Henan Daily client reporter Li Xubing correspondent Zhu Ruhai Song Xianglong
In most hospitals, obstetrics and pediatrics are set up separately, huaxian people's hospital innovation "maternity and child combination" treatment model, the "critical pregnant women treatment center" and "critical newborn treatment center" together, through the "joint birth and child" treatment model, open up a "green channel" for maternal emergency treatment, to avoid the dangerous situations that may occur for critically ill pregnant women and newborns to the greatest extent.
According to the person in charge of Huaxian People's Hospital, the "joint birth and childbirth" treatment model is that when every high-risk pregnant woman enters the operating room, a pediatrician will be equipped, and after the birth of a high-risk newborn, the pediatrician can give the first time to evaluate and treat. This is a mechanism innovation of Huaxian People's Hospital to integrate the advantages of disciplines in the treatment of critically ill pregnant women and critically ill newborns.
Another mechanism innovation of Huaxian People's Hospital in the treatment of critically ill pregnant women and critically ill newborns is based on multidisciplinary joint operations to build a "green channel" for maternal emergency treatment. For critically ill pregnant women, fatal complications such as heavy bleeding and amniotic fluid embolism may occur during the important period before and after delivery during the perinatal period, and if rescue is not timely, the mortality rate is very high.
In this regard, the hospital has strengthened the safety management of critically ill pregnant women's first aid in the pre-hospital emergency network, specially set up a leading group for the treatment of critically ill pregnant women and critically ill newborns, and established a "green channel" for critically ill pregnant women's first aid, responsible for pre-hospital first aid, transit and in-hospital rescue for critically ill pregnant women. This specially established group covers obstetrics, gynecology, pediatrics, cardiology, neurology, nephrology, respiratory medicine, gastroenterology and other multidisciplinary unity and cooperation, and builds a channel to repel death and protect life.
Whether it is the direct treatment of outpatient emergency department, or the treatment of critically ill pregnant women transferred from the outer hospital to the hospital, the hospital will organize expert consultations at the first time, and send them directly from the "green channel" to the obstetrics, delivery room, operating room or neonatal intensive care unit for the most direct treatment, which will reduce a lot of intermediate links and win valuable time for treatment.
The establishment of mechanisms such as the "joint birth" treatment model and the "green channel" of maternal emergency is like a pyramid, the spire is the hospital's advantage in critical pregnancy and childbirth treatment, and the taji is a powerful general hospital medical technology service system, which avoids all the dangers that critically ill pregnant women and newborns may have to the greatest extent possible, and ensures their safety to the greatest extent.
For high-risk pregnant women to give birth safely, the Obstetrics Department of Huaxian People's Hospital provides a variety of delivery methods according to the maternal situation, including natural delivery, painless delivery, etc., to accompany the mother in the whole process of delivery one-on-one during the delivery process.
Walking into the hospital's neonatal intensive care unit, the spacious closed isolation ward is clean and tidy, rows of newborn incubators are neatly arranged, young babies lie in it, a bottle of rapid hand disinfectant is placed in the upper left corner of each incubator, and each child is equipped with their own stethoscope to reduce the occurrence of infection. Busy medical staff patrol and observe between newborn incubators, pay attention to their status at any time, and make corresponding treatment measures for them in time...
For critically ill newborn care, the hospital implements responsible holistic care. Each child has a specialist nurse to implement comprehensive, full and continuous nursing services, and the specialist nurse implements an 8-hour work and 24-hour responsibility system. For newborn babies, the hospital simulates the environment in the mother's womb, using bird's nests, kangaroo care and other measures to give the baby a sense of security and a quiet environment.
"A child in the neonatal intensive care unit, unlike an adult, cannot verbalize his discomfort. And the child's body is too small and too weak, which requires our medical staff to observe meticulously, can not let go of any detail, to know the situation of each child, including the condition, treatment progress, milk completion, and even crying changes, crying times, the amount of bowel movements and frequency, weight subtle changes. The nurse in the neonatal intensive care unit of Huaxian People's Hospital said.