With the optimization and adjustment of epidemic prevention and control policies,
many people are worried about being infected with the new crown What should I do?
How can people, especially pregnant women, protect themselves? What should I do once
is infected?
In the "Shanghai Jiading" APP,
Jiading Radio and Television Station FM100.3
synchronized audio and video live broadcast of the "Healthy Way" program,
experts were invited to give popular science answers!
Guest
Hong Xiping , deputy chief physician of the obstetrics department of Jiading District Maternal and Child Health Hospital, has 24 years of clinical work and is good at the diagnosis, treatment and surgery of various high-risk pregnancies in obstetrics.
Are pregnant women more susceptible to the new coronavirus than the general population?
Overall, the infection rate among pregnant women is close to that of the general population.
What are the symptoms of maternal infection?
The symptoms of pregnant women after infection are similar to those of the general population. They are mainly upper respiratory tract infections , such as dry throat, cough, sore throat, nasal congestion, runny nose, body aches, fever, etc. Generally, they get better in 3-4 days, and the duration of the disease is about 7 days.
Will the infection be more serious among pregnant women?
Compared with the general population, infection does not have too much impact on the health of pregnant women.
What should pregnant women with underlying diseases pay attention to after infection?
Pregnant women with underlying diseases such as hypertension and diabetes must first consult a doctor when choosing drugs to treat COVID-19 and inform them of the drugs they usually take to avoid drug interactions or effects on underlying diseases. Drugs used to treat existing diseases cannot be stopped at will.
What symptoms do pregnant women need to seek medical attention immediately after infection?
1. Antipyretics are ineffective for persistent fever, and the body temperature continues to exceed 39°C.
2. Obvious difficulty breathing, severe chest pain or coughing up blood, severe fatigue, irritability, syncope, confusion, etc.
3. Obstetric-related emergencies, such as regular or nearly regular uterine contractions , abnormal fetal movements, headaches, elevated blood pressure, blurred vision, vaginal bleeding, and vaginal discharge.
Can pregnant women still get prenatal check-ups on time after being infected?
Currently, all midwifery medical institutions in the city can treat infected pregnant women. In order to avoid cross-infection when going to the hospital, most examinations during pregnancy should be completed within a relatively relaxed time period. The following important examinations are recommended to be completed within the gestational period: NT examination at 11-14 weeks of pregnancy, mid-glycemic screening at 15-20 weeks of pregnancy or non-invasive DNA examination at 12-26 weeks of pregnancy, and major abnormality examination at 20-24 weeks of pregnancy. Pregnant women need to pay attention to their gestational age. After 34 weeks, routine prenatal check-ups require weekly review of fetal heart rate and urine routine. However, if they cannot go to the hospital, they need to monitor blood pressure and count fetal movements at home, and wait for timely treatment when they can go out.
Pregnant women go to the hospital for prenatal check-ups. How to prepare and protect themselves?
1. You can make an appointment in advance for medical treatment through the hospital's WeChat official account or for remote medical consultation online.
2. Avoid taking public transportation, it is best to drive yourself.
3. To minimize the length of stay in the hospital, the accompanying family members can line up and wait in a place with few people and good ventilation.
4. Wear an N95 mask or medical mask at all times when going out. Carry hand sanitizer or disinfectant wipes with you to maintain hand hygiene when washing is inconvenient.
5. Avoid touching eyes, nose and mouth with hands.
6. After returning home from the prenatal check-up, dispose of the mask properly, change clothes in time, and wash hands and face.
7. In hospitals and on the road, try to keep a safe distance of more than 1 meter from other people.
What should pregnant women do if they are infected?
1. People with mild symptoms can be quarantined at home. Relaxation and adequate rest are also treatments. Do a good job in self-health monitoring: including infection symptoms, heart rate , blood pressure, fetal movements , etc.; treat symptoms, drink more water, pay attention to rest, and take physical cooling when you have fever, such as warm water bathing, etc. If the antipyretic effect is not obvious, especially when the body temperature reaches 38.5°C and above, you can take acetaminophen .
2. One person is in one room, and domestic waste is handled and disinfected separately. Wear an N95 mask when in contact with family members, and keep a safe distance of more than 1 meter.
3. Contact the midwifery institution promptly to explain the situation and seek medical advice as directed.
If pregnant women are infected, will it affect their children?
From the current point of view, the possibility of direct transmission of and to the fetus through the placenta is extremely low, so pregnant mothers do not need to worry too much. However, it needs to be emphasized that if a high fever persists, causing pneumonia, , hypoxia, and the fetal heart rate continues to increase, it may have a certain impact on the fetus. If symptoms such as high fever that persists and abnormal fetal movements occur, seek medical attention immediately.
Do pregnant women need to take medicine after infection? What medicines can be used? What are the precautions for taking medication?
1. Pregnant women without symptoms do not need medication.
2. Symptomatic pregnant women should take appropriate medications according to different symptoms.
3. It is recommended to use antipyretics when the body temperature reaches 38.5℃ and above. Acetaminophen can be used during pregnancy and lactation. Ibuprofen is not recommended during pregnancy but can be used during lactation.
4. For dry cough with no or little phlegm, licorice tablets or licorice syrup preparations can be used during pregnancy, and licorice tablets or licorice syrup preparations or dextromethorphan can be used during lactation. These drugs are all drugs that should be used with caution.
5. For expectoration, acetylcysteine can be used, and should be used with caution during lactation.
6. If you have nasal congestion or runny nose, you can wash your nose with saline or sea salt water.
7. For allergies, loratadine can be used.
8. Montmorillonite powder or oral rehydration salt can be used for diarrhea.
9. When using medication, try to use single preparations and avoid using compound preparations.
10. Do not prescribe other medications, such as antivirals, on your own.
Does being infected with the new coronavirus affect pregnancy preparation? Do I need to stop preparing for pregnancy?
Natural conception does not affect pregnancy preparation. If you are planning to do in vitro fertilization, it is recommended to complete relevant examinations and evaluations after turning negative before preparing for pregnancy. The latest research has found that the pregnancy rate of fresh embryos within 60 days after vaccination with the new crown vaccine is low, and it is recommended that in vitro fertilization be carried out 2 months after vaccination.
What should I pay attention to if I give birth during the COVID-19 infection period?
It is recommended to understand the relevant requirements of the hospital in advance and be prepared in advance for emergency admission at any time. If symptoms of labor occur, contact the 120 ambulance or take a private car to the hospital.
If I am infected with COVID-19 after giving birth, can I room in the same room with my newborn or breastfeed?
After mothers are infected with the new coronavirus, they are at risk of infecting their newborns through respiratory tract and contact transmission. However, studies have shown that with proper protection, the risk of neonatal infection does not increase significantly after mothers and babies share a room. It is okay for mothers and infants to room together, but it is not recommended to have close contact for a long time when not breastfeeding. Physical barriers such as curtains, screens, furniture, etc. can be used to minimize the spread of virus . Pregnant women should wear masks and perform strict hand hygiene.
There is currently no evidence that the new coronavirus can be transmitted through breast milk. Research shows that for a long time after pregnant women are infected with the new coronavirus or vaccinated against the new coronavirus, the level of new coronavirus-specific antibodies in breast milk is high, suggesting that breastfeeding has a protective effect on newborns. However, hand disinfection is required, N95 masks should be worn when breastfeeding, and the mother's mouth and nose should be avoided from being too close to the child's mouth and nose. If you have symptoms of fever or severe cough, you can suck out the milk and feed it with sterilized milk utensils, or feed with milk powder.
Should I choose cesarean section after infection?
Regardless of whether you are infected with COVID-19 or not, the choice of delivery method is determined based on obstetrical indications and requires a comprehensive evaluation by a doctor. Pregnant women with simple COVID-19 infection who have no contraindications to vaginal delivery and can tolerate the natural delivery process can choose natural delivery.
Writer: Qin Pinjie
Editor: Wu Lirong
