Yesterday's hot search made the editor look very heartbroken:
On January 4, a pregnant family member in Xi'an, Shaanxi Province, posted that on New Year's Day, her aunt's stomach pain could not reach 120, and then after calling 110 to send her aunt to the hospital, she could not be admitted to the hospital because of nucleic acid problems, and could only wait at the door for more than 2 hours.
Unfortunately, during the waiting period, the aunt was bleeding heavily and the 8-month-old baby was miscarried... Currently, the pregnant woman is currently recovering after surgery.
Video source: Zhongxin video
A small life has passed like this, and Xiaobian really feels very heart-wrenching.
On January 5, experts organized by the Shaanxi Provincial and Xi'an Municipal Health Commissions conducted an investigation and determined that the incident was a liability accident, and the responsible persons related to the incident were also dealt with accordingly, and the public's concerns and anger were temporarily ended.
The goal of our war with COVID-19 has never been to eliminate COVID-19, but to protect human life, especially vulnerable groups.
During the epidemic, pregnant women need to see a doctor and give birth, what should they do?
In fact, as early as February 2020, the State Council issued a relevant notice, and the National Health Commission had answered relevant questions.
Image source: Weibo
Below, Xiaobian sorted out the issues that pregnant mothers care about (it is recommended that you collect and read them in case of emergency):
Q1: Do pregnant women need regular obstetric check-ups during the epidemic? Can we ensure normal diagnosis and treatment, and what problems should be paid attention to in the process of diagnosis and treatment?
● Pregnant women in the third trimester and high-risk (advanced age or pregnancy complications, etc.) who are more than 28 weeks old should follow the advice of their doctors and strictly check the obstetric examination.
● Pregnant women in the early and second trimesters of pregnancy, without comorbidities or complications, can appropriately extend the time to the hospital for obstetric examination under the advice of the doctor.
Regarding the recent epidemic in Xi'an, the Information Office of the Shaanxi Provincial Government held a press conference on December 27, 2021, saying:
Affected by the epidemic, some communities are sealed or controlled, coupled with the temporary suspension of outpatient clinics and emergency departments in some hospitals, going out during the epidemic may increase the risk of infection, so if it is not an emergency department, nor is it close to the due date, there is no special high-risk such population, you can choose to postpone the obstetric examination.
So what are the high-risk groups of pregnant women? How to define it?
In the early stage of various medical institutions to carry out obstetric examinations, the Shaanxi Provincial Health Commission established a five-color grading management system, which is marked with green, yellow, orange, yellow, purple, according to the color to grade,
If the √ is green in the health register, it is low risk, in this case it can be self-monitored at home;
If it is yellow, there is a certain risk, while self-monitoring, regular online consultation;
If it is an orange or red risk, a purple risk, be sure to carry out a formal obstetric examination as required,
Regardless of the risk, as the pregnancy changes, the level will increase, so in self-monitoring, any kind of situation should be called or online consultation, or go to the hospital.
There are underlying diseases, such as heart disease, high blood pressure, diabetes, or some immune diseases, some pregnant women over 40 years old, twins, multiple births, high-risk people, in the self-testing process, any problems or no problems of the high-risk population should be regular obstetric examinations.
About prevention and control:
● Pregnant women and their families who must go to the hospital for obstetric examination must wear masks.
● If the pregnant woman has a fever, it is recommended to go directly to the fever clinic first, and then according to the results of the examination, follow up a series of examination suggestions.
● Pregnant women should not touch their mouths, eyes, and nose without washing their hands, and wash their hands as soon as possible when leaving the hospital.
Remarks: Pregnant women must cooperate with the hospital for temperature screening when they go to the hospital, including epidemiological screening and so on. Pregnant women should follow the advice of the hospital, for example, the hospital may take measures to disperse pregnant women, including visiting in different periods to avoid too many pregnant women gathering together, which can reduce the time pregnant women wait in the hospital or the time to visit the doctor.
Q2: In this outbreak, can pregnant women who have been diagnosed receive specialized medical services and pneumonia treatment?
Pregnant women are a very special group, and even normal pregnant women who have not had complications for the time being and have no comorbidities may have a variety of dangers as their gestational age increases.
Pregnant women in the third trimester after 28 weeks must go to a medical institution according to the doctor's recommendation.
For suspected and confirmed pregnant women, they should go to designated medical institutions for centralized treatment.
All localities are also actively taking effective measures to designate some medical institutions with strong comprehensive treatment capabilities in obstetrics and neonatology to provide disease diagnosis and treatment and safe midwifery services for pregnant women to jointly ensure the safety of mothers and babies.
Q3: Will the treatment of pneumonia infected by the novel coronavirus during pregnancy have an impact on the fetus? If the diagnosis of novel coronavirus infection is positive, can I continue the pregnancy and will it be transmitted to the fetus?
For pregnant women who have already been diagnosed:
Treatment premise: take the life of the pregnant woman as the first priority, first consider the treatment of the pregnant woman, which is the most important.
Medication: At present, most antiviral drugs are relatively safe to use during pregnancy, but because the medication during pregnancy is relatively complex, and sometimes it is not a drug in the treatment process, it may be used together with many drugs, so the adverse reactions between drugs still need to be concerned. Therefore, we must strictly carry out treatment under the guidance of doctors, and we should not blindly adopt other ways of treatment.
Fetal impact: From the current figures, there is currently not enough data to confirm whether there is a risk of mother-to-fetus transmission of the novel coronavirus infection. The specific situation of the patient will be combined, including the gestational age, the severity of the disease, and if necessary, the doctors including the obstetrics department, including the doctors of infectious diseases, the doctors of the intensive care ICU, including the doctors of the neonatology department, whether to continue the pregnancy or terminate the pregnancy, the most important consideration is in the pregnant woman, to ensure the safety of the pregnant woman as the premise, which is the most important.
Remarks: As long as the fever in the first trimester of pregnancy, persistent high fever, or high fever of a relatively long duration, the virus is still harmful to the embryonic tissue in early pregnancy, or needs attention.
Q4: Under what circumstances do pregnant women who are about to give birth have to go to the hospital? How to do monitoring at home?
Frequency and content of routine obstetric examinations:
After pregnancy to 28 weeks, if there are no special circumstances, it is enough to go to the hospital once every 4 weeks.
Checked at intervals of 28 to 36 weeks, 2 weeks apart.
After 36 weeks, check-ups are made once a week.
Examination items include: the usual situation is blood pressure, heart rate, including weight, fetal heart rate, and urine routine, etc., after 36 weeks to do fetal heart rate monitoring every week, but also according to different gestational weeks, the doctor will recommend her to do ultrasound, etc., which is the interval and cycle of examination.
Family monitoring during special periods:
Intrauterine pregnancy has been determined in the first trimester, there are no special circumstances to rest at home, and the next obstetric examination is done according to the doctor's agreed time, such as 11-14 weeks of ultrasound NT.
More than 28 weeks of monitoring mainly fetal movement, including the frequency of uterine contractions. The other is weight gain, such as weekly weight gain.
There are 2 standards for normal fetal movement, both of which are required to be considered normal fetal movement:
1
plan
number
Under normal circumstances, fetal movement should not be less than 3 to 5 times for 1 hour, and the number of fetal movements in 12 hours should be more than 30 times;
2
rules
law
There is fetal movement every day, and fetal movement is regular, and the number of fetal movements per day is almost the same, not double or less. Even if the fetal movement is a lot, more than 30 times per hour, if the fetal movement has always been like this, it is considered normal without doubling.
Go to the hospital in time for the following situations:
Abnormal fetal movements, such as irregular contractions
Vaginal bleeding or fluid
Blood pressure > 140/90
Some self-conscious symptoms: dizziness, dizziness, etc
Pregnant women should still do some necessary protection during medical treatment, such as wearing a mask.
During the epidemic in Xi'an, which hospitals did maternity check-ups go to? Which midwifery medical institutions to go to?
A few days ago, the Provincial Health Commission published the list of emergency midwifery institutions in the province through the media, and the Xi'an Municipal Health Commission also published the list of midwifery institutions in Xi'an City, so pregnant women can choose the nearest midwifery institution for obstetric examination and delivery according to this list.
List of emergency midwifery agencies in Shaanxi Province
Updated on December 23, 2021
Swipe up or down to see all images
In addition, the designated hospital for the treatment of maternal new crown pneumonia can also accept ordinary maternal referrals when there is no confirmed case.
Q5: What special measures will the hospital take to avoid nosocomial infections for pregnant women who have been admitted to the hospital for delivery? What protection should pregnant women who are admitted to the hospital pay attention to themselves?
Hospital measures:
Screening: Pregnant women who go to the hospital for medical treatment or have been admitted to the hospital, have fever, cough or a basic medical history of infected people, and the hospital will conduct screening as required.
Isolation: Highly suspected cases, the principle is that it is necessary to isolate in situ, must be arranged in an isolated room, a series of prevention and control measures to avoid cross-infection.
Diagnosis: According to the condition of the disease, if necessary, multidisciplinary doctors will be organized to analyze the condition, and if it has been diagnosed, it will be referred to the designated hospital by a special vehicle. Each hospital has a series of designated prevention and control measures, and the hospital has a relatively mature management of suspected or confirmed personnel.
Self-protection for pregnant women:
Even in the hospital, it is important for pregnant women to protect themselves, such as wearing masks, washing their hands, and not touching them, and avoiding too many family visits.
Self-prevention and control coupled with the hospital's prevention and control measures, pregnant women can still ensure safety in the hospital.
*Some information reference: Suide release
Reference to this article: China News Network, First Obstetrics and Gynecology.