What should I do during the pregnant woman during the new crown epidemic?

Zhou Ling, the Strategic Support Force Featured Medical Center (formerly 306 Hospital), obstetrics and gynecology department

Editor Liu Yan/Cui Yan

Recently, the new crown epidemic has continued to heat up, and "sheep" has continued to appear around. As pregnant mothers who are disadvantaged, one is to be afraid of "sheep", can they go out to the hospital for inspection?The second is to be afraid of "sheep", will it affect the baby?Will it be serious and can’t stand it?Here, I will tell you the pregnant mothers.

During the epidemic, 7 outbound checks that must not be missed

Indeed, the hospital is the most "sheep". When you go, you must increase the risk of infection, so you can not try not to go, but it is best not to miss the following 7 delivery checks.

The first pregnancy test (preferably within 8 weeks of pregnancy) knows that you should go to the hospital for examination as soon as possible when you are pregnant. You need to do the following things: ① test blood pressure and weigh weight. Doctors need to know whether your blood pressure is normal and will help.You calculate the weight index (BMI) to give you the proper weight growth suggestion during pregnancy; ② blood drawing test, clearly have anemia, infection, etc., especially whether there are abnormal thyroid dysfunction, because thyroid hormones develop to the baby’s brain and nervous system to the baby’s brain and nervous system toIt is important.The baby’s own thyroid gland has only produced thyroid hormones from 12 weeks, which has relying on the mother’s thyroid hormone.Therefore, how can your thyroid function, the release of the release of thyroid hormones directly affects the baby’s brain and nervous system development; ③ ultrasound to eliminate ectopic pregnancy and embryo discontinuation.

From 11 to 13+6 weeks of pregnancy, the thickness of the fetal neck transparent layer (NT) is increased with NT, and the risk of non -rectification of chromosomes in the baby is also increased.In addition to the close relationship with the abnormalities of chromosomes, the risk of NT thickened babies also increases the risk of congenital heart defects, especially at the same time combined with venous duct A wave reverse and three -pointed reflux ultrasound.When NT is thickened, the risk of abnormal structures in the baby also increases.Therefore, this check should not be missed.

Fetal chromosomal examination (recommended for 18 ~ 22 weeks of pregnancy) Fetal chromosome examination should not be missed. As for choosing Tang Si, non -invasive or amniotic fluid puncture, the doctor will decide on your condition.

Everyone knows that this test is very important at 20 to 24 weeks of pregnancy. It is called "big row", because this gestational week is 20-24 weeks of pregnancy, and there are relatively many amniotic fluid.You can see relatively clearly.

High sugar tolerance and high glucose tolerance at 24 to 28 weeks of pregnancy can cause abortion, infection, excessive amniotic fluid, keto acid poisoning, huge or fetal growth, hypoxia in the fetusAfter the baby is born, the risk of hypoglycemia, respiratory embarrassment syndrome, and adult descendants’ risks increases, so blood glucose examination is very important.If you do not come to the hospital for the disease, then treat yourself as a diabetic pregnant woman, monitor blood sugar at home, control the empty stomach below 5.3 mmol/L, and control below 6.7 mmol/L for 2 hours after a meal.

The ultrasound from 28 to 32 weeks of pregnancy also claims that this ultrasound is "small row malformations", mainly to discover fetal malformations that may occur in the third trimester, such as hydrocephalus, abnormal bone development, and urinary system malformations.

From 37 to 38 weeks of pregnancy, the method of childbirth has reached this gestational week. Doctors will decide whether you are born or dissected according to your pelvic conditions, the size of the fetus, and whether there is a complication. When should you come to the hospital for hospitalization?

Reminder: (1) The above -mentioned 7 must -have for delivery is for pregnant mothers who do not have complications and complications. Other pregnant mothers must come to the hospital for a medical examination according to the instructions of the doctor;Self -monitoring, blood pressure measurement, weighing, abnormal blood sugar, or not detecting blood sugar, monitor blood sugar and count fetal movements. In addition, it is recommended to rent a remote monitoring at home for monitoring and upload the graphOutside the project, pay attention to monitoring body temperature daily, and be alert to suspicious symptoms related to new crown pneumonia, such as fever, dry cough, fatigue, nasal congestion, runny nose, sore throat, loss of smell or loss, conjunctivitis, muscle pain and diarrhea, etc.;4) Abnormalities, such as blood pressure exceeding 140/90mmHg, the weight growth is too fast, blood sugar cannot be controlled through diet and exercise, and there are bleeding, abdominal pain, and abnormal fetal movement.You also need to come to the hospital for treatment; (6) When coming to the hospital for delivery, you must protect it: wear N95 masks, put on gloves, touch the door handle, elevator button and other places, do not touch your eyes, mouth and nose, etc.After completion, you must strictly follow the 7 -step washing method.

Will the fetus affect the fetus after the new crown?

Affected by the fetus must be transmitted through the placenta. At present, there is no clear evidence that the virus can pass through the placenta and infect the fetus.However, pregnant mothers are infected. If it continues to high fever, it will affect the baby in the stomach. It may cause malformations and miscarriage in the early pregnancy. Premature birth, internal distress in the fetus, and too little amniotic fluid may be caused.Therefore, as long as he fever as soon as possible, it will basically not affect the fetus.

Do I need to go to the hospital after infection?

If it is just mild, such as simply fever and cough, home monitoring can be used. Using antipyretics (such as acetaminol), but if the body temperature continues, it may cause dyspnea, chest pain, heart panic, etc., or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement, or abnormal fetal movement.Abdominal pain, vaginal bleeding, etc., you need to go to the hospital in time.

As for the inspection, follow the medical order and check the examination.As mentioned above, it is recommended to rent a remote monitoring if the pregnant mothers in the third trimester have conditions. After the infection, you can monitor the fetal heart uploaded to the doctor at home, which can reduce the risk of going to the hospital.

Is a maternal infection with "Omikon", will the condition be more ill than that of others?

At present, clinical data shows that the symptoms and severity of pregnant mothers and other people are basically similar, and they are very rarely severe.There are some people with combined diseases, such as pregnant mothers with hypertension and heart disease may aggravate their illness.

Can I breastfeed after infection?

At present, there is no evidence that the virus can spread to the baby through breast milk, and if it is protected, the risk of spreading new crowns through breastfeeding is not high. Even if the baby is infected, most of them are mild or asymptomatic.Therefore, when the mother is in contact with her baby, she wears a good medical N95/KN95 mask and can be hygienic before and after contact. It can be breastfeed.However, it is preferred to recommend squeezing breast milk by others.

During the epidemic, pregnant mothers must relax and rest assured that we are your strong backing. In a very difficult time, we have a hard time to ensure the safety of mothers and infants!

(The picture comes from the Internet)

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