“”” Following the new type of pneumonia “””
New coronary pneumonia’s epidemic spreads, and many citizens actively respond to national calls and do not go out or skew up.
However, there is a special crowd-pregnant mothers have begun to be anxious …
Let ’s take a look at Hunan Maternal and Child Health Hospital (Hunan Provincial Research Medical Research Institute) and everyone.
Physician: The increase in body temperature is not necessarily a new type of coronary virus infection, or it may be influenza or a normal cold.
Of course, we must first understand the difference between the three and learn to identify themselves.
The difference between common colds, influenza, and new coronal virus pneumonia:
1) Symptoms are the same
Ordinary colds usually have symptoms such as nasal congestion, runny nose, and throat discomfort. The fever is generally low at low, and the time continues to be short. It can be healed by themselves about 5 days. Generally, there are few fatigue and muscle soreness.
Influenza is generally high heat, and the duration is relatively long. Generally, it is 3-5 days, about 1 week of self-healing.Influenza may be accompanied by systemic symptoms such as soreness, fatigue, headache, and loss of appetite.
The main symptoms of new crown pneumonia include fever, fatigue, dry cough, etc. A few patients are accompanied by symptoms such as nasal congestion, runny nose, sore throat, and diarrhea.
Patients with severe illnesses have dyspnea and / or hypoxemia after 1 week of onset. In severe cases, rapid progress is acute respiratory distress syndrome, purulent shock, difficult to correct metabolic acid poisoning, and dysfunction of coagulation.[1]
2) The onset time is different
Cold all year round, there is no obvious seasonality, and there are almost no death cases;
Influenza is high in winter and spring, which can be killed;
The new coronary virus pneumonia was discovered in the winter at the end of 19 years. It was contagious and could cause death.
If pregnant mothers have a fever (body temperature exceeding 37.3 ° C), dry cough, fatigue, and shortness of breath, especially those who have a history of epidemiological diseases with new coronary virus pneumonia or suspected patients need to be paid attention.
You should go to the popular kidney consultation first.Doctors will determine whether to suffer from pneumonia with new coronary virus infection based on blood routine, lung CT, chest tablets and other examinations, combined with clinical manifestations.
Physician: Pregnant mothers must pay attention to the monitoring of fetal movement.It is recommended to count the fetal movement in the morning, middle and evening at home every day, and in a quiet state.
Fetal movement nights and afternoon are more active.After 28 weeks of pregnancy, if the fetal movement counts <10/2 hours or the fetal movement decreases by 50%compared with usual, it is reminded that the baby may have a hypoxia in the palace and need to seek medical treatment in time.[2]
Physician: There will also be pseudo contractions in the third trimester. This contraction is generally irregular, the contraction frequency is inconsistent, the duration is long and unconstitutional, and the contraction strength is not enhanced. If this is the case, the mothers can continue at home at home.observe.
If the abdominal pain (5-6 minutes interval, 30 seconds or more), and vaginal flowing water, you should go to the hospital in time.
Physician: If vaginal flowing at home suddenly, do not be too nervous, try to avoid standing as much as possible to prevent umbilical cord prolapse.
It is recommended to immediately take the left side position (best) or flat lyric position (to prevent the occurrence of hypotension syndrome from supine position). Under the premise of fully doing personal protection, the family will be escorted to seek medical treatment as soon as possible.
Physician: Seeing red in the vagina usually occurs 24 to 48 hours before giving birth. If the amount of bleeding is less than usual, you can appropriately observe at home. If you feel that the amount of bleeding is greater than the usual menstrual flow, you should go to the hospital as soon as possible.
Physician: Normal blood pressure compression pressure generally does not exceed 140mmHg, and diastolic pressure generally does not exceed 90mmHg.
The same arm is measured at least 2 times: If the systolic blood pressure ≥140mmHg and / or) diastolic pressure ≥90mmHg, it is hypertension.
If your blood pressure is lower than 140/90 mmHg, but an increase of 30/15 mmHg higher than the basic blood pressure, you should closely observe the changes in blood pressure.
During the epidemic, pregnant mothers can monitor blood pressure at home.
When blood pressure rises, or with discomfort such as headache, dizziness, chest tightness, dazzling, etc., you need to come to the hospital immediately.
Physician: If pregnant mothers have no complications and complications, they usually come to the hospital for delivery at 41 weeks of pregnancy.
If pregnant mothers have gestational diabetes, they usually have to be hospitalized before 40 weeks of pregnancy.
Scar uterus, pregnant mothers without complications and complications, can generally be hospitalized at 39 weeks.
If the B -ultrasound results of the pregnant mother are prompting the front placenta, no matter what type of belonging to, because vaginal delivery may cause a lot of bleeding, it is recommended to choose a cesarean section surgery.
Complete front placenta is generally selected for 37 weeks surgery to terminate pregnancy. Those who are edge-based placenta generally choose to terminate pregnancy at 38-39 weeks.The front placenta is between 34-37 weeks.
Pregnant mothers need to go through the procedures for admission to the hospital in accordance with the actual situation of their own actual situation.
Doctor: Please rest assured that the hospital will have strict epidemic prevention and control measures.
However, pregnant mothers need to do personal protection at the same time when medical treatment, examination, and medicine take medicine. Try to keep a distance of more than one meter from as possible, and contact the items and facilities in the hospital less to disinfect and wash their hands in time.
references:
[1] Xie Xing, Kong Beihua, Duan Tao. Obstetrics and Gynecology [M]. Ninth Edition. Beijing: People’s Health Publishing House, 2018: 53-55.
[2] National Health and Health Commission. New coronary virus infection pneumonia diagnosis and treatment plan (trial fifth edition) [S]. Beijing: National Health and Health Committee, 2020.
(Edit Rainbow. Picture source network, invading deletion)
Special Author of Hunan Medical Chat: Hunan Province Maternal and Child Health Hospital (Hunan Provincial Research Institute) produced in the third department of Wenmin Jiangmin Jiang Yurong
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