To deal with COVID-19, pregnant women should keep these 8 items in mind!

What are the symptoms of pregnant women infected with novel coronavirus? What are the circumstances that require emergency medical treatment? Due to excessive use may cause respiratory tract, skin allergy and other conditions, the key nodes of pregnancy to the hospital antenatal examination is necessary, such as early pregnancy when there is stomachache, bleeding, NT ultrasound, large discharge ultrasound, Down screening, non-invasive, oral glucose tolerance test. Remember not to have your own fetal heart sound examination at home. Third, what are the circumstances that require emergency medical treatment? 1. Vaginal bleeding or abnormal secretions 2. Persistent headache, dizziness and fever 3. Abdominal pain 4. Cough, chest pain 5. Severe nausea and vomiting 6. Have difficulty breathing 7. Severe edema 8. Other uncertain situations, such as abnormal fetal movement. Fourth, what are the symptoms of pregnant women infected with novel coronavirus? Symptoms are usually similar to non-pregnant people. Fifth, what if a pregnant woman is infected with novel coronavirus? What is the impact of infection with novel coronavirus on pregnant women and fetuses? Pregnant women infected with novel coronavirus increase the risk of complications.

What are the symptoms of pregnant women infected with novel coronavirus?

During the epidemic, you don't have to do a pregnancy examination?

What are the effects of infection with novel coronavirus on pregnant women and fetuses?

What are the circumstances that require emergency medical treatment?

About the concerns of mothers-to-be.

Beijing Tsinghua Chang Gung Memorial Hospital affiliated to Tsinghua University

The department of obstetrics and gynecology will answer for you!

First, these preventive measures should be taken!

Reduce going out; wear N95 mask when going out; keep social distance and avoid going to crowded places; minimize hands touching potentially contaminated areas in public places, including door handles, elevator buttons, etc.; do not touch eyes, mouth and nose when not washing hands; wash hands frequently, use seven-step washing technique, wash hands with soap and running water; rinse mouth with 0.9% sodium chloride, and clean nose. Regular window ventilation, maintain home air humidity, avoid nasopharynx discomfort caused by winter dryness.

Home needs to pay attention to, in the choice of disinfectants must be cautious, because excessive use may cause respiratory tract, skin allergies and other conditions, do a good daily home cleaning.

Second, during the epidemic, do not need to do pregnancy examination?

It is necessary for the key nodes of pregnancy to come to the hospital for antenatal examination, for example, when there is stomachache and bleeding in early pregnancy, ultrasound is needed to identify whether it is intrauterine pregnancy; NT ultrasound, large discharge ultrasound, Down's screening, non-invasive, oral glucose tolerance test and so on.

Number of fetal movements every day after 28 weeks of pregnancy, abnormal fetal movement immediately see a doctor, be sure not to carry out fetal heart sound examination at home to avoid irreparable consequences

Weekly antenatal examination at 37 weeks of pregnancy is recommended to understand the intrauterine condition of the fetus. For those with high risk factors, such as gestational diabetes mellitus, gestational hypertension and so on, regular antenatal examination is needed.

Third, what are the circumstances that require emergency medical treatment?

If the following situations occur, it is recommended to go to the hospital for medical treatment as soon as possible:

1. Vaginal bleeding or abnormal discharge, etc.

two。 Persistent headache, dizziness and fever

3. Abdominal pain

4. Cough, chest pain

5. Severe nausea and vomiting

6. Have difficulty breathing

7. Severe edema

8. Other uncertainties, such as abnormal fetal movement

Fourth, what are the symptoms of pregnant women infected with novel coronavirus?

Symptoms are usually similar to those of non-pregnant women, with major symptoms such as fever, cough, dry pharynx, hoarseness, dyspnea and muscle soreness all over the body.

Fifth, what if a pregnant woman is infected with novel coronavirus?

Novel coronavirus infection during pregnancy, first of all, do not be too anxious, first to see if there are any symptoms. If it is only asymptomatic or mild, sore throat or a little cough, you can stew pears with rock candy at home to moisturize the lungs, drink more water to keep the respiratory tract moist, and pay attention to rest. If pregnant women have a fever below 37.5 ℃, you can use brown sugar ginger and green onions to boil water for drinking; if high fever is above 38 ℃, physical cooling can be carried out, hot compress artery with towels (armpit and groin), drink more water, persistent high fever is recommended to go to the hospital and rule out other causes.

What is the impact of infection with novel coronavirus on pregnant women and fetuses?

For pregnant women: pregnant women infected with novel coronavirus increase the risk of complications, such as preterm delivery, cesarean section and stillbirth, but this is only seen in severe or critically ill patients with late pregnancy; even if the patient is asymptomatic, the risk of preeclampsia may also increase.

For fetuses, there is no clear evidence that the virus can cross the placenta and infect the fetus. Some newborns have mild symptoms of infection, most of which are caused by respiratory transmission after birth.

Does infection with novel coronavirus affect the mode of delivery?

Infection with novel coronavirus is not an indication of cesarean section, so even if infected, we still encourage natural delivery. If the condition is urgent, such as accompanied by fetal distress, it will increase the risk of cesarean section.

Eighth, infected with novel coronavirus, can pregnant women breastfeed?

The result of the current study is that it is possible to continue breastfeeding, but pregnant women need to be protected by wearing an N95 mask to avoid respiratory transmission. When not breastfeeding, do not have close contact, such as hugging, kissing the baby and so on. If you take medication for symptoms such as fever, follow your doctor's advice on whether to suspend breastfeeding and wait for recovery, as the benefits of breastfeeding outweigh the risk of infection.

Transferred from Beijing Tsinghua Chang Gung Memorial Hospital

(Zhao Meng and Huang Zhenyu / tr. by Phil Newell)

Source: Tsinghua University