The majority of pregnant women in the city:
At present, the situation of prevention and control of the new coronavirus pneumonia epidemic in our city is severe and complex, and you who are pregnant with a small life may be facing worry, confusion and tension. In order to help you do a good job in the health care during pregnancy and childbirth during the special period, safely and smoothly welcome the arrival of the baby, and do a good job in the prevention and control of the new crown epidemic, we provide you with the following health tips and medical advice:
1. Key points of personal protection for pregnant women
1. Do not go to farmers' markets and crowded places, and eat meat, eggs and dairy products after being fully cooked or heated.
2. Maintain proper exercise, avoid lying down for a long time, wear a mask when going out, open the window regularly for ventilation, place the coat in a ventilated place, and treat the used mask harmlessly.
3. Wash your hands frequently, avoid touching your mouth, nose, and eyes after going out, after coughing or sneezing, or after touching potentially unclean objects, and wash your hands with soap or hand sanitizer running water.
4. Self-monitor body temperature, weight, fetal movements, and consult a doctor or consult a doctor for abnormal conditions.
5. Pregnant women with a pregnancy risk assessment of "green" and "yellow" can reasonably arrange obstetric examinations according to the gestational age. During the epidemic period, pregnant women can extend the interval between obstetric examinations appropriately if there are no special circumstances, and monitor the intrauterine condition of the fetus at home (e.g., self-counting fetal movement or electronic fetal heart rate monitoring). Pregnant women with "orange" and "red" pregnancy risk assessments must follow the appointment time to check on time, do personal protection at the same time, and try to shorten the time for medical treatment.
Second, how to seek medical treatment when necessary
1. Confirmed and asymptomatic infected pregnant women: routine diagnosis and treatment services are provided by the designated hospital for treatment; if referral is really necessary, the designated hospital where the designated hospital contacts the negative pressure ambulance to pick up and drop off to the designated hospital.
2. Centralized isolation points, sealing and control areas, and control areas for pregnant women: The routine diagnosis and treatment services for pregnant women in centralized isolation points are provided by the medical staff of the isolation points; if it is really necessary to refer them, the isolation points will directly contact the corresponding designated hospitals and arrange special vehicles for pick-up. Pregnant women in the sealing and control areas and control areas shall arrange staff or guide themselves to contact medical institutions in advance to make an appointment and inform them of the relevant condition; strictly implement closed-loop management measures such as special vehicles and full protection in strict accordance with the requirements of prevention and control.
3. Critically ill pregnant women (including emergency midwifery, abortion): In case of medical needs for imminent labor or emergency rescue, immediately dial the 120 emergency telephone, and contact the community (village) or isolation point staff at the same time, and wait for the 120 ambulance to escort to the medical institution for treatment at the agreed place.
4. Other pregnant women: Determine the mode of travel according to the provisions of epidemic prevention and control, go to the hospital with normal consultation, and also obtain online medical services through hospitals that provide online diagnosis and treatment platforms, and actively cooperate with epidemiological investigation and body temperature detection. When a pregnant woman with a fever presents, she should choose a hospital that offers a fever clinic. Diagnosis and treatment are carried out by the fever clinic, and the obstetrician goes to the fever clinic for obstetric examination; If a pregnant woman with fever meets the indications for admission after being examined by an obstetrician, please cooperate with the hospital to be admitted to the isolation single room ward.
3. Key points of obstetric examination during pregnancy
Please arrange the time for medical treatment reasonably, make an appointment for registration, seek medical treatment in stages, and minimize the time spent in the hospital and consultation room. To make an appointment, you can log on to the hospital's official website, pay attention to the hospital's WeChat public account, or call the hospital appointment telephone.
1. Early pregnancy (< 13 weeks)
Pregnant women who have been identified during early pregnancy with a live intrauterine fetus, no vaginal bleeding, and no previous history of adverse pregnancy can perform simple self-monitoring at home to reduce the number of trips to the hospital. "Postnatural zonarcular band scan" (NT ultrasonography) has a gestational limit (11-13+6 weeks gestation), try not to miss it.
2. Middle pregnancy (13-28 weeks gestation)
(1) Down's screening: generally around 15-20 weeks of pregnancy. If the age is more than 35 years old, prenatal diagnosis by amniocentesis is required; prenatal screening of fetal free DNA in pregnant women can be combined with doctor's advice; (2) fetal malformation screening: commonly known as "large excretion", often carried out at 22-24 weeks of pregnancy; (3) gestational diabetes screening: (24 to 28 weeks of pregnancy), such as fasting blood glucose during early pregnancy is less than 4.4 mmol/L, and gestational weight management is better, it can be appropriately postponed; if it is an elderly pregnant woman or has a history of diabetes, Or fasting blood glucose greater than 5.1 mmol/L, it is recommended to do a glucose tolerance test as soon as possible.
3. Late pregnancy (28-40 weeks of pregnancy)
28-36 weeks of pregnancy is generally checked every 2 weeks, during the epidemic, if you do not have pregnancy complications, complications and your own paresthesias, you can also postpone the test, such as pregnant women with obstetric risk factors should be checked on time according to the doctor's advice. After 36 weeks' gestation, the frequency of obstetric examinations is usually once a week, and weekly fetal heart rate monitoring is essential.
If there are abnormal conditions during pregnancy, such as headache, unclear vision, shortness of breath, increased blood pressure, vaginal bleeding or fluid, abnormal abdominal pain, abnormal fetal movement and obvious edema, etc., you should seek medical attention in time. Fear of the pandemic should not delay the condition.
During the medical obstetric examination, try to hold the 48-hour nucleic acid test report or 48-hour sample certificate, ask the pregnant mother to take the initiative to cooperate with the guidance of the staff, efficiently and safely do a good job in the obstetric examination, adopt the correct way throughout the process, wear a mask, take the initiative to accept the temperature test, the number of family members accompanying the obstetric examination is limited to 1 person, and the family members do not accompany the doctor when they have fever or cold symptoms. If the woman is hospitalized, relatives should be informed of the risks of visiting the hospital to prevent cross-infection.
(4) Correctly respond to signs of imminent labor
1. If there is vaginal redness, regular contractions (1 contraction within 10 minutes) or premature rupture of membranes (abnormal vaginal fluid) should seek medical treatment as soon as possible, if the fetus is breech or not full-term, pregnant women should try to stay flat for medical treatment.
2. Pregnant women who are close to the due date should prepare relevant documents, maternal and child health manuals, obstetric examination materials, maternity kits and other items in advance. Try not to use public transportation when seeking medical treatment.
Fourth, postpartum precautions
1. Breastfeeding during the epidemic: Whether the novel coronavirus is transmitted through breastfeeding is still unclear, and breastfeeding is not recommended for suspected cases and confirmed cases that have not yet recovered.
2. Precautions for postpartum fever: Asymptomatic infected people may have clinical symptoms during the puerperal period, and after excluding obstetric conditions such as ecstasy infection and mastitis during the puerperal period, we should be vigilant about the possibility of respiratory infection, and should seek medical treatment in time for fever clinics.
I wish the majority of pregnant women and their families peace and health!
List of information on midwifery institutions in the city
Weifang Municipal Health Commission
March 18, 2022
Source: Healthy Weifang Qingzhou Rong Media Comprehensive Finishing