Prof. Dr. Güler Cimete made evaluations about the effects of the pandemic process we are in on pregnant women and babies.
Expressing that birth is a stressful process, Prof. Dr. Güler Cimete said that during the pandemic period, pregnant women are more stressed, and the risk of infection from the hospital and restrictions on relatives who will support the mother in the postpartum period are important.
Stress increased after Covid-19
Noting that studies showing an increase in stress, anxiety and depression symptoms in women who gave birth after the Covid-19 epidemic, Prof. Dr. Güler Cimete added that mothers with Covid-19 do not differ from mothers without Covid-19 in terms of premature birth and losing their babies before or after birth.
Does the baby get antibodies?
Stating that there is limited information on the amount and effects of antibodies passed on to the baby from mothers who were vaccinated during pregnancy and mothers who had the disease agent, Prof. Dr. Güler Cimete said, “There are studies showing that there is antibody transmission through the placenta to the babies of mothers who were positive for Covid-19 in their pregnancy and mothers who were administered Covid-19 vaccine. However, antibody passage is limited and more research is needed on this subject. ” said.
Low risk of contamination with breast milk …
Noting that the risk of contamination with breast milk is very low, Prof. Dr. Emphasizing that very few of the mothers who are Covid-19 positive have the virus detected in their milk, Güler Cimete touched on the studies of some researchers on this subject.
Prof. Dr. Güler Cimete said: “Chambers and his colleagues detected SARS-CoV-2 RNA (the presence of virus in milk) in only one of 64 milk samples taken from 18 infected women. However, the fact that this mother’s baby was not infected by milk despite breastfeeding made us think that breast milk had a protective effect rather than transmitting the disease to the baby. Again, in this study, 13 mothers breastfed their babies, and the PCR test of 4 babies was positive in the follow-up. This shows that it is transmitted later from mother to baby rather than breast milk. “
Prof. Dr. Güler Cimete said, “The fact that IgG and IgA antibodies against Covid-19 have been detected in the milk of breastfeeding mothers who have a positive Covid-19 test or have a positive history in the past also suggests that breast milk provides protection against the virus.” said.
Preventing breastfeeding can cause many problems
Emphasizing the importance of breastfeeding, Prof. Dr. Güler Cimete said, “Since the beginning of the pandemic, the World Health Organization has been recommending that in cases where the mother or baby is Covid-19 positive, protective measures should be explained to the mother and family, ensure that these measures are taken seriously and breastfeeding their babies should be supported. It is stated that the risk of Covid-19 in babies is low and the course of the disease is pleasant, whereas early skin contact and prevention of breastfeeding will bring many adverse effects in terms of mother and baby. The risks such as susceptibility of the baby to infections, delayed breastfeeding shortening the duration of breastfeeding, weakening of attachment with the baby, increased risk of neglect-abuse, increased stress levels of parents and decreased parental self-efficacy should be kept in mind. said.
Contamination does not change depending on the type of birth
Expressing that transmission is not different according to the type of birth, Prof. Dr. Güler Cimete, “After the pandemic period, it is seen that cesarean deliveries have increased significantly and it is recommended to avoid unnecessary cesarean sections without serious evidence. Normal vaginal births require the mother and healthcare personnel to be in the same environment for a longer time. The risk of cross-contamination should not be a reason for cesarean section.It may also be appropriate to provide the first care of the Covid-19 suspect or positive mother and baby in separate rooms. However, by taking protective measures for the mother, it should be ensured that it is in contact with the baby in the early period after birth and breastfeeding. ” he spoke.
It is important to follow up newborns
Talking about the symptoms that appear in Covid-19 positive babies, Prof. Dr. Güler Cimete said, “In babies, symptoms such as respiratory distress, fever, vomiting, cough, less frequently feeding difficulty, runny nose, liver function disorders are observed. It is recommended that babies born to Covid-19 positive mothers should be monitored in terms of sucking weakness and skin color change. There is no specific treatment for newborns. Symptomatic, supportive treatment is applied. Late hypoxia may develop 10-15 days after they are discharged and go home. We need to warn mothers who have given birth, especially Covid-19 positive, to seek medical care immediately when they detect a change in their babies. ” he spoke.
Traumatic stress leads to breastfeeding and attachment problems
Expressing that pregnant women are more stressed in the pandemic, Prof. Dr. Güler Cimete said, “After the Covid-19 epidemic, an increase in stress, anxiety and depression symptoms have been detected in women who gave birth. Birth is a stressful event. In Covid-19, stress has increased in pregnant women. Visiting policies of hospitals have changed, women have been isolated in trauma and birth. Traumatic stress paves the way for breastfeeding failure and attachment problems. Women who gave birth before a pandemic and women who gave birth after a pandemic were compared by making a comparison. There are 637 mothers in each group. , acute stress at birth, post-traumatic post-traumatic stress disorder, breastfeeding problems, early attachment problems, general attachment problems were found to be high. ” said.