Editor’s note:
A few days ago, the National Health and Health Commission issued the "Notice on the Prevention and Control of Pneumonia’s Epidemic infection with New Coronatte Viruses in Children and Maternal Maternal", which made it clear that "children and maternal women are prone to new crown pneumonia".At the same time, it is required to do a good job of protection.So what are the protective work of pregnant women?
On the 11th, Guo Yong, the assistant to the dean of the Weifang Maternal and Child Health Hospital and the director of the high -dangerous property department, answered a series of questions such as how pregnant women should deal with during the epidemic.
1
reporter:
The coming of 2020 new crown pneumonia has given us a lot of tests. For pregnant women, this test is even more difficult.The biggest thing to give birth to life is to protect the children in the belly, so their pressure during this period will be greater than us.We also see cases that are also infected with newborn infected by pregnant women infected with newborns infected for a few hours. Can you briefly introduce us to the maternal and child communication relationship of new crown pneumonia?
Guo Yong:
Suspected or confirmed cases of new crown pneumonia must be transferred to the designated hospital for conventional isolation and treatment.At present, for the lack of specific treatment methods for new crown pneumonia, pregnant women, as special groups, do not clear whether there is a maternal and baby transmission, or whether it will be spread through milk.
2
reporter:
Everyone knows that in the process of pregnancy, they will frequently go to the hospital for various examinations, but now it is a period of epidemic, many people will have a lot of psychological pressure to go to the hospital, especially pregnant women. Once there are symptoms such as a cold, fever, etc.How to deal with it correctly?
Guo Yong:
Winter and spring is the high incidence of influenza. First of all, it is necessary to correctly distinguish the new crown infection and ordinary upper respiratory tract infections.Those without taboos can vaccinate the fluid vaccine.Secondly, we must strengthen nutrition, drinking water, sufficient sleep, proper warmth, and enhanced physical fitness and immunity.Should wash your hands frequently at home to keep the environment clean and ventilate; maintain good health habits of the respiratory tract.Once the symptoms of respiratory tract infections occur, you should seek medical treatment early to avoid blind medication and choose drugs that are small damage to the fetus.
3
reporter:
Pregnant women will do many large and small examinations throughout pregnancy. In a special period, can the number of times be reduced as appropriate according to the situation?
Guo Yong:
This is still based on different stages and specific conditions during pregnancy.In the early pregnancy, first judging whether he was pregnant and a regular period of childlike age, if menstruation was delayed for more than 7-10 days, you can first monitor them by test strips.Early pregnancy checks must first determine whether it is pregnancy in the palace and whether there is cardiovascular beating. If there are no special circumstances, you can rest at home.Do not miss the most important thing for NT (neck transparent layer) inspection at 11-14 weeks.During this period, if there are abdominal pain or vaginal bleeding, you will take a timely treatment.
4
reporter:
What do you just say at 11-14 weeks of ultrasound? What should I do if I missed because of inconvenience during the epidemic?
Guo Yong:
NT is a more important inspection item in the early pregnancy. If we miss it, we can conduct regular production checks in the later stage, and it can also be made up through the screening during pregnancy.
5
reporter:
These important inspection items are still necessary to go to the hospital for examination.When you go to the hospital during the epidemic, you must flatten your mentality, take necessary protective measures, and prevent epidemic prevention, but you must not be overly anxious.
Guo Yong:
Yes, maternal mothers can communicate in advance with your examination doctor in advance, inform the specific situation, and let the doctor help you make a more scientific decision.
6
reporter:
What are the necessary items in the early stages of pregnancy?
Guo Yong:
By the end of pregnancy: the most important checkup items are the screening of Tang’s syndrome, the four -dimensional ultrasound examination, and the OGTT screening (glucose tolerance measurement). Do not miss these three items under the epidemic.It is generally recommended to complete the Tang screen inspection between 15-20 weeks. With the preferential popularity of non-invasive DNA, you can also directly choose non-invasive DNA.Of course, for the pregnant maternal maternal or children who have children with chromosomal deformities, prenatal diagnosis is needed.At present, amniotic fluid puncture is still a gold standard for prenatal diagnosis (at present, the city’s free Tang screen and non -invasive DNA project management have been merged from the original city family planning guidance center to the Weifang Maternal and Child Health Hospital. Related issues can consult 8089350).Our hospitals are generally OGTT screening for four-dimensional color Doppler ultrasound and gestational diabetes between 24-28 weeks.Of course, under the epidemic, OGTT is not a problem for 2 weeks later. If you are really worried about coronary virus infection, for those who do not have a family history of diabetes, the empty blood glucose is normal, and OGTT can also be skipped, and diet control can be properly performed.Generally, you will consciously move in 18 weeks. You must pay attention to the change of fetal movement at home. Pay attention to abdominal pain and vaginal bleeding flow.
7
reporter:
For those in the middle of the pregnancy, Donaldiane screening, four -dimensional color Doppler ultrasound examination, and gestational diabetes OGTT screening are three important items. Try not to miss it.Let’s assume that if Tang Si did not do it during the 15-20 weeks?What will happen?
Guo Yong:
If you miss it, we can also do non -invasive DNA, which can be extended to 26 weeks.
8
reporter:
I also feel that it is not easy for pregnant women to bred life. I must give her the best. For example, diet nutrition is not ambiguous. I often listen to the elders saying "you have to eat more, one person eats, two people make up."
Guo Yong:
This is actually a misunderstanding. Maternal mothers should try not to change the original diet structure.Change may cause some consequences, such as insufficient trace element intake.
9
reporter:
It turns out that pregnant women have to control their mouths, so can I not eat steamed buns to eat more fruits?
Guo Yong:
Fruits are high in sugar. Eating too much is higher than eating steamed bun rice. Do not blindly think that the fruit does not gain weight. You must go through professional dietary nutrition guidance, scientifically control your diet, and reduce the occurrence of huge children.
10
reporter:
There are also some maternal groups, which may be accompanied by some pregnant diseases. So what should such people pay attention to?
Guo Yong:
Maternal mothers with hypertension or hypertension tendencies usually have low salt and low -fat diet to monitor blood pressure changes. If you need oral drugs, you must follow the doctor’s advice to avoid too much blood pressure fluctuations and cause early peeling of the placenta.For this kind of maternal maternal, you must go to the doctor at the time with the doctor. If the blood pressure has further increased, the edema increases, the headache and dizziness, the abdominal pain and vaginal bleeding, you must go to the hospital in time.Pregnant women with high blood sugar should also be hospitalized in a timely manner according to the doctor’s suggestion to terminate the opportunity to terminate the pregnancy in a timely manner to avoid accidents.If there are abnormal pregnant women and the position of the placenta, such as pregnancy complications, we must strengthen the management of pregnancy during pregnancy. Do not blindly extend the time of consultation.
11
reporter:
Okay, we continue to talk about which items for pregnant women’s maternity examinations are essential. In the third trimester, when the month we often say, there should be a lot of inspections during this period?I often hear that female colleagues discuss the discussion of the fetal position, and the problem of cesarean section.
Guo Yong:
Late pregnancy: 30-32 weeks is a time for fixed fetal positions. Do not correct your fetal position at home.This stage is also a period when the heart burden is relatively heavy. Many people may feel chest tightness and breath at this time, so they can come to the hospital for screening of cardiac ultrasound.From 36 weeks, it is necessary to check the inspection once a week. The production examination items mainly include routine hematuria, blood pressure, weight, and fetal heart monitoring.When the due date is approaching, the method of childbirth is comprehensively evaluated based on the mother and fetal condition.If each birth check is normal, the fetal heart monitoring and fetal movement are good. Those who have conditions can also be remotely monitored the fetal heart and fetal movement at home. If there are no special circumstances, they can also come to the hospital for check-in every 10-14 days under the epidemic.Of course, the more prone to problems in the third trimester. If you find that there are not many amniotic fluid or suspiciousness of the fetal heart monitoring or other situations require a short -term diagnosis, you must follow the doctor’s advice to avoid accidents.At home, you must also do some exercises that you can reach, control your weight, and prepare for smooth delivery.
I also encountered a lot of pregnant women in the outpatient clinic. I do n’t know how to count the fetal movement. The method of fetal movement counting: the daily, middle, and late pregnant women count the fetal movements for one hour each hour, three hours a day, the total number of fetal movements is 4, that is, 12 hours, the number of fetal movements is the number of fetal movements., Normal 30 times; if the total number of 12 hours is less than 10 times, it is prompted that the fetal palace is hypoxic, and it should be checked at the hospital.When monitoring fetal movement at home, the key is to look at the rules and changes of fetal movements. If the fetal movement is regular, rhythmic, and the change curve is not large, it means that the fetus is normal.If the fetal movement is obviously weakened or the fetal movement is frequently reduced, the fetus is prompted to be hypoxic, and the hospital should be checked immediately.
12
reporter:
That is enough to produce. This must go to the hospital. During this period, what protection measures should be paid attention to?
Guo Yong:
It is necessary to correctly identify the omen. As the uterine contraction intensity increases and the abdominal pain worsens, the contraction time is extended to be shortened with the interval time; the vaginal flow and bleeding must be hospitalized in time.Carry related documents and the items needed for newborns.During the epidemic, in accordance with the regulations of the hospital, only one accompaniment can be allowed. Please consciously reduce the accompanying personnel and inform relatives and friends not to visit the maternal maternal.During the hospitalization period, you must cooperate with the diagnosis and treatment. Do not delay in any discomfort and inform the medical staff in time.
13
host:
So like some of the high -risk pregnant women we just mentioned, is the time for being admitted to the hospital to produce different from ordinary mothers?Do you need to observe your physical condition early?
Guo Yong:
Doctors will comprehensively evaluate the hospitalization time based on pregnant women and fetal conditions.
14
reporter:
Many hypertensive pregnant women may be relatively small in pregnancy. Doctors recommend that when they endure pregnancy, they will not adopt doctors’ suggestions when they are in the insulation box, and continue to give birth. Is there any danger?
Guo Yong:
First of all, the doctor suggested that the termination of pregnancy is definitely based on the safety of adults and children. There are many complications caused by hypertension because of damage to small blood vessels in the whole body, so the child’s environment may not be very good and may be limited.There will also be a series of risks of retina, chest and ascites, heart failure, low protein ledis, etc. for adults, and such as adults.We have a professional newborn team, and premature babies are given to the newborn department. You can rest assured.
15
reporter:
When is it appropriate to discharge after giving birth?This depends on the doctor’s opinion, right?What about after going home?During the epidemic, the contact with acquaintances became very careful and not to mention strangers. How can the problem of Yueyue solve?
Guo Yong:
During the epidemic, the hospitalization time was shortened on the premise of maternal and infant safety.In order to reduce the gathering of personnel and the safety of the maternal and newborn, we do not recommend Yuezhang care. We have a professional medical team and have any problems to communicate with us.Better nursing newborn.It is necessary to balance nutrition after giving birth to avoid blind supplementation. It still encourages extra bed activities, breastfeeding, and breastfeeding.The routine is 42 days after delivery. If the lochia is normal, the uterus is returning to normal, and the newborn development can be appropriately extended the time to re -diagnosis.
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