From 3:00 a.m. on April 1, following the Pudong area, Puxi district began a new round of nucleic acid screening and global sealing management. Since March, Shanghai has faced this wave of "epidemic tests", testing the management wisdom and resilience of all lines of the city. As a specialized hospital of obstetrics and gynecology, the International Peace Maternal and Child Health Hospital of the China Welfare Association and the West Hospital of the First Maternal and Infant Health Hospital of Shanghai During this period, how to ensure the safety of pregnant mothers who are in the control and control of pregnancy?
Maternal rescue presses the "fast forward button"
"During the special period, the hospital took the initiative to take a step forward, and while doing a good job in clinical diagnosis and treatment services and support in an orderly manner, it also paid attention to their emotional relief." Liu Zhiwei, secretary of the National Women's and Infant Party Committee, introduced it.
On April 1, the first day of Puxi sealing, more than 40 newborns were welcomed in the country, and nearly 50 cases of pregnant women were handled in emergency transport. "Originally the due date was in mid-April, when I was doing nucleic acid in the community in the morning, I suddenly felt a stomach pain, so I immediately dialed 120 to let the ambulance take it to the hospital." Ms. Zhang, who lives in Caoyang Community in Putuo District, said, "At that time, I was still waiting in line for sampling, and on the way to the hospital, I was worried about whether I could be admitted to the hospital without nucleic acid test results." ”
"The hospital has long envisioned that such incidents will definitely occur from time to time during the lockdown period, and the outpatient emergency department has already formulated a perfect plan." Fang Lan, head nurse of the National Maternal and Infant Emergency Department, said that situations like Ms. Zhang's encountered several cases every day. Diagnosis of disease, healthy flow adjustment, rapid nucleic acid, buffer ward disposal... In the end, Ms. Zhang smoothly moved into the delivery room.
On March 29, a pregnant mother of the West Hospital of Women and Infants received an epidemic-related pregnant mother, 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 who gave birth in the breech position experienced heavy bleeding during childbirth, bleeding 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, finally successfully preserved the uterus for this new mother.
Huang Yiying introduced that a women's and baby West Hospital has established an independent temporary viewing point in the relative isolation area to diagnose and treat pregnant women with closed management or fever symptoms, and prepared an isolation area with delivery room and operating room functions for the treatment or transfer of pregnant women with abnormal nucleic acid.
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 women's and children's 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.
Online Q&A warm guardians special groups at home
"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 of a woman and baby, 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 Collected Relevant Questions in multiple communication groups under its jurisdiction, and after summarizing them to a Maternity and Infant West Hospital, the hospital's professional obstetricians will provide unified answers to alleviate the anxiety of this special group.
In addition, the fully opened "Internet Hospital" for women and babies has the functions of the whole process system such as doctor consultation, electronic prescription, and drug distribution, which has played an important platform role during the epidemic. For possible emergencies, the "24-hour consultation hotline" (18964535693) composed of full-time staff of the hospital's obstetric safety office and a team of senior doctors was also announced to the public a few days ago. This hotline is open to a female and infant east and west campus to help answer various questions encountered by pregnant mothers throughout pregnancy.
It is reported that at present, there are more than 7,400 pregnant women in the hospital for obstetric examination and construction card. In order to effectively alleviate the anxiety of pregnant women at home, the hospital obstetrics, prenatal diagnosis center and other departments set up 36 WeChat pregnant women groups, and arranged obstetric experts to provide professional answers for pregnant women.
Medical care retrograde hospital stay in the hospital to fight the battle of epidemic prevention
The patient's safety and responsibilities. Jiang Chaoying, vice president of a woman and baby, revealed that as early as March 28, before the implementation of the sealing and control of the Pudong area, dozens of medical staff 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. On the eve of Puxi sealing, nearly 800 hospital employees of the national women and children voluntarily stayed in the hospital to ensure the orderly and normal operation of all work and blocks of the hospital. That night, they dragged their suitcases through the night of Shanghai, retrograde from all over the city.
Since the end of March, the maternity ward of the national maternity and infant has been almost full, so as to meet the needs of pregnant women and children to the greatest extent. At the same time, under the premise of ensuring the clinical safety and needs of the hospital, the hospital has also sent several batches of medical staff to cooperate and support the city's epidemic prevention and control and screening work. "Now is the time when we are most needed, and one more person can share some more pressure for the hospital and provide more protection for patients." Xiao Wang, a post-90s nurse in the national maternity ward, said so.
Not only medical personnel, but also nearly 300 workers and attendants responsible for the logistics support of women and children in the country, such as security masters, have also voluntarily joined the "garrison" team. It is precisely with their dedication and selfless dedication that the smooth operation of the hospital's clinical diagnosis and treatment, material supply, cleaning and killing, safety prevention and control and other aspects under the "full bubble management" mode can be smoothly guaranteed.
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. Wang Yu, president of a woman and baby, introduced that at present, the west and east hospitals of a woman and baby implement homogeneous management, strengthen the protective measures of medical personnel at various 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.