Photo: Fudan University Affiliated Obstetrics and Gynecology Hospital guards the safety of mothers and babies Interview subjects (the same below)
In order to fight the battle against the epidemic, Shanghai has carried out nucleic acid testing round by round. But for the majority of pregnant women, they are facing unprecedented uneasiness: the residential community is sealed and controlled, and what should be done with the obstetric examination? Jianka Hospital is assisting in the investigation, what should I do if I am about to give birth? If it is an isolated pregnant woman, what should I do if I have an emergency? The nucleic acid report is not within the validity period, but the condition is very urgent, what to do? Epidemic prevention and control is becoming increasingly severe, but the safety of mothers and babies cannot be compromised. The Obstetrics and Gynecology Hospital Affiliated to Fudan University broke through the siege of the epidemic and made every effort to build a dual-track parallel "prevention and control safety line" and "maternal and infant lifeline".
Optimize the closed-loop transport process of emergency department, and save lives urgently
"Ultrasound B reported it: intra-abdominal bleeding. Estimated 1000 ml. It is too late to wait for the nucleic acid to be reported, and immediate surgery, otherwise once hemorrhagic shock, it is life-threatening at any time. ”
In the early morning of March 29, He Xiaoping, an emergency doctor at Yangpu Campus, received a patient with sudden abdominal pain. Xiao An (pseudonym), a 22-year-old white-collar worker, recently had an HCG blood test near her home and was clearly pregnant. On March 28, she worked from home as usual, but her abdominal pain became more and more obvious, accompanied by vaginal bleeding, until the early morning, Xiao An, who had unbearable abdominal pain, accompanied by her family, went to the emergency department of Yangpu Branch of Fudan University Affiliated Obstetrics and Gynecology Hospital. He Xiaoping believes from experience that xiaoan's ectopic pregnancy is extremely likely and requires immediate surgery.
But Xiaoan does not have a recent effective nucleic acid report, what to do? Safety of life first! The hospital immediately launched a plan, placed Xiaoan in the isolation clinic, completed a series of emergency examinations including B ultrasound, and as expected, Xiaoan had serious intraperitoneal bleeding, estimated to be 1000 ml. At the same time, the negative pressure operating room entered a state of preparation, and the anesthesia department and blood transfusion department were waiting. According to the closed-loop transfer process, the emergency personnel transferred Xiaoan from the negative pressure transfer chamber to the isolation ward.
But the next situation made everyone unexpected. Preoperative examination showed that Xiao'an's blood type was RH-negative blood, which is often referred to as the "panda" blood type. Under the epidemic situation, the blood bank is in emergency, and the blood source is in short supply. At this time, the abdominal pain on the hospital bed was severe, and the amount of bleeding further increased. The atmosphere in the operating room suddenly became solemn. In an emergency, the anesthesiology department decided to solve this problem by using autologous blood transfusion technology.
This emergency laparoscopic surgery, which is racing against time, is carried out in an orderly manner amid the buzzing of the instruments, and under the endoscopy, the rupture and bleeding caused by tubal pregnancy is nearly 1000 ml, but 300 ml of autologous blood is slowly returned to the patient's body, ensuring the smooth progress of the operation. Dr. Shen Haoran, the chief surgeon, calmly completed the operation, and the patient's vital signs recovered steadily.
Seamless connection makes the "life channel" unimpeded
On the evening of March 28, the Yangpu Campus implemented screening measures for relevant personnel and the environment, and some areas were temporarily closed-loop management. The place is closed, but the delivery cannot be suspended. The hospital immediately launched a plan, urgently adjusted medical resources, adjusted the Yangpu outpatient operating room into a backup delivery room, and opened a green channel for emergency pregnant women.
Midwives who have just left the morning shift, obstetricians who have only taken night breaks, neonatologists who insist on consecutive shifts, anesthesia medical care in the community that has just been unsealed, everyone has moved at the behest of orders, and has rushed directly to the hospital from all sides of the city.
Under the coordination of various functional departments, Quan Peiqing, the head nurse of the outpatient operating room, completed the use of obstetrics and neonatal instruments and emergency equipment, and the information department Xu Chengjie actively helped solve the information system problem, and in less than 1 hour, a delivery room with 2 obstetric operating rooms, 1 waiting room, and 1 delivery room was quickly ready.
At about the same time, the emergency department called: "37 weeks pregnant, twins with preeclampsia, elevated urine protein, urgent cesarean section required!" "The well-trained Red House medical team, seamless and orderly cooperation, perfectly realizes the rapid switching of "combination of epidemic prevention" at the moment of epidemic prevention, so as to keep the responsibility of the land and guard the door. The long night, the temporary delivery room is brightly lit, and the two new lives who "fell to the ground" and the new mother who turned the corner are relieved.
"Emergency care does not stop" is a commitment to the life of the people. When the epidemic struck, the hospital listed every risk that might arise and invited them to resolve them. Wards 21 and 27 are model "isolation wards" for gynecology and obstetrics in hospitals. When the epidemic suddenly broke out, these two military wards only needed to install a "one-panel wall" on this floor to quickly meet the requirements of the new crown wards that met the "three districts and two passages". Once the epidemic appears, close this door, the ordinary ward can be quickly switched to a new crown ward, and the ward immediately enters a state of isolation. In the absence of a major outbreak, the wards returned to normal operations. The "one-panel wall" cleverly transforms the ideal model of "win-win situation and win-win situation", and realizes the efficient coordination and seamless connection between public health services and medical services.
WeChat contact, SMS notification... Pamper the "softest" crowd
"Doctor, I made an appointment to do a large row of deformities on April 3, but Puxi sealed it, what should I do?" On the other end of the phone, the voice of the pregnant woman Xiao Song was already crying. "Don't worry, I'll help you change your contract now." At the end of the phone, the staff patiently told Xiao Song that he could adjust the examination time for him within the corresponding gestational week, and when he heard this, Xiao Song immediately calmed down.
Obstetric examination during pregnancy is a just need of every pregnant woman, of which the screening and diagnosis of birth defects is an important item. From April 1 to April 5, Puxi will carry out a new round of nucleic acid screening. What should I do if I make an appointment for a major deformity or N T test during this period? To this end, the ultrasound department of the hospital solved the problem in front, they carefully sorted out the list of pregnant women, and then contacted the information department to notify each pregnant woman of the relevant adjustment information through the information system point-to-point text message, and reminded them to ensure that there is a 48-hour nucleic acid report, so that the uneasy mood of the pregnant mothers to be tested has been alleviated.
At present, there are more than 6,000 pregnant women in the hospital. Gu Weirong, director of the obstetrics department of the hospital, said: "The WeChat group of the obstetrics department has been established for two years, and pregnant women can find their own attending doctor for communication and consultation for the first time in the group, which is a normal work in the past two years. "During the epidemic, the WeChat group of the special disease group played a key role. It is understood that there are six specialized disease groups in the obstetrics department of the hospital, and the WeChat group of each special disease group has a special group director, deputy director, clinical backbone physicians, as well as nurse leaders and responsible nurses online. In addition to ensuring that the patient's questions are replied to in a timely manner 24 hours a day, the medical staff in the group also regularly classify the consultation questions and answers, and hang the questions in the self-service system of the hospital's official service account through intelligent robots, which is convenient for pregnant women to review and learn and find.
The persistence of the "retrograde" to ensure the safety of mothers and babies "does not stop"
On the evening of March 27, not long after the announcement of the sealing of the area bounded by the Huangpu River, the hospital welcomed many "red house people" with suitcases, who came from all directions of the city retrograde and voluntarily stayed in the hospital to take on the responsibility of guarding patients.
Gynecology ward nurse Xiao Gu has been sticking to the post for ten days, from the gynecological ward to the support obstetric ward and then into the isolation ward, Xiao Gu and her "comrades-in-arms" not only do a good job of medical care, but also help the mothers wipe themselves, carry water, do a good job of life care, when asked why WeChat avatar is an Ultraman, she smiled and said, "This is my son's idol, before going out he asked me, is it also like Ultraman to defeat the monster?" I replied to him that Mom would come back after defeating the monster. Now, I have become an idol of my son. "Their tireless efforts have been exchanged for the praise of the women in the ward."
In fact, they are no longer the first "stranded people" in hospitals. As early as the beginning of the epidemic, there have been countless voluntary hospital personnel in the hospital. The sweaty white in the screening ward, the round after round of killing, the diligent logistics workers, the security guards with great bodies, the canteen staff who get up early and greedily..." In addition to the sick leave employees, all the canteen employees lived in the hospital, although the canteen in the middle was suspended due to the epidemic, but the Yangpu canteen was on top in time to support the three meals supply in the two hospitals. Fu Wenduo, the canteen manager, said, "The accommodation conditions are difficult, but I have not heard a single complaint." "It is their perseverance that ensures the catering of all patients and medical staff in the two hospitals, so that everyone can avoid worries."
Xinmin Evening News reporter Zuo Yan correspondent Wang Jue, Li Min, Shen Yan