CARA CERDAS DAN

AMAN DALAM
MENJAGA KESEHATAN
IBU DAN BAYI DI
MASA PANDEMI

dr Rina Gustuti SpOG

Patogenesis kehamilan dengan covid 19

Cytokine and Growth

Factor Reviews journal
homepage:
www.elsevier.com/locat
e/cytogfr
Clinical manifestation
of SARS CoV 2
Infection
 Menjaga kehamilan agar aman dari covid 19
(ANC, Pertolongan Persalinan dan Pasca Persalinan)

1. Pemeriksaan antenatal selama pandemi yaitu :

Trimester I
• Pemeriksaan antenatal tidak dianjurkan kecuali dibutuhkan pemeriksaan USG bila
curiga kehamilan ektopik
Trimester 2
• Pemeriksaan antenatal melalui telekonsultasi kecuali dijumpai keluhan atau kondisi
gawat darurat
Trimester 3 ( 37 minggu keatas)
• Pemeriksaan antenatal HARUS DILAKUKAN dengan tujuan utama untuk
mempersiapkan proses persalinan
Menjaga kehamilan dan bayi agar aman dari covid 19
(ANC, Persalinan, nifas, menyusui, bayi dan balita)
Menjaga kehamilan agar aman dari covid 19 (bagi pasien)
Stay at home (bila harus keluar rumah memakai masker, menjaga jarak)

Menjaga kebersihan diri dan rutin mencuci tangan

Menghindari orang orang yang sedang sakit

Mengkonsumsi makanan bergizi dan vitamin (Asam folat, Vit D, B12, C, Kalsium, EPA, DHA)

Memonitor gerak janin

Memonitor gejala gejala infeksi covid -19 (demam, batuk, pilek, sakit tenggorokan, sesak nafas,
diare)

Mengetahui tanda tanda kegawatdaruratan pada ibu hamil

Melakukan telekonsultasi dengan bidan / dokter

Merencanakan dengan matang persalinan

Support dari keluarga

 Covid-19 vaccines
• Vaksin covid 19 dibuat dengan beberapa pendekatan
tekhnologi → 4 tekhnik pendekatan :
• viral vector
• RNA
• 'whole' virus
• protein subunit.

BAGAIMANA VAKSIN COVID 19

BISA MELINDUNGI KITA ???
 Recommendation of Covid-19 vaccines in pregnancy
CDC ACOG
• all people 12 years and • all eligible persons,
older, including people including pregnant and
who are pregnant & lactating individuals,
breastfeeding, including receive a COVID-19
people who are trying to vaccine or vaccine series
get pregnant now or
might become pregnant • all eligible people who
in the future may consider future
pregnancy
• Women trying to become
• Pregnancy testing is not a
requirement prior to
receiving any EUA-
approved COVID-19
vaccine
RCOG SMFM
• COVID-19 vaccines are • Pregnant, postpartum
recommended in and lactating people be
pregnancy vaccinated against
Covid-19
• Do not stop • A pregnancy test prior to
breastfeeding in order to vaccination is not
be vaccinated against recommended
COVID-19
pregnant do not need to
avoid pregnancy after
vaccination and there is
no evidence to suggest
that COVID-19 vaccines
will affect fertility
 Viral vector vaccines
(Oxford-AstraZeneca, CanSino Biologics,
Gamaleya Research Institute and Johnson &
Johnson)

RNA vaccines
(Pfizer-BioNTech and Moderna)

‘Whole’ virus vaccines

(Sinovac, Bharat Biotech and Sinopharm)

Protein subunit vaccines

(Novavax and Chinese Academy of
Sciences)
Result :
• Among 3958 participants enrolled in the v-safe
pregnancy registry, 827 had a completed pregnancy :
- 115 (13.9%) resulted in a pregnancy loss
- 712 (86.1%) resulted in a live birth (mostly among
participants with vaccination in the third
trimester)

• preterm birth (in 9.4%) and small size for gestational

age (in 3.2%); no neonatal deaths were reported
https://www.nejm.org/doi/pdf/10.1056
 What are benefits of getting Covid-19 Vaccines in
Pregnancy &
the COVID-19 vaccines during Breastfeeding
pregnancy?

• Protect from getting Covid-19

• Pass anti-Covid 19 antibodies to the baby

• No unexpected pregnancy or fetal problems

• There is only small chance crossing placenta

• Side effects occur in the first 3 day after getting vaccinated mild to
moderate fever, headache and muscle aches
Jenis APD yang digunakan pada kasus COVID 19 berdasarkan
tempat layanan Kesehatan , profesi dan aktivitas petugas
menurut WHO
TERIMAKASIH