Sunshine News (Reporter Zheng Yalei) During the epidemic, as a key group of preventing new coronal virus infections, pregnant mothers are very concerned. What should I do if they are infected?What impact will it affect the baby?What are the symptoms of pregnant women after infection?What happens to see a doctor urgently?In this regard, on December 11th, the reporter interviewed He Tongqiang, chief physician of the Department of Obstetrics and Gynecology, the Department of Obstetrics and Gynecology of the Women and Children’s Hospital of Northwest Women, and answered questions about everyone’s concern.
Question 1: How can a pregnant woman do a good job of protection and not infected?
He Tongqiang: In the current situation of the epidemic, pregnant women must insist on personal protection: regardless of the home or in the office, pay attention to the frequent ventilation of the room to keep the air circulation; reduce the gathering, try to go to the place where people gather and closed; do protection when they go out.Standardize the mask. If you go to the hospital, it is recommended to wear a N95 mask and go home to wash your hands.There are positive infected persons in the family to isolate.Out of the output inspection, make an appointment and 48 -hour nucleic acid test in advance, leave the hospital immediately after the examination, and minimize the stay in the hospital as much as possible.Inocularly vaccinated the new crown vaccine in time.
Question 2: What kind of pregnant women need to pay special attention?
He Tongqiang: At present, Omikon, which is popular, has caused the probability of severe pneumonia for maternal mothers.However, the elderly (≥35 years old), obesity (BMI ≥ 28kg/m2), and have complications, especially hypertension, diabetes or more than one kind of complication or unagittering vaccine.
Question 3: Can I vaccinate the new crown vaccine during pregnancy?
He Tongqiang: The new crown epidemic has been three years, and more and more data and research on pregnant women inocus the new crown vaccine. Almost all evidence shows that the vaccination of the new crown vaccine before and during pregnancy is safe, effective and beneficial to women and babies during pregnancy.EssenceThose who find pregnancy after vaccination have no need to terminate pregnancy.
Mainstream medical organizations and public health institutions such as UPTODATE and CDC have stated that vaccination is the safest and most effective way for pregnant women to protect themselves and infants from the infringement of new crown virus.Inocular inoculation is enhanced.
The "Expert Consensus of the Newly Coronatte Virus Pneumonic Vaccine for Women in Pregnancy during Pregnancy" released in 2021 recommends that: women who have lived in high -risk areas in the epidemic in the epidemic situation for a long time, or have a high risk of virus exposure.Under the guidance of obstetricians or preventive health doctors, they voluntarily consider whether to vaccinate the new crown vaccine after excluding related taboos.
Question 4: Does pregnant woman infection with new coronal virus affect the fetus?
He Tongqiang: There is no evidence that the new coronary pneumonia virus can pass through the placenta infection with the fetus.Moreover, the new crown positive for Maternal Maternal Maternal Maternal Maternal is asymptomatic or mild, so there is no need to worry too much.Monitoring data shows that the new coronal virus -positive pregnant maternal maternal will basically not affect the health of the fetus and neonatal.
However, when the symptoms of pregnant mothers are very serious, symptoms of severe infection such as dyspnea and unclear consciousness, or when the baby is a premature child, there may be some neonatal complications, such as respiratory diseases.
Question 5: How to do home isolation at home?
He Tongqiang: It is best to disinfect the corresponding items such as a single interval with independent bathrooms. The bathrooms and trash cans are disinfected and their hands are cleaned frequently.When contacting the family, both sides have to wear N95 masks to reduce unnecessary contact. When you are alone, you can not wear a mask.Open the window frequently to keep the indoor air circulation.Dine alone, clean and disinfect the tableware separately.You can use Internet hospitals or WeChat to keep in touch with doctors, discover abnormal conditions in time and seek medical treatment.
Question 6: How to use the new coronal virus infection with pregnant women?
He Tongqiang: Pregnant mothers are infected with new coronary viruses. If the symptoms are mild or asymptomatic does not need to be treated, there is no need to take medicine to prevent new coronal virus infections.Pay attention to rest, drink plenty of water, and increase foods rich in vitamins and protein.If you are only dry throat, itchy, slight sore throat, nasal congestion and other symptoms, you can drink an appropriate amount of honey water, lemonade, honeysuckle or chrysanthemum water to relieve the symptoms.If the symptoms are obvious or fever occurs, the body temperature is close or exceeds 38.5 degrees Celsius, you can choose the antipyretic analgesic drugs such as orally to take the acetyaminol tablet.The use of maternal and infant risks related to the use of acetaminophen during pregnancy is generally safe and can reduce the related maternal and infant risks caused by fever.Other proprietary Chinese medicines such as Lianhua clearing plague, clearing granules, etc. (do not superimposed), cough, cough, phlegm, acetylcysteine, Chuanbei syrup, etc. need to take the medicine under the guidance of a doctor.If high fever does not relieve for 2-3 days, breathing is short of breathing, or abnormal fetal movement abnormalities, you need to go to the hospital for treatment.
Question 7: What are the symptoms of pregnant women infected with the new crown virus?
He Tongqiang: Do you want to go to the hospital during pregnancy?
Obstetric factors, that is, the discomfort caused by pregnancy itself. The following situations must go to the hospital in time: repeatedly irregular vaginal bleeding, or increase bleeding; suddenly headaches, blood pressure, abnormal fetal movement, etcUnusual increases or decreases, etc.; The whole body skin itching suddenly appeared in the middle and late pregnancy, mainly limbs and abdomen, and intensified at night; there are signs of abdominal pain, vaginal bleeding, and flowing water during the third trimester.
Non -producing factors, the situation of medical treatment includes: long fever time or body temperature exceeds 39 ° C, or fever again after the symptoms improve; headache, severe sore throat and symptomatic treatment have not improved; dyspnea, breathing, purple lips, chest pain, chest painOr the heartbeat is accelerated; severe nausea and vomiting, abdominal pain, diarrhea; nasal congestion, runny nose, cough for more than 10 days without relieving or stuffy nasal congestion, runny nose, cough seriously affecting daily life such as sleep rest; other concerns or unsure.
Question 8: Can pregnant women infect the new coronal virus on time?
He Tongqiang: With the adjustment of the national epidemic prevention and control policies, all delivery institutions can take a doctor of new coronal virus testing positive pregnant women.However, the area needs to be planned separately, please comply with the relevant provisions of the appointment of the hospital for inspection, and orderly inspection.
In order to avoid going to the hospital to increase the possibility of cross -infection and alleviate the pressure of the hospital’s consultation, it is not necessary to delay the postpartum inspection of the pregnant woman. For individual important check -up items, it must be completed within the corresponding gestational week.And do a 48 -hour nucleic acid test.
4 important checkups that cannot be missed: 11-13+6 weeks: early Tang family screening+early NT screening; 14-20 weeks: medium -term Tang family screening, pregnant women with high risk factors can choose non -invasive DNA or amniotic fluid puncture, etc.; 20-24 weeks: Ultrasound screening during pregnancy (large deformed or system B -ultrasound); 24-28 weeks: OGTT screening (diabetes screening).
Question 9: How to protect the maternal inspection of the pregnant woman?
He Tongqiang: Communicate with the doctor to adjust the prenatal inspection plan. Those with conditions can implement remote medical care, reduce the number of face -to -face diagnosis, and arrange the time for consultation in advance to avoid too much waiting.Avoid taking public transportation, you can choose a taxi or online taxi, and it is best to travel by yourself.Try to minimize the time to stay in the hospital, you can queue up with your family members, wait for the position of less ventilation, and minimize the time for staying indoors.Go to the hospital and wear N95 masks or medical masks throughout the process. It is recommended to wear gloves.Carry free -wash handwashing or disinfected wet towel at any time.Avoid rubbing your eyes, noses and mouths, and viruses can be spread through contact.After returning home after the checkup, properly handle the mask, change clothes in time, wash your hands and wash your face.On the hospital and the road, keep as much as possible with others as much as possible.
Question 10: Can I continue breastfeeding during lactation?
He Tongqiang: At present, research shows that when the mother is suspected of or infected with the new coronary virus, no new coronal virus is found in its breast milk. Breastfeeding is safe, but it may be difficult to implement.The virus may be transmitted to the baby when the pregnant mothers speak, cough or sneeze.Therefore, the positive breastfeeding mother of the new crown virus does not recommend breastfeeding and can be given temporary artificial feeding.
During breastfeeding mothers, breast care should be done during the stop breast milk. It is necessary to avoid mastitis caused by milk accumulation, but also to prevent the suspension of breastfeeding milk and the occurrence of milk recovery.
Question 11: Can mothers infection with new crowns during lactation?Can it be vaccinated?
He Tongqiang: Mother -in -law is yang. If the symptoms of fever, cough, and nasal congestion occur if there are severe symptoms of fever, cough, and nasal congestion.Without symptoms, no treatment can be treated.New crown vaccine during lactation does not affect breast milk.
Question 12: Does the infection of the new coronal virus affect pregnancy?
He Tongqiang: If it is naturally conceived, it will not affect pregnancy.If it is a test tube baby, it is recommended to improve the relevant examination and evaluation after turning the yin.Moreover, the latest research found that the pregnancy rate of fresh embryos within 60 days after the new crown vaccine was vaccinated. It is recommended to treat IVF for 2 months after vaccination.
Edit: Jiajia
