The majority of pregnant women in the city:
Hello!
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:
Maternal Personal Protection Essentials
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.
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)
If you have been identified as an intrauterine pregnancy, most tests can be postponed if there are no special circumstances such as vaginal bleeding, abdominal pain, and severe vomiting. However, "retroneck zonarcular band scan" (NT test) Do not forget that it is usually done 11-14 weeks after menopause.
(2) Middle pregnancy (13 to 28 weeks of pregnancy)
There are three main tests that need to be done:
1. Down's screening: generally around 15-20 weeks, if the age is more than 35 years old, you need to do amniocentesis;
2. Fetal malformation screening: commonly known as "large-displacement malformation", often carried out at 22-24 weeks;
3. About gestational diabetes screening: If your fasting blood glucose during early pregnancy is less than 4.4 mmol/L, weight management during pregnancy is also better and can be postponed; if you are an elderly pregnant woman or have a history of diabetes, or fasting blood glucose is greater than 5.1 mmol/L, it is recommended to do a glucose tolerance test as soon as possible, if you cannot check in time, you should follow the diet and exercise management of gestational diabetes.
(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, 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.
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 puerperal infection, breast swelling, mastitis, etc., we should be vigilant about the possibility of respiratory infection, and should go to the fever clinic in time for medical treatment.
Due to the needs of epidemic prevention and control, midwifery institutions can adjust the status of treatment at any time, please contact the hospital before seeking medical treatment to ensure timely medical treatment.
Opened the "Cloud Filing" service for pregnant women
Because of the needs of epidemic prevention and control, some areas of the city have entered a state of sealing and control, in order to meet the needs of special groups such as pregnant women and waiting for pregnant women, the city has opened a "cloud filing" service on the public account of "Healthy Zaozhuang Cloud" to establish files in a timely manner for pregnant women who are inconvenient to go out. Pregnant women at home through the mobile phone WeChat to pay attention to the "healthy Zaozhuang Cloud" public number - enter the public account and click on the "medical service" in the lower left corner - find the "maternal and child self-service file" in the outpatient business, fill in the information to complete the file. (For details, please refer to Annex 2 for details)
I wish the majority of pregnant women and their families peace and health!
annex:
1. List of information on midwifery institutions in the city
2. Pregnant women "cloud archiving" operation process
Zaozhuang Municipal Health Commission
March 30, 2022
Annex 1:
Appendix 2: Pregnant women "cloud archiving" operation process
Step 1: WeChat search and pay attention to the "Healthy Zaozhuang Cloud" public account.
The second part: enter the public account and click on the "medical service" in the lower left corner to find the "self-service file building for women and children" information in the outpatient business.
Step 3: After filling in the information according to the actual situation, click "Save" at the bottom and prompt "Save Successfully" to complete the file.