Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
COVID-19 ve Emzirme: Klinik Uygulamaya Yönelik Bir Derleme
COVID-19 and Breastfeeding: A Review for Clinical Practice
Ruveyde AYDINa, Songül AKTAŞa
aKaradeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi, Doğum ve Kadın Hastalıkları Hemşireliği ABD, Trabzon, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2021;6(3):675-81
doi: 10.5336/healthsci.2020-80014
Article Language: TR
Full Text
ÖZET
 Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)], tüm dünyaya hızlı yayılımı ve milyonlarca insanın ölümüne neden olması sebebiyle pandemi olarak ilan edilmiştir. Gebelikte ve emzirme döneminde anneden, fetüs-yenidoğana COVID-19 virüsünün, vertikal yolla geçişinin (amniyon sıvısı, umbilikal kord kanı, anne sütü) olduğuna dair henüz bir kanıt bulunmamaktadır. Anne sütünde bulunan antikorların ve immünolojik bileşenlerin, enfeksiyonlara karşı koruduğu bilinmektedir. Literatürde, anne sütünde bulunan whey proteininin, anne sütüne geçen COVID-19'un etkisini azalttığı belirtilmektedir. Bebeklerin, ilk 6 ay sadece anne sütü ile beslenmesini ve emzirmenin 2 yaşa kadar süründürülmesini öneren Dünya Sağlık Örgütü, pandemi sürecinde de anne sütü ile beslemeyi desteklemektedir. COVID-19 pozitif ve şüphesi olan annelerin, gerekli koruyucu önlemler alarak bebeklerini emzirmeleri önerilmektedir. Emzirmenin mümkün olmadığı durumlarda, sütün sağılması konusunda annenin, ebe ve hemşire başta olmak üzere tüm sağlık profesyonellerince desteklenilmesi, COVID-19 pandemi sürecindeki anne ve bebeğinin sağlığının korunması ve geliştirilmesine katkı sağlayacaktır. Bu derlemenin amacı; COVID-19 ve emzirme konusunda güncel veriler ışığında bilgi sunmak ve bu konuda ebe, hemşire, anne ve yenidoğan bakımını üstlenen bakım vericinin sorumluluğunu ortaya koymaktır.

Anahtar Kelimeler: COVID-19; emzirme; anne sütü; ebe; hemşire
ABSTRACT
 Coronavirus disease-2019 (COVID-19) has been declared a pandemic in terms of its rapid spread and causing death of millions of people all over the world. There is no evidence that the vertical transmission of the virus (amniotic fluid, umbilical cord blood, breast milk) from the mother to the fetus or newborn during pregnancy and lactation. It is known that antibodies and immunological components found in breast milk protect against infections. In the literature, it is stated that whey protein in breast milk reduces the effect of COVID-19 that passes into breast milk. The World Health Organization, which recommends that babies be fed with breast milk for the first 6 months and breastfeeding should be continued until the age of two, also supports breastfeeding during the pandemic process. It is recommended that mothers with positive or suspected COVID-19 breastfeed their babies by taking necessary precautions. In cases where breastfeeding is not possible, supporting the mother in terms of milking by all health professionals, especially midwives and nurses, will contribute to the protection and improvement of the health of the mother and her baby in the COVID-19 pandemic process. The purpose of this review is; to provide information on COVID-19 and breastfeeding in the light of current data and to reveal the responsibility of the midwife, nurse, mother and caregiver taking care of the newborn.

Keywords: COVID-19; breastfeeding; breast milk; midwife; nurse
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