"Wow... Wow..." On the evening of April 13, with a loud cry, it sounded in the delivery room on the 10th floor of Building 3 of the Second People's Hospital of Guangdong Province (hereinafter referred to as "the Second Provincial Doctor"), and another life was born here.
In order to do a good job in maternal medical security during the epidemic prevention and control period, the provincial second doctor has made comprehensive deployment arrangements from the aspects of organizational guarantee, emergency plan, medical treatment process, medical treatment, and hospital infection prevention and control to meet the normal medical needs of pregnant women in the sealed (managed) control area.
Establish a special delivery room with a dedicated channel for pick-up and drop-off
Miss Tan (pseudonym), who lives in HaizhuJianghai Street, Guangzhou, is 36+4 weeks pregnant. Recently, Miss Tan's lower limbs were severely swollen, accompanied by dizziness, and the family in the control area was very anxious. So they rushed to the community hospital for help.
Receiving the help information, the community hospital immediately went to the door to check, found that the pregnant woman's blood pressure increased, through the provincial second doctor - Haizhu key area medical security working group, urgently contact the provincial second doctor, through the ambulance immediately sent to the obstetrics department of the Second People's Hospital of Guangdong Province.
As soon as the transfer information was received, the provincial second doctor immediately launched the "Emergency Plan for Maternal Rescue and Treatment during the Epidemic Prevention and Control Period", and after the pregnant woman entered the hospital, she was received from the designated treatment greenway special person to the obstetric special isolation delivery room, and waited for delivery in the special delivery room.
In order to do a good job in the medical security of pregnant women in Haizhu District, Guangzhou, the second provincial doctor has set up a special isolation ward for maternal admission and treatment in key areas, which is completely separated from other pregnant women and set up independently, including 4 wards, 1 waiting room, and 1 delivery room, which can accommodate 4 pregnant women, and has been further expanded to 8. Protective materials, medical supplies, maternal and newborn emergency equipment, first-aid drugs and other materials are readily available to ensure that the maternal transport process and route are reasonably standardized.
"When the patient arrived on the afternoon of the 13th, the blood pressure had reached 180/111mmHg, and the urine routine suggested urine protein 4+, which was in the pre-eclampsia, and if it was not treated in time, there may be serious adverse maternal and fetal outcomes such as eclampsia convulsions, intracranial hemorrhage, placental abruption, and intrauterine fetal death." Wang Wenzhen, attending physician of the Second People's Hospital of Guangdong Province, told reporters.
Pregnant women are in urgent condition, and immediately give antihypertensive, antispasmodic treatment, etc., and contact the bedside chest x-ray and ultrasound to understand the damage to the target organs and actively improve preoperative preparations. The results suggested that THE BNP was significantly elevated in pregnant women, the chest x-ray suggested both pulmonary edema and pleural effusion, and cardiac ultrasound suggested pulmonary hypertension.
"Can't wait any longer, the pregnancy must be terminated as soon as possible!" Zhou Jingzhen, chief physician of the obstetrics special isolation ward and chief physician of the Second People's Hospital of Guangdong Province, said. The obstetric team contacted the operating room, notified the pediatrician, and delivered the woman from the designated channel to the special isolation operating room to complete the caesarean section.
"Boy, 2600 grams!" At 6:35 p.m. on the 13th, a baby boy came to this world smoothly, which made the medical staff breathe a sigh of relief.
However, the challenge is not over. Premature newborns who are born undergo common complications such as hypothermia and jaundice, and are treated with active care and blue light exposure, and gradually stabilize their condition.
Maternal postpartum blood pressure is still high, 24-hour urine protein ration is as high as 19 g, and a large amount of loss leads to severe hypoproteinemia. After active antihypertensive, antispasmodic, intravenous albumin and other treatments, maternal edema gradually subsided and blood pressure gradually stabilized.
Today, the mother and baby are safe and have recovered and discharged from the hospital. When she was discharged from the hospital, Ms. Tan sincerely thanked the medical staff of the Provincial Second Medical Department. During the special period, the heart-warming service of the provincial second doctor solved her urgent needs and returned the safety of her mother and son.
"Last week, the weather was particularly hot, when we wore protective clothing for diagnosis and treatment, nursing, because the epidemic prevention and control could not turn on the central air conditioning, after a while the whole body sweated, we had to wear protective clothing, wear goggles, wear three layers of gloves in the process of fine operations such as birth and surgery, and it was more difficult to operate than usual, but we overcame these to fully guarantee the treatment of pregnant women in the control area." Liu Juan, a nurse in the ward, said.
Since the outbreak of the epidemic began to be controlled, the special isolation ward of the obstetric department of the second provincial doctor has provided 24-hour maternal treatment services, and ensured "1+1+2" at any time, that is, 1 attending physician, 1 resident physician, 2 training physicians are on the job, and the nursing staff is on 4 hours a shift.
According to statistics, the obstetrics department of the second provincial doctor has received a total of 26 pregnant women in the sealed (managed) control area, of which 7 women gave birth in this special delivery room, 10 women were hospitalized in the special isolation ward, 16 pregnant women completed obstetric examination, NT screening and other services, and completed the out-of-hospital telephone follow-up of 20 high-risk pregnant pregnant women.
Open up the green channel for early Down's screening of pregnant women in the control area
In order to help pregnant women in the sealed (management) control area not to interrupt the demand for obstetric examination, with the strong support and cooperation of the Ministry of Medical Affairs, the Department of Ultrasound and other departments, the provincial second doctor established the "Regular Obstetric Examination and NT Examination Plan for Pregnant Women in Medium- and High-risk Areas of the New Crown" within 3 days, which is a green channel, and through close contact with community doctors, reasonable arrangements for important examinations such as obstetric examination and early pregnancy Down screening, and provide one-stop services such as blood draw, urine test, I. ultrasound and appointment of grade II. and III. ultrasound examination throughout the process.
Recently, Ms. Chen (pseudonym) from The Nanzhou Community of Haizhu in Guangzhou successfully completed the early Down screening through this green channel.
The reporter learned that Ms. Chen was 13 weeks pregnant and needed to complete early Down screening within 13+6 weeks according to the plan. However, she was in a controlled area where she could not seek medical attention. Therefore, she sent out a request for help from the provincial second medical doctor - Haizhu key area medical security communication group, hoping to complete the screening as soon as possible.
After receiving the message for help, the provincial second doctor immediately launched the early Down's screening green channel, the medical department immediately coordinated the relevant departments to implement the specific plan, the hospital infection department and the ultrasound department once again implemented the ultrasound examination room environment, designed and planned the travel route, protective measures and environmental disinfection of medical staff and pregnant women.
In order to minimize contact, pregnant women in the control area use paperless online operations for registration, billing, and entry. The visit time is adjusted to after 7 pm, avoiding the peak period. After the pregnant woman arrives at the hospital, she is picked up and dropped off by a special elevator to a specific color ultrasound clinic, and the NT screening is completed together with the blood test, and then the environmental disinfection commissioner of the logistics department carries out comprehensive disinfection along the travel route.
Therefore, at 7:50 p.m., Ms. Chen, accompanied by community staff, took a special elevator to the designated ultrasound clinic of the ultrasound department and successfully completed the NT ultrasound examination, and the obstetric nurse completed the blood sample in the interval between her ultrasound examinations.
After completing a series of examinations, in the special period, you can enjoy professional and intimate medical services, so that pregnant women feel full of warmth.
Nandu reporter Wang Daobin correspondent Zhu Jian