How can a special group of pregnant women deal with the new coronal virus once infected?Will it affect the fetus?Can I still give birth naturally?Can the delivery during pregnancy be postponed appropriately?On December 19th, Sun Ruxin, director of the Seven Ward House of the Medicine of Shenyang Maternal and Baby Hospital, answered related issues.
The question is that a pregnant woman infection with the new coronal virus will cause fetal malformations?
The risk of infection of pregnant women is the same as ordinary people. Most of the infected people are asymptomatic or mild, and there are very few cases of severe illness.Symptoms are similar to ordinary people, such as fever, dry throat, cough, runny nose, soreness, etc. The course of the disease is generally 5 to 7 days, and it will improve in 3 to 4 days.More influence.Moreover, the placenta has a barrier, and pregnant women are rarely transmitted to the fetus after infection with the new coronary virus.The current research shows that the risk of natural abortion or the congenital malformations of future generations after pregnant women infected with new coronary viruses have not increased, so it is not recommended to terminate pregnancy.However, it cannot be ruled out that newborns are infected due to contact or respiratory transmission after birth.Therefore, the maternal after -producing mothers try to avoid the same space as the newborn.
It should be noted that the infection of the new crown virus during pregnancy should not be stiff. If high fever does not retreat, the body temperature continues to increase than 38.5 ° C or the heart rate continues to increase (more than 100 times/min) for more than 3 days.Heating is accompanied by obvious dyspnea, chest pain, headache and dizziness, heart panic, suffering, abdominal pain, abnormal fetal movement, and vaginal bleeding or flow fluid.
Question 2 What drugs can I take?
First of all, acetaminol can be selected for drugs with antipyretic fever.Be careful with ibuprofen at 20 to 30 weeks of pregnancy, and is disabled for more than 30 weeks.Under normal circumstances, if it is low heat, you can first replenish and physical cooling first. When the body temperature is higher than 38.5 ° C, it can be treated with heat solution in time.The efficiency of the antipyretic medicine is 30 to 60 minutes. After the drug is disappeared, the body temperature may be repeated, and it will usually return to normal after 3 days.Do not take the medicine more than 4 times within 24 hours, which means that each medicine should be taken more than 4 to 6 hours each.Most antipyretic medicines have analgesic function, which can relieve symptoms such as sore throat, headache, muscle soreness; cough and sputum elimination can be selected for bromide, amprolytic, and acetycysteine.Right Micheafen and more gly glycerin are disabled within 3 months of pregnancy; if runny nose and allergies occur, chlororheblyzine tablets can be selected; nasal congestion can be used for nasal saline nasal spray;(Avoid early pregnancy); diarrhea selected meand stone scattered; constipation selected emulsion sugar oral solution.Use caffeine -containing compound cold medicine to choose a symptomatic drug with a single ingredient.(Note: If you are allergic to the above drugs, you must use it with caution, do not use antibacterial drugs blindly, and do not mix, abuse, and overdose between symptomatic drugs. After the relevant symptoms are relieved, you should stop using the symptomatic drugs in a timely manner.Choose medication.)
What are the problems of the three production inspection items?
1. Early pregnancy (<13 weeks) has been determined to be pregnant in the palace. If there is no special circumstances such as vaginal bleeding, abdominal pain, and severe vomiting, most of the examinations can be delayed.NT examinations are generally 11 to 14 weeks after menopause.
2. There are three main examinations that need to be done during pregnancy (13 to 28 weeks of pregnancy).Tang’s screening: Generally at about 15 to 20 weeks, if you are over 35 years old, you need to do amniotic fluid puncture.Fetal deformity screening: commonly known as "large row", Shenyang Maternal and Infant Hospital recommends that it will be carried out at 24 to 26 weeks.Diabetic screening: 24 to 28 weeks.If you are an elderly pregnant woman or have a history of diabetes or more than 5.1 mmol/L, it is recommended to do a glucose tolerance test as soon as possible. If you cannot check it in time, you can also perform diet and exercise management according to gestational diabetes.
3. During the late pregnancy (28 to 40 weeks of pregnancy), it is generally conventional every two weeks. If there is no pregnancy, complications, and self -sensation abnormalities, the examination can be delayed.
On the way to the hospital, pregnant women should maintain a safe distance with others at least 1 meter; wearing N95 masks during the birth check process, it is recommended to wear gloves; reduce contact with public areas, do good hand disinfection, wash your hands frequently, do not rub your eyes often; Avoid taking public transport; reduce the time for staying in the hospital; properly handle the mask after returning home, change clothes in time, wash your hands and wash your face.
Shenyang Evening News, Shen Bao all media reporter Wang Yuzhe
Source: Shenyang Evening News