During the COVID-19 epidemic, pregnant women who need to see a doctor should first make an appointment online and visit the doctor at different peaks at different times. Please wear a mask when you seek medical treatment, one person and one consultation room, and maintain a one-meter line during the waiting treatment. So, how should we self-monitor pregnant women who are protected at home?
Self-monitoring "six strengthening"
1. Strengthen nutrition during pregnancy: balanced nutrition, meat and vegetarian combination, diversified ingredients (up to 12 kinds a day, up to 25 kinds a week). In 2016, the Chinese Nutrition Society issued the "Dietary Guidelines for Pregnant Women", which recommends that pregnant women add the following 5 contents on the basis of the dietary guidelines for the general population: supplement folic acid, often eat foods rich in iron, and use iodized salt; in severe pregnancy vomiting, a small number of meals can be eaten to ensure the intake of foods containing the necessary carbohydrates; the intake of milk, fish, poultry, eggs, and lean meat in the middle and third trimester of pregnancy is appropriate; appropriate physical activity, maintaining appropriate weight gain during pregnancy; smoking alcohol, and actively preparing for breastfeeding.
2. Strengthen health monitoring: Strengthen body temperature measurement and nucleic acid testing. Daily temperature measurement, if the body temperature ≥ 37.3 ° C, accompanied by fatigue, cough, sputum production, sore throat, diarrhea, myalgia and other symptoms, should be timely to the nearest institution with a fever clinic for treatment. Actively cooperate with community work and improve nucleic acid sampling in a timely manner.
3. Strengthen fetal movement monitoring: generally, conscious fetal movement begins at 20 weeks of pregnancy, and fetal movement is more active at night and in the afternoon. Fetal motility usually disappears during the fetal sleep cycle and lasts for 20-40 minutes. After 28 weeks of pregnancy, fetal movement is 3-5 times per hour, if the fetal movement count < 10 times/2 hours or a decrease of 50% suggests that there is a possibility of fetal hypoxia, you should go to the hospital in time.
4. Strengthen blood glucose monitoring: pregnant women with gestational diabetes should eat according to diabetic diet recipes, cooperate with reasonable exercise, use insulin in accordance with the doctor's instructions to use drugs correctly, do a good job of blood glucose monitoring, gestational diabetes patients blood glucose control goals: before and after meals 2 hours blood glucose values ≤ 5.3mmol / L and 6.7mmol / L, respectively; nighttime blood glucose is not less than 3.3mmol / L; diabetic co-pregnant patients before meals, night blood glucose should be controlled at 3.3-5.6mmol / L, The peak blood glucose after the meal is 5.6-7.1 mmol/L, and those who are not satisfied with the control should see a doctor in time.
5. Strengthen blood pressure monitoring: Pregnant women with hypertensive diseases during pregnancy should monitor blood pressure 2-4 times a day, such as blood pressure ≥ 140/90mmHg, or dizziness, dizziness, palpitation, shortness of breath, lower limb puffiness and other discomfort, should seek medical treatment in time.
6. Strengthen weight management: Weight gain in pregnant women can affect the short- and long-term health of mothers and children. Preconception BMI [weight (kg)/height (m2)], which provides individualized guidance for pregnant women to gain weight, diet, and exercise. The recommended table for weight gain in pregnant women is as follows:
Timely medical treatment "six know"
1. Near full term, a little vaginal bleeding, irregular contractions, this is a precursor to labor, do not have to be nervous. Non-isolated pregnant women should bring relevant documents, pregnancy test materials and other items to the perinatal health clinic in time. Pregnant women's families in the sealing and control areas should immediately contact the community and transfer them to the hospital for treatment in accordance with the requirements of closed-loop management.
2. If you feel paroxysmal abdominal pain, vaginal bleeding, vaginal flow, fetal movement abnormalities, etc., you should follow the above procedure to the hospital as soon as possible, and the emergency department should take the hospital obstetric green channel.
3. If there is vaginal running water, you should immediately lie in bed, avoid getting out of bed and moving around, reduce the risk of cord prolapse, fetal distress and other risks, and seek medical attention as soon as possible.
4. Pregnant women with irregular fetal position, scarred uterus and other elective caesarean sections, once there is contractions, redness, water breakage, etc., should seek medical treatment as soon as possible, and pregnant women with pregnancy complications and complications should see a doctor in time if there is an abnormal situation.
5. Pregnant women who are not a child should see a doctor immediately if they are not a child and have symptoms of imminent delivery.
6. Admitted patients must present a negative report of 48-hour internal nucleic acid test, and accompany one person and one escort according to the requirements, and refuse to visit.
(Baoji Maternal and Child Health Hospital)
Editor: Pei Mengying
Review: Han Zhengqiang