g\u00f6r\u00fclebilir.<\/p>\n<figure id=\"attachment_12075\" aria-describedby=\"caption-attachment-12075\" style=\"width: 874px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-12075\" src=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-24.png?resize=696%2C494&#038;ssl=1\" alt=\"Covid 19 ve emzirme\" width=\"696\" height=\"494\" srcset=\"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-24.png?w=874&amp;ssl=1 874w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-24.png?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-24.png?resize=768%2C545&amp;ssl=1 768w, https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-24.png?resize=696%2C494&amp;ssl=1 696w\" sizes=\"(max-width: 696px) 100vw, 696px\" data-recalc-dims=\"1\" \/><figcaption id=\"caption-attachment-12075\" class=\"wp-caption-text\">Covid 19 ve hamilelik<\/figcaption><\/figure>\n<p><strong>Erken ya\u015fta hamilelik veya 40 ya\u015f sonras\u0131 hamilelik planlayan anne adaylar\u0131 i\u00e7in uyar\u0131lar\u0131n\u0131z var m\u0131?<\/strong><\/p>\n<p>Erken ya\u015f ama \u00f6zellikle ileri ya\u015f gebelerde Covid-19 enfeksiyonunun daha ciddi seyredebilece\u011fi ak\u0131lda tutularak, her iki risk grubundaki gebelerin uygun korunma \u00f6nlemlerine, a\u015f\u0131lanmaya ve di\u011fer \u00f6nlemlere tam olarak riayet etmeleri son derece \u00f6nemlidir.<\/p>\n<p><strong>Covid-19 A\u015f\u0131lar\u0131 kad\u0131nlarda ve erkeklerde k\u0131s\u0131rl\u0131\u011fa neden olur mu?<\/strong><\/p>\n<p>Hastal\u0131k Kontrol Merkezi taraf\u0131ndan Coovid-19\u2019un mevcut veriler \u0131\u015f\u0131\u011f\u0131nda kad\u0131nlarda ve erkeklerde k\u0131s\u0131rl\u0131\u011fa neden olmad\u0131\u011f\u0131 belirtilerek, bebek sahibi olmak isteyen aile bireylerinin a\u015f\u0131lanmas\u0131 \u00f6nerilmektedir.<\/p>\n<p><strong>Okullar a\u00e7\u0131ld\u0131 ve art\u0131k \u00e7ocuklar da a\u015f\u0131lan\u0131yor. Hangi ya\u015f grubuna hangi a\u015f\u0131 yap\u0131labiliyor?\u00a0<\/strong><\/p>\n<p>12 ya\u015f \u00fczerindeki t\u00fcm \u00e7ocuklara a\u015f\u0131lama \u00f6nerilmekte.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/annebebekkulubu.com\/blog\/bebek\/yeni-anneler-icin-bebek-bakim-rehberi\/\"><strong>Yeni anneler<\/strong><\/a>\u00a0burada bulu\u015fuyor! Siz de akl\u0131n\u0131za tak\u0131lanlar\u0131, merak ettiklerinizi veya \u00f6\u011frenmek istediklerinizi bize\u00a0<a href=\"https:\/\/forum.annebebekkulubu.com\/\"><strong>Forum Anne Bebek Kul\u00fcb\u00fc<\/strong>\u00a0<\/a>\u00fczerinden yazabilirsiniz. Kad\u0131nlar olarak birlikte g\u00fc\u00e7l\u00fcy\u00fcz!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Covid 19 salg\u0131n\u0131 ile beraber g\u00fcndelik ya\u015fant\u0131m\u0131zda bir\u00e7ok de\u011fi\u015fiklik meydana geldi. K\u0131s\u0131tlamalar ve salg\u0131n ne zaman bitecek endi\u015fesi ya\u015farken a\u015f\u0131n\u0131n bulunmas\u0131yla rahat bir nefes al\u0131nd\u0131. Fakat her durumda oldu\u011fu gibi bu yeni vir\u00fcs ve a\u015f\u0131 hakk\u0131nda ak\u0131llarda pek \u00e7ok soru kald\u0131. Hamilelik ve emzirme d\u00f6neminde olanlar a\u015f\u0131 ile ilgili kayg\u0131lar ya\u015famaya ba\u015flad\u0131. Normal \u015fartlar alt\u0131nda [&hellip;]<\/p>\n","protected":false},"author":33,"featured_media":12064,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[119,2,7],"tags":[],"class_list":["post-12104","post","type-post","status-publish","format-standard","has-post-thumbnail","category-emzirme","category-hamilelik","category-saglik"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2021\/09\/Adsiz-tasarim-19.png?fit=874%2C620&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/12104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=12104"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/12104\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/12064"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=12104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=12104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=12104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}