Pictured: The West Branch of Shanghai First Maternal and Child Health Hospital has made all-round emergency preparations to ensure that the safety of expectant mothers during pregnancy is guaranteed Source/Interviewee Provide
Since yesterday, a new round of nucleic acid screening has been fully launched in Puxi, during which expectant mothers in the sealing and control management, how to ensure the safety of pregnancy? The reporter learned that the West Courtyard of Shanghai First Maternal and Child Health Hospital, located at No. 536 Changle Road, is making all-round emergency preparations, and strives to prevent and control the epidemic, medical security is not lacking, and maternal services are not shrinking.
Online Q&A Warm And Protective
"Does it matter if the obstetric examination is postponed?" "What should I do if an emergency occurs during the sealing?" "Can important obstetric examinations such as large diastogenesis be done on time?" Among the Pregnant Women in Jianka in the West Courtyard, expectant mothers from Jing'an District account for a large proportion. To this end, the hospital and the Jing'an District Maternal and Child Health Care Institute cooperated, and the service team of the Jing'an District Maternal and Child Health Care Institute "Good Pregnancy and Good Fertility" collected relevant questions in the multiple Jing'an Mother-to-Be Exchange Groups under its jurisdiction, summarized them to a women's and children's West Hospital, and then answered by the hospital's professional obstetricians.
The recent epidemic situation is tight, whether it is epidemic-related or non-epidemic pregnant mothers, there is a lot of confusion. To this end, the obstetrics team of a maternity and infant West Hospital specially carried out online live Q&A, interacting with pregnant mothers in real time to alleviate the anxiety of this special group.
In addition, the fully opened maternal and infant "Internet Hospital", with the functions of the whole process system such as doctor consultation, electronic prescription, and drug distribution, has played an important platform role during the epidemic period, assisting different patient groups such as pregnant women to communicate with clinicians such as obstetrics, gynecology, neonatology, reproductive immunology and other clinicians in a timely manner, alleviating anxiety, answering their most concerned visits, examinations and other issues, and at the same time, online drugs should be fully matched and strive to meet the needs of patients.
Through the "online consultation" section of the WeChat service account "First Maternal and Infant Customer Service Center", doctors in various clinical departments of the West Hospital also took time to actively serve patients who asked questions online.
For possible emergencies, the "24-hour consultation hotline" (18964535693) composed of full-time staff of the hospital's obstetric safety office and a professional team of senior doctors has also been announced to the public a few days ago. This hotline is open to a woman and baby east and west campus, hospital service specialists to help answer various problems encountered by pregnant mothers throughout pregnancy, to assist them in card building, follow-up diagnosis and contract change, and not to miss important time node examinations (NT, large diaratology, etc.).
Offline diagnosis and treatment is fully guarded
"The safety of pregnant mothers is a top priority!" Huang Yiying, director of the obstetrics department of a maternity and infant West Hospital, told reporters that in order to smoothly ensure the safety of patients and their families who come to the hospital, the hospital has implemented the safety of epidemic prevention and control through a series of hierarchical and classified measures.
At present, the hospital has established an independent temporary clinic in the relative isolation area to diagnose and treat pregnant women with closed management or fever symptoms, and has prepared an isolation area with delivery room and operating room functions for the treatment or transfer of pregnant women with abnormal nucleic acid.
Combined with the particularity of the maternal population, the hospital also set up an obstetric buffer ward in the ward to implement the "two admissions" strategy. For pregnant women newly admitted to the emergency department, in addition to holding the effective nucleic acid negative report of Shanghai on the same day, they should be admitted to the buffer ward first, and then transferred to the conventional ward after completing the two nucleic acid negatives for 48 hours.
It is worth mentioning that due to the closed-loop management of many surrounding hospitals, during this time, due to the closure and control reasons, the maximum number of medical staff "reduced" by 40%, the workload of a female and infant West Hospital did not decrease but increased, the number of cards built, the number of obstetric examinations increased, and the amount of delivery also increased a lot. To this end, Yan Qin, director of the Gynecology Department of the West Hospital, led the team to take the initiative to support the obstetrics department.
Since the implementation of the Pudong and Puxi sub-batch sealing in Shanghai this round, the response speed of obstetric and infant obstetric emergencies has not decreased at all, and ensuring the safety of critically ill pregnant women has always been the unshirkable mission of this "Shanghai Cradle".
On March 29, the emergency department received a pregnant mother involved in the epidemic, and her community was sealed and charged, and the expected date of delivery exceeded 7 days. She herself wanted to give birth normally, but because of the age of pregnancy, it has been 41 weeks, the baby in the belly is a huge baby, and the obstetrician Zhou Mulan has performed an emergency caesarean section for her after evaluation, the baby weighs 4300 grams, and the mother and child are safe.
On the same day, a pregnant woman gave birth in the breech position, placenta implantation, pelvic adhesions, and there was heavy bleeding during delivery, with a bleeding volume of nearly 2000 ml! The hospital immediately deployed the strongest medical force to carry out rescue and ensure clinical blood, director of obstetrics Huang Yiying, director Shan Zhenli and director of gynecology Yan Qin came to the stage together, and with the joint efforts of neonatology, surgical anesthesiology, pharmacy, laboratory and other departments, the uterus was finally successfully preserved for the new mother.
Jiang Chaoying, vice president of a woman and baby, revealed that as early as March 28, before the implementation of the sealing and control in the Pudong area, there were dozens of medical staff living in Pudong, from obstetrics, gynecology, neonatology, ultrasound, surgical anesthesia, delivery room, operating room, emergency department, logistics support and other teams took the initiative to rush to the West Hospital and stay in the hospital. After Puxi was sealed, another group of medical staff voluntarily closed the loop in the hospital to ensure the allocation of medical forces in the West Hospital and the normal operation of the hospital.
At present, doubling down on the care of white-clad soldiers and ensuring the safety of medical staff is also an important measure to ensure the safety of patients. At present, the West Hospital and the East Hospital of a Woman and Baby implement homogeneous management, strengthen the protective measures of medical personnel at all posts, and upgrade all to second-level protection, and implement third-level protection for key posts. The hospital has set up an inspection team to conscientiously carry out special inspections such as the implementation of protective measures, environmental sampling and monitoring, and the elimination of medical places every day.
Correspondent Gao Yan Yin Yin Xinmin Evening News reporter Gao Yang