Popular science 丨 Doctor, what should I do when I get pregnant during the isolation of the epidemic?

In the Spring Festival of 2020, a sudden new crown virus epidemic changed the countless trajectory. As a result, everyone has spent an unprecedented long holiday. People who do not leave the house can only fly at home.The impact of the epidemic will usher in a wave of infants at the end of this year … but some people are happy and some are worried. Is it surprising or accident during the epidemic?What should I do in the future?This requires a good talk.

I am pregnant during the epidemic.

Many people think that in a special period, it is best not to go to the hospital, and even some necessary examinations are saved.In fact, at the key stage of the "epidemic", although the hospital is a high -risk place, the protection measures are also the highest level.As long as pregnant women do a good job of personal protection, normal examinations can be performed.

Considering the actual factors, some pregnant women may miss the appointment for the appointment due to various problems such as isolation and temporarily unable to return to the residential place. Do not panic if you encounter this situation.Adjustment:

In the early stages of pregnancy, in the middle of pregnancy: If you are determined in intrauterine pregnancy, no vaginal bleeding, abdominal pain and other abnormal conditions, no specific examination (such as system ultrasound abnormalities, Tang’s screening, diabetes screening, etc.) can be appropriately delayed;Pregnant women who are pregnant or complications, pregnant women who have more than 28 weeks of pregnancy, and abnormal abnormal conditions occur in time, consulting obstetrics and gynecologists in a timely manner, and obey the inspection of the medical examination.

Most of the checkups have a time range, as long as they are completed within the time range, so I don’t have to worry too much when I miss it occasionally.If the range of time is missed, you must consult the doctor in time to see if there is a remedy method.

What are the cases to go to the hospital immediately?

Abnormal abdominal pain, abnormal fetal movement, or signs of childbirth should seek medical treatment in time.Specifically include:

1. Vaginal bleeding exceeds menstrual flow and severe pain in the lower abdomen, which may indicate dangerous situations such as miscarriage, premature birth, abnormal placenta position, and premature placental peeling.

2. A large amount of vaginal fluid indicates the possibility of premature breaking the fetal membrane, which may lead to umbilical cord prolapse and fetal infection in the fetus.

3. Excessive or too little fetal movement indicates the possibility of hypoxia in the fetus, especially in the third trimester.

4. Severe nausea, vomiting, dizziness, headache, unclear vision, shortness of breath, shortness of breath, chest tightness, qi, and elevated blood pressure, etc., indicating that there may be hypertension during pregnancy, such as hypertension.

5. There are symptoms such as fever, fatigue, dry cough, runny nose, diarrhea, etc., and I or family has a history of tourism in the high -incidence area within 14 days, or has a close contact history with diagnosis patients.

Will the new coronal virus spread vertically between maternal infants?

Since the new crown epidemic, special groups such as pregnant women and newborns have become crowds of new crown pneumonia, which has attracted much attention.The research on whether the new crown virus can be transmitted through the vertical spread of maternal and infants is continuously renovated.At the end of March, two research results published online in "Jama" once again aroused arguments from experts in related fields.The thesis shows that the new crown virus IgM and IgG antibodies of several newborn viruses in Wuhan are positive, or become a virus through the placenta, forcing the fetus to make an immune response.

Generally speaking, the vertical communication mechanism may include pre -production dissemination (infected infection), delivery time, and postpartum transmission. The risk factors involved in the former include viruses, mother environment, and individual susceptible factors.Virus factors include high virus load, virus transmission, viral genotype and sequence variation.The parent environmental factors include placenta leakage and infection, peripheral blood single nucleocyte metastasis, and reproductive cell dissemination.

In this regard, Huang Hefeng and his team of academicians of the Chinese Academy of Sciences believe: "At present, the number of research cases on vertical communication of new crown pneumonia mothers and infants is limited, and the observation time is relatively short.Popular, the research of pregnant women and newborn groups is imperative. It is necessary to design a forward -looking research plan as soon as possible to organize clinical multi -center research. "

Based on the rigorousness of clinical research, the question of "whether the new coronary virus can spread vertically" also needs to provide more clinical information in detail. In addition to the indicator of cesarean section, whether it is ahead, or the symbol of amniotic fluid,It should be noted that there are no placenta edge blood sinus rupture, front placenta or placental implantation.At the same time, it is also necessary to pay attention to some medical history during pregnancy, such as vaginal bleeding during pregnancy, whether there are interventional prenatal diagnosis such as fluff and amniotic fluid puncture.These factors may potentially destroy the placenta barrier, causing maternal and infants to spread vertically in non -natural state.

Through the study of clinical cases, the new coronal virus infected with pregnant women with vaginal discharge detection negative, neonatal oral mucosa detection negative, and vaginal delivery may become a choice for new coronary virus infection with pregnant women.However, due to the uncertainty of the current maternal and baby vertical infection and the needs of the delivery of pregnant women in infection with the new crown virus, most of them advocate termination of pregnancy through cesarean section.

After giving birth to a pregnant woman in the new crown pneumonia, the newborn has been diagnosed as a new crown pneumonia or a suspected new crown pneumonia. In addition to the possibility of maternal and infant transmission, the possibility of being infected during the production process is relatively high, because naked exposure after the birth of the newborn is born nakedly after birthIn the environment of new crown pneumonia.Therefore, after giving birth to a pregnant woman in the new crown pneumonia, the newborn should immediately leave the environment of childbirth, apply a isolation device or isolation box to transfer to reduce the chance of newborns being infected.At the same time, some studies also found that the virus can be detected in the milk of the new coronary virus pregnant women.However, due to the small number of cases, it is questionable whether the maternal breastfeeding can be breastfeed after childbirth.For the epidemic prevention and control of special groups such as pregnant women and newborns, they still need to be vigilant.

At present, all studies do not show that there must be vertical transmission of maternal and infants in the new crown pneumonia, but the chance of being infected during the birth process is very high.

Does the new coronal virus damage the fertility?

Recently, some studies believe that the theoretical of the new coronal virus may affect the health of the reproductive system, reduce fertility, and even lead to infertility.The currently known information is that a variety of virus infections can reduce male fertility function.For example, epidemicitis caused by epidemic mump virus is very common. After male adults, once the epidemic mump virus is infected, 20%-30%may be combined with orchitis, which even causes testicular atrophy and infertility.In addition, AIDS virus, Zika virus, type B and hepatitis C virus also have a adverse effect on male fertility function.Academician Qiao Jie, the leader of the leading group of the National Medical Medical Team of Peking University, said: "At present, the reproductive medicine field is indeed conducting related research, but it is not sure how much impact will have.Small. If possible, we will conduct in -depth research and track the reproductive system of men and women after tracking new crown pneumonia. Considering the risk of the specimen itself in the epidemic, the number we study is relatively small.The current evidence is still uncertain. "

A article from Tongji Hospital of Huazhong University of Science and Technology stated: "New crown virus may theoretically damage testicles and affect male fertility and sexual function." But then this article was removed from the shelves for some unknown reasons.However, experts suggested that the age -age male should be checked after recovery.

Although the impact of the new coronary virus on the male reproductive system has not yet been clearly clear, the evidence of the maternal and infant transmission is insufficient, but Academician Qiao Jie emphasized that it is best to considerBirth.

How does the new coronal virus affect pregnancy?

In fact, from the perspective of scientific pregnancy, it is also recommended not to get pregnant during the epidemic.

During the epidemic, because prospective parents are mostly in a "home" state, it is more prone to unhealthy diet, insufficient exercise, irregular work and irritability, and irritability.

First of all, at home, there may be problems with a balanced diet, and many people have irregular diet.On the one hand, it may lead to excess nutrition and increase in weight. On the other hand, because the source of food is not abundant, there are potential nutritional imbalances and even insufficient nutritional risk.

Second, the lifestyle of sleeping, staying up late, and black and white upside down will also affect the quality of sperm and eggs.

Third, due to the relatively limited scope of activity, the amount of exercise is reduced, and the body is more likely to be in a sub -healthy state.

Fourth, excessive attention to the epidemic will also bring a burden on psychology, and cause tension and anxiety. This will cause some adverse effects on the health of the fetus in the near future or long -term.

All in all, pregnancy in this special period will bring more risks to pregnant women and families.The pneumonia caused by the new coronary virus infection is a new type of infectious disease. People with weak resistance are more likely to be infected and are in pregnant women who are pregnant.After pregnancy, you have to face various examinations. You must go out and you must go to the hospital, which can also lead to cross -infection.

Therefore, from the general point of view, when I am pregnant during the epidemic, the worries of "accident" must be far greater than the joy of "surprise". During the epidemic, unless it is "difficult to ban in the depths", there is really no need to hurry up.These months are pregnant.

Supervisor | Changhai Hospital Political Work Office

Hosted | Changhai Hospital Propaganda Center

Edit: Chen Xinyue

Author: 凡 extraordinary

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