50-year-old Ms. Zhang (pseudonym) got pregnant last year. She was pregnant with her baby at an advanced age, embryo transfer, and hypertension during pregnancy. The combination of various factors makes the baby in her womb a veritable "precious baby". Recently, this precious little angel was born safely in Nanjing Maternal and Child Health Hospital. Wang Chunhua, a nurse in the fourth ward of the maternal and infant department of the hospital's obstetrics department, shared her nursing notes with reporters, recording her experience of getting to know Ms. Zhang and her team and getting to know her mother and infant safety.
[First Meeting]
A very ordinary Wednesday, a woman in plain clothes and tan hair walked into our obstetrics room 511 high-pressure disease clinic. I saw that she was a little older and was about to say that her family could not come in and needed to wait at the door of the clinic. She said she was here to refer the doctor. I was a little surprised at that time, and then warmly received her, listening to fetal heart , measuring the uterine high abdominal circumference, and then asked Director Long Wei for consultation and examination.
We learned that this is the second pregnancy of this elderly pregnant mother, Ms. Zhang (pseudonym), who had a history of abortion before and had a third-generation embryo transfer. The rest are unwilling to disclose more. Director Long conducted a comprehensive evaluation and examination on her and diagnosed her as preeclampsia . We will adopt a "trinity" seamless service model, closely observe her and make plans. I established a personal file for her and distributed the health and education manual for hypertension during pregnancy prepared by the department, which detailed how to correctly measure blood pressure at home, precautions for daily life, dietary balance, medication guidance... This is our first meeting.
[Meet again]
A week apart, Ms. Zhang arrived as promised. After measuring blood pressure, listening to fetal heart rate, and measuring the high abdominal circumference of the uterus, Director Long Wei asked about her blood pressure and conscious symptoms at home this week. She checked the test results without any problem and made an appointment for a prenatal examination for two weeks. After I attended her medical treatment, I asked about her some sleep and activity. She was still limited to asking and answering whatever she asked and was not willing to communicate too much. This was our second meeting and she felt a little distance. After
, the pregnant mother came to our clinic as scheduled according to the appointment time. Every time we did the prenatal examination process and told her what she personally needed to pay attention to. Ms. Zhang communicated with us gradually more. She said: "The blood pressure records are uploaded online every week. When there is a change in blood pressure, the doctor will provide guidance, which makes me feel at ease at home. Your weekly online courses are rich in content and in-depth instructions, which allows me to understand the methods of self-care for hypertension and . The city's maternal and child medical care services are really professional and considerate." This is our third meeting, and we are becoming more and more familiar with each other.
[Mother and Baby Safety]
At the 32nd week of pregnancy, Ms. Zhang was admitted to the hospital during prenatal examination due to increased blood pressure and dizziness symptoms. During her hospitalization, she told us that she had poor sleep recently. On the basis of taking medicine, we gave her ear seeds and progressive muscle relaxation exercise guidance to help her control her blood pressure.
At 37 weeks of pregnancy, the doctor team from the fourth ward of the obstetrics department customized the cesarean section surgery plan for Ms. Zhang based on indicators such as gestational age, age, blood pressure, and fetal size and individual situation. Before the operation, the medical team conducted multidisciplinary consultations, including internal medicine, blood transfusion, anesthesia, , obstetrics, head nurses, and nursing backbones, to prepare emergency plans and ensure the safety of pregnant women and fetus in all aspects.
On the day of the operation, everything went smoothly, and Ms. Zhang gave birth to a cute baby boy. The newborn weighs 2560g, the newborn Apgar score 10 points, the maternal vital signs are stable, and the blood pressure after the operation is well controlled, and the whole family is very happy and excited.
[Post-operative follow-up]
The day after the operation, when I saw her in the ward, Ms. Zhang was very happy and was in a very good condition. The baby was lying quietly in the stroller, and the sun shone in from the window and shone on her shoulders. I felt it was a particularly happy picture. We talked a lot that day, and she finally opened her heart to me and shared her mental journey. She said over and over again, thanking us maternal and child care, especially the obstetric hypertension clinic and the fourth ward.
Soon, Ms. Zhang was discharged from the hospital. When I followed up on the phone, I found that her voice was very light.She said that her blood pressure monitoring is relatively stable at present, she recovers well after giving birth, her breast milk is enough for her child to eat, her child is also growing well, and her family is caring for her. She once again thanked us for our professional guidance and caring companionship from pregnancy to postpartum. I was very happy that she shared every bit of joy in life and told her some key points of nursing during the puerperal period from the perspective of a nurse: self-monitoring of blood pressure, precautions for taking medication, and follow-up of internal medicine.
With the changes in dietary structure and living habits, more and more pregnant women are suffering from hypertension during pregnancy, gestational diabetes and other problems. Hypertension during pregnancy is a serious perinatal disease that seriously affects the health of maternal and infants and is the main reason for the increase in the mortality rate of pregnant women and perinatals.
reporter learned that for these pregnant women with pregnancy-related hypertension, the obstetrics department of Nanjing Maternal and Child Health Hospital is oriented towards clinical patients' needs and patient experience as the center, giving full play to the advantages of maternal and childbearing professionally, forming a "three-in-one" seamless service model that combines online and offline prenatal, time and postpartum. Through prenatal, time and postnatal follow-up, the medical team cooperates closely and provides specific personalized guidance on their medication, diet, activities, and sleep based on the individual situation of the pregnant and childbirth, build a seamless new service model to ensure the health of pregnant and childbirth, promote the physical and mental health of high-risk pregnant and childbirth, and protect the safety of pregnant and childbirth.
correspondent Shi Yue
Yangzi Evening News/Zi Niu News reporter Lu Yanlin
photo provided by correspondent
proofreading Xu Heng
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