"Doctor Yu, if the fever reaches 39 degrees, can I take this acetaminophen ?" "Doctor Yu, I have been coughing for a few days and have not recovered. I have phlegm but not thick phlegm. Can I take any medicine?" In the maternal service group established by the obstetrics department of the hospital, similar questions continue to arise. Yu Lihui, deputy chief physician of the obstetrics department Yu Lihui is the one who is asked the most questions and answers the most. After
became "yang" herself, her throat hurt so much that she lost her voice and couldn't speak. She forced herself to type and reply. She also continued to comfort anxious pregnant mothers in the group to relax, take medicine under the guidance of a doctor, and come to the hospital for medical treatment if there was any abnormality.
Hu Yuan, the attending obstetrician, is 6 months pregnant. She still chooses to go to work even after she became "positive". When facing pregnant women with "positive" symptoms, she softly encourages them not to be nervous and guides them to take appropriate medicines to relieve symptoms;
Dr. Xu Fang and Dr. Li Huani had severe symptoms after becoming positive. Seeing that the department staff were nervous, they still insisted on working late and night shifts, coughing while writing medical records; Deputy head nurse Zhang Xiangling led the midwives and sisters to stay in the isolation delivery room to provide every positive mother with a childbirth Be prepared...
"This afternoon we have received three pregnant mothers with COVID-19 infection, fever, child hypoxia, reduced middle cerebral artery RI value, and abnormal fetal monitoring. They are all preparing for surgical termination of pregnancy. Although the burden on doctors and nurses is heavy, the safety of everyone and the child is always the first priority. Remind everyone that repeated fever, abnormal fetal movement, and persistent fetal heart sound You need to see a doctor as soon as possible. In addition, you need to worry about serious illness. If you have poor energy, difficulty breathing, chest tightness and shortness of breath, you should see a doctor. "
On December 23, in the "Positive Pregnant Mother Management Group", Li Minghua, the deputy director of obstetrics, rushed into the operating room after saying this. Waiting for her were three cesarean sections for pregnant women with positive nucleic acid tests.
came out of the operating room. It was already night. She didn't bother to take a bite of hot rice. She had to go to the bedside of critically ill pregnant women. Seeing that the critical patient's condition was still stable, Li Minghua finally calmed down and started eating. While eating, she looked at various questions in the group and responded.
It is understood that the hospital initially set up a delivery room and a postpartum ward in the fever clinic, which was also equipped with a neonatal incubator and pediatric nurses to provide delivery services for pregnant women with red codes and positive mothers.
With policy adjustments and the increase in positive pregnant women, isolation delivery rooms are currently set up directly in the delivery room.
Since December 12, the obstetrics department has treated more than 90 pregnant women with positive nucleic acid tests, and the number of positive mothers in various maternal management groups established by the department is still increasing.
"The burden on medical staff is very heavy, but everyone is working hard, because pregnant women are different from ordinary positive patients. Sustained high fever, cough, and pain may lead to premature rupture of membranes , intrauterine distress , premature birth , redness, etc., so they must be taken in advance. Good intervention and medication guidance , it is crucial to seek medical treatment and deal with abnormalities in time. At this stage, pregnant women and their families who are "positive" and not "positive" are psychologically nervous and anxious. It is very important for them to have a smooth communication channel. Therefore, we have established a filing group, a positive management group, a postpartum guidance group, etc., with doctors. The delivery nurse provided point-to-point responses and guidance, and answered questions one by one regarding antipyretic and analgesic medication, cough medication, labor signs, postpartum breastfeeding guidance, etc. that everyone was concerned about. They also left two sets of contact numbers to facilitate contact in advance before admission and prepare for reception. "
Li Minghua said, "Medical staff are very hard, but pregnant women and their families have also given us great support, understanding and tolerance. I believe that we can overcome the difficulties together and ensure the safety of mothers and babies. "
(Editor Rainbow.)
Hunan Medical Talk Special Author: Changsha Central Hospital (Changsha Central Hospital Affiliated to South China University) Zhu Wenqing
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