1. Medical staff care for newborns in a special isolation ward for obstetrics. Courtesy of the correspondent
2. Dr. Yan Shaojuan answers the medical hotline. Courtesy of respondents.
3. Doctors are doing ultrasounds for pregnant women. Courtesy of the correspondent
"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. In order to do a good job in maternal medical security during the epidemic prevention and control period, the Provincial Second Medical Department and Guangdong Qifu Hospital have 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 sealing and control area.
Dedicated isolation ward
Provide 24-hour maternal care services
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. After 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 contacted the provincial second doctor, through the ambulance immediately sent the pregnant woman to the hospital obstetrics department.
As soon as the transfer information was received, the second doctor of the province immediately launched the "Emergency Plan for The Treatment of Pregnant Women during the Epidemic Prevention and Control Period", and after the pregnant woman entered the hospital, she was received from the designated treatment greenway to the special isolation delivery room of the obstetrics department 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, the provincial second doctor has set up a special isolation ward for the admission and treatment of pregnant women in key areas, which is completely separated from other pregnant women, including 4 wards, 1 delivery room, and 1 delivery room, which can admit 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.
"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.
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 received a total of 26 pregnant women in the sealing and control area, of which 7 women gave birth in the 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 women.
Green channel
Pregnant women in the control area successfully completed the early Tang screening
In order to help pregnant women in the control and control area not to interrupt the needs of obstetric examination, with the support and cooperation of the Medical Department, the Ultrasound Department and other departments, the Provincial Second Doctor established the "Routine 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 are reasonably arranged, and one-stop services such as blood draw, urine test, I. level ultrasound and appointment of grade II and III ultrasound are provided throughout the process.
Recently, Ms. Chen from the Nanzhou community of Haizhu in Guangzhou successfully completed the early Tang 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.
Pregnant women's classroom
Experts monitor the condition of pregnant women online in real time
.
Ms. Li, a 36-week-pregnant twin mother, had planned to have a cesarean section around April 20. On April 15, a village in Pingshan, Shibi Street, was divided into a sealing and control area, and the area implemented the measures of "area closure, staying at home, and providing door-to-door service", and Ms. Li, who regularly checked in the maternity examination of Guangdong Qifu Hospital, was suddenly panicked. But soon, the obstetrician of Qifu Hospital contacted her and invited her to join the "Pregnant Women Consultation Group in the Sealing and Control Area", and that night she put forward a request in the group, and Sui Zhen, director of the Obstetrics Department of Guangdong Qifu Hospital, immediately replied: We will report your situation to the District Health Commission. In a simple sentence, Ms. Li was given a "reassuring pill".
On the afternoon of April 19, under the arrangement of the community hospital, Ms. Li was successfully transferred to the designated hospital for delivery, and on the morning of April 20, she successfully delivered a pair of twins by caesarean section.
Originally, after receiving the notice that some areas in Panyu District were divided into sealing and control areas, taking into account the plight of pregnant mothers in the region in obstetric examination and childbirth, Guangdong Qifu Hospital immediately established a "pregnant women consultation group in the sealing and control area". Jiang Chunlin of the Hospital's Obstetrics and Gynecology Center, Sui Zhen, Director of Obstetrics, Liao Dongxia, Deputy Director of the Maternity Ward, Lu Xiulian, Nursing Director of the Maternity Ward, Peng Hongli, and other senior experts monitored the health of pregnant women in real time in the group, providing 24-hour WeChat online consultation and diagnosis and treatment services. How to do obstetric examinations for special periods? What should I go to the hospital? Questions such as how to deal with leg cramps during pregnancy are answered in detail. Even though the outpatient visits, rounds, and surgeries are very busy, experts still take the time to answer every question of pregnant mothers in a timely manner.
In addition, the department has also "moved" the pregnant mother's classroom to the online, "Happy Pregnancy, Prepared Childbirth" and "Prevention of Birth Defects" and other courses, full of knowledge points.
Health Guard
While brewing milk powder, he answered the phone and asked for medical advice
In the control area of Mineral Spring Street in Guangzhou's Yuexiu District, there are two health-guarding lifelines circulating 24 hours a day, one with 45,000 residents and the other with 10 doctors and nurses from different medical institutions. They are not in the mineral spring control area, and they are temporarily coordinated to answer the medical helpline in the background, which is available 24 hours a day, and these 10 medical carers have become the health guardians of the residents of the control area.
Doctor Wei Heli of the Community Health Service Center on Datang Street due to poor signal at home, every time he answers the telephone hotline, he is always worried about not hearing the residents' requests, the stairwell at home can always see Dr. Wei up and down, carefully making records, during the period of joining the team, the stairwell has become his second home, every time he is asked, Wei Heli always replied lightly: "This itself is the duty of our medical workers, where to work is the same, can contribute their own meager efforts to epidemic prevention work, it is worth it." ”
Yan Shaojuan, a doctor from the Community Health Service Center on Datang Street, had to take care of her 4-year-old child alone during the epidemic period, and since she participated in the medical security work of the telephone hotline team, she answered a large number of calls every day, often taking notes and issuing medical orders while rushing to milk powder and then taking phone calls.
From April 9 to 18, the hotline medical staff answered a total of 767 cases of telephone help, 476 cases were solved immediately, 218 cases were sent to the door by contacting volunteers, those with more complicated conditions needed to be visited or sent to designated hospitals for diagnosis and treatment, and 291 cases were referred to the community duty doctor team for follow-up treatment.
Written by: Nandu reporter Wang Daobin Feng Yunqing Correspondent Zhu Jian Zhang Jiaping