April 16, Wu Ying (pseudonym), who had contracted new coronary pneumonia while pregnant and successfully gave birth after being cured, finally waited for the moment when the mother and daughter were reunited.
htmlOn April 8, Wu Ying, the only pregnant woman in Inner Mongolia infected with COVID-19, successfully gave birth to a baby girl nearly two months after being cured. The mother and daughter have undergone two nucleic acid tests for the new coronavirus, and both of them are negative. On April 12, Wu Ying was discharged from the hospital. The newborn was hospitalized for physiological jaundice and was discharged from the hospital on April 16.After the baby was born, Ordos Central Hospital detected the new coronavirus IgG antibody in the baby's blood.
"We conducted blood tests on the baby and detected the new coronavirus IgG antibody." On April 18, Ma Xiaoyu, the attending physician of the pediatric department of Ordos Central Hospital, told The Paper, "This shows that the new coronavirus IgG antibody can be transmitted to the baby through the placenta. Generally, IgG antibodies are protective antibodies, but it is still unknown whether the new coronavirus will infect newborns through amniotic fluid, body fluids, blood, etc., so we still need to take good protection to prevent the spread of infection."
On April 14, the leader of the leadership group of the National Medical Team of Peking University to fight the epidemic in Hubei and Hubei, Academician Qiao Jie once told the media that based on domestic and foreign reports, the results of the pharyngeal swab tests for infants born to those who have cured COVID-19 were negative. Even after analyzing the samples, it was found that a small number of newborns were able to obtain an immunoglobulin, namely IgG antibody, from the mother. In other words, when a cured person who has been infected with the new coronavirus is likely to provide viral antibodies to the newborn, so that they can be immune from birth.
As the only pregnant woman in Inner Mongolia infected with the new coronavirus, Wu Ying has received continuous attention from being diagnosed on January 31 to giving birth on April 8. Zhu Lei, deputy director of the Department of Obstetrics and Gynecology at Ordos Central Hospital, who has been following up on his situation, said, "The moment the baby was born, the medical staff in the entire operating room couldn't help but applaud the mother."
returned to Ordos from Wuhan to celebrate the New Year, and a family of four was diagnosed with
" It would be great if I had a 'little cotton jacket' this time." When the Spring Festival in 2020 is approaching, Wu Ying, who has nearly 3 months left to give birth, made a New Year wish.
This is Wu Ying and her husband's second child. The first child is a boy. She hopes that she will be pregnant with a girl this time.
Just as the whole family was excited and nervously waiting for a new life to arrive, a sudden incident came.
htmlOn January 20, Wu Ying, who was pregnant for seven months, and her husband and children set off from their place of work in Wuhan and returned to their hometown in Ordos, Inner Mongolia to celebrate the New Year. On January 30, Wu Ying developed symptoms such as fever and sore throat. She did not dare to take it lightly when she returned from Wuhan. She immediately accompanied her husband to Dalat Banner People's Hospital in Ordos for treatment. htmlOn January 31, Wu Ying's nucleic acid test result for was positive and she was diagnosed with new coronary pneumonia. Subsequently, Wu Ying's husband and two elderly people in the family were also diagnosed with infection. Wu Ying's family of four were transferred to Ordos Second People's Hospital, a designated hospital for treatment of COVID-19.Since Wu Ying was one of the few confirmed patients of new coronavirus pneumonia in Inner Mongolia and the only pregnant woman infected with new coronavirus pneumonia in Inner Mongolia, the Inner Mongolia Autonomous Region Health Commission attached great importance to her condition.
According to Zhu Lei, deputy director of the Department of Obstetrics and Gynecology at Ordos Central Hospital, the Municipal Central Hospital is the only Grade A hospital in the local area. On January 31, under the guidance of the Autonomous Region Health Commission, the hospital assembled key doctors from gynecology, obstetrics, infectious departments and respiratory departments, and also contacted professional psychologists to form an expert group and went to Ordos Second People's Hospital to provide support to Wu Ying.
"At that time, the national understanding of the epidemic was still in its early stages. There were not many cases for our reference, nor were there relevant scientific research results. We could only cross the river by feeling the stones." Zhu Lei recalled that at that time, everyone did not know whether the new coronavirus would affect the fetus and whether the virus would spread vertically through the mother. These are unknowns.
The hospital expert team made every effort to treat the pregnant woman. After being cured, she went home to give birth. When the expert team discussed the treatment plan and decided to use medicine, doctors from each department started from their respective professional fields and often "compete" too much.
"When discussing which medicine to use to reduce fever and affect the baby the least, the attending doctors of gastroenterology, infectious disease, obstetrics and gynecology have their own ideas. If the gastroenterology department wants to use a certain medicine, the infectious disease doctor will come out and say, 'Your medicine is not allowed, this medicine will affect liver function if it is used', the obstetrician will not allow it, 'Your medicine is not allowed, the obstetrician will not allow it, 'Your medicine is not used, the arterial catheter blood flow will become smaller, which will affect the baby'." Recalling the "chaotic" scene at that time, Zhu Lei couldn't help laughing, "Everyone has been 'noisy', and every doctor is sincerely starting from the perspective of his own responsibility and considering the patient."
In addition to internal discussions in the hospital, the doctors of the expert group also spontaneously contacted more experienced doctors to participate in the discussion. "Some doctors contacted professors they had met when they visited abroad for study, and some contacted clinicians who were supporting the front line in Wuhan. Everyone brainstormed and discussed a systematic and optimal treatment plan." Zhu Lei said.
During the treatment, the doctors were also worried about Wu Ying's psychological state, so they specially arranged for psychiatrists to provide her with psychological counseling during pregnancy, and arranged Wu Ying and her mother in the same isolation ward. "Often two people chatting can also play a certain role in psychological counseling," said Zhu Lei.
Under the careful treatment of the expert group, Wu Ying, who was already pregnant for August, was cured and discharged from the hospital on February 21, and the three families also recovered one after another.
"Expert Team Treatment Model" is not only aimed at Wu Ying, a patient. According to Zhu Lei, Inner Mongolia's treatment measures for patients with new coronavirus pneumonia are "concentrated patients, concentrated experts, and concentrated medical resources". It gathers the strength of the autonomous region to jointly prevent and control the epidemic, so patients can receive the greatest care. Each patient has a special expert team to take charge. When everyone holds a meeting, they discuss the condition of each patient one by one, which is very detailed.
On February 21, Wu Ying took a photo with medical staff when she was discharged from the hospital. Ordos Central Hospital Photo Hospital expert group continued to follow up and practiced many times for cesarean section
After returning home, Wu Ying was quarantined and observed at home. After the fourteen-day quarantine period, she went to a hospital near her home for prenatal examination. The results showed that the child's indicators were very healthy. Wu Ying then felt relieved and waited for delivery.
While Wu Ying was waiting for delivery, Zhu Lei was following up on her situation and feedback to the expert group, "Returning to the patient is not a rigid requirement, but as an obstetrician and gynecologist, I still want to pay attention to her. Although I am a man myself, I understand the hardship of pregnant women in ten months, and the situation of this pregnant woman is even more special, so I have been following up on her initiative." During the return visit, Wu Ying and her husband told Zhu Lei many times that they still want to return to Ordos Central Hospital for delivery. Knowing her wishes, the expert group of Ordos Central Hospital gathered again and held a large-scale consultation to discuss matters related to the delivery of pregnant women.
Ma Xiaoyu, attending physician of the pediatric department of Ordos Central Hospital, told reporters, "The mother gave birth after recovering from COVID-19. This situation is very rare. Whether the child is infected with COVID-19 after birth is an unknown. We also regard this as the biggest focus when studying the plan."
Wu Ying's first child was a cesarean section, and the doctor suggested that the second child also undergo a cesarean section to terminate the pregnancy. "Catale delivery can be performed at 39 weeks of pregnancy. We have finalized that the mother will be admitted to the hospital on April 7 and undergo surgery on the afternoon of April 8." Ma Xiaoyu said.
htmlOn April 7, medical staff from obstetrics and gynecology, anesthesiology, pediatrics and infectious departments who participated in the operation spontaneously gathered together to discuss the specific details of the operation the next day.Unlike general cesarean section, medical staff need to prevent whether there will be viral infection during the surgical procedure. "We have established strict protection throughout the process and put this surgery at the last one of the day. In this way, after the surgery, we can undergo a thorough disinfection without the risk of infection of patients in subsequent surgery."Zhu Lei introduced, "We have set up a strict one-way transportation route. The mothers come out of the ward, which passage they take, who picks up, who will send them, who will be on standby, and how to transport them to pediatrics after they come out, etc., must be arranged, and the route must be the most streamlined and the risk of infection is the least. ”
“We are also preparing ventilators, electrocardiogram monitors and other equipment in the operating room. There are also various rescue instruments in the ward to prepare in advance. After the child is born, he will be sent to the negative ion ward and isolated from other babies just in case. "Ma Xiaoyu added.
During the entire operation, every medical staff needs to wear protective clothing, goggles, masks and three-layer gloves. Because although the mother has recovered, it is still impossible to determine whether the baby is infected.
"Many doctors have brainstormed and raised all possible conditions in the entire operation process. We finalized every detail in advance to ensure that everything was foolproof. "Zhu Lei recalled that the head nurse even considered that the goggles would fog, so she wiped the goggles of each medical staff with dishwashing detergent. There was no fog during the operation.
repeatedly confirmed the details, on April 7, the medical staff involved in the operation unanimously decided to conduct a field drill. They practiced three times in a row, and each time corrected the details of some inadequate personnel and the route was not feasible.
everything was ready, and everyone was waiting for the next day's surgery.
The mother gave birth smoothly, and the newborn was born with the antibody
04 At 4 pm on April 8, the rest of the surgery had been completed that day, leaving only Wu Ying's cesarean section.
After receiving the news that the operation could be performed, obstetrics and gynecology and anesthesia The doctors from the respiratory department and pediatrics immediately went to the operating room, and the head nurse counted and placed all the surgical tools. After all the personnel were in place and the passage was cleared, Wu Ying was sent to the operating room with the company of the nurse and his family.
After entering the operating room, the anesthesiologist Yang Junling asked about the mother's past medical history as usual, while Zhu Lei chatted with the mother as usual to relieve her nervousness. Zhu Lei remembered that he asked Wu Ying that she was looking forward to having a boy or a girl? The other party replied that the baby was a girl. Zhu Lei smiled when he heard it and said that he wanted to "help" her give birth to a girl.
At 4:25 pm, the operation began, and the one-hour operation was very smooth. Zhu Lei and Yang Junling initially worried about the problem that the gloves were too thick and inconvenient to operate did not bother them, "After entering the state, I forgot those problems. "Zhu Lei said.
After the child was born, the head nurse looked at it and said to Wu Ying: "Congratulations! It's a girl! ”
Zhu Lei recalled the scene at that time and said with a smile: “The doctors and nurses in the operating room knew her wish and were happy for her from the bottom of their hearts and couldn’t help but applaud. We all saw that she was really, very happy, both children and finally got her wish! This kid came too hard. ”
As soon as the child was born, the pediatric doctors collected amniotic fluid and umbilical cord blood and conducted two nucleic acid tests on the baby. The baby's two nucleic acid test results were negative and he was not infected with the new coronavirus pneumonia.
"We also conducted blood tests on the baby and detected the new coronavirus IgG antibody in the blood. "Ma Xiaoyu told The Paper that this shows that the new coronavirus IgG antibodies can be transmitted to babies through the placenta. Generally, IgG antibodies are protective antibodies, but it is still unknown whether the new coronavirus will infect newborns through amniotic fluid, body fluids, blood and other channels, so protection is still needed to prevent the spread of infection.
On April 12, Wu Ying was discharged from the hospital and returned home. After her husband sent her back, he returned to the hospital to take care of her daughter who was still hospitalized for treatment due to physiological jaundice. The child was quarantined after he was born, and Wu Ying could only follow the baby through video. On April 16, the child was discharged from the hospital and the mother and daughter were finally reunited.
Zhu Lei and the doctors in the expert group also breathed a sigh of relief, "It has been nearly three months since they followed their family overcoming difficulties step by step, which is really not easy. This is also an unforgettable experience for us, especially the two moments when the pregnant woman was cured of COVID-19 and the child was born successfully. The doctor's sense of pride and accomplishment arises naturally. I wish their family good health and happiness forever.”
Source: Pengpai News
