Are pregnant women more likely to be infected with COVID-19？ Can you give birth naturally after infection？ What should be paid attention to in the prenatal examination at the peak of infection？ 【 tips
Are pregnant women more susceptible to COVID-19?
Can you give birth naturally after being infected with COVID-19?
At the peak of infection
What are the precautions for pregnant women’s prenatal examination?
Zhao Yangyu, director of obstetrics and gynecology, Peking University Third HospitalTo answer
Are pregnant women more likely to be infected with COVID-19?
Pregnant women are as susceptible as the general population. If pregnant women have no basic diseases, their clinical manifestations are similar to those of the general population.
For pregnant women with other diseases, such as asthma and hypertension, we should pay attention to the clinical symptoms, strengthen daily self-monitoring, seek medical advice in time if they are not suitable, and be alert to the occurrence of severe diseases caused by the superposition of pregnancy complications and COVID-19 infection symptoms.
Special reminder, pregnant women in the third trimester, if there is abnormal fetal movement, bleeding, stomachache. Fatigue, weakness, etc., even if you don’t have a fever, you should go to the hospital. It may not be COVID-19 infection, but some of them are complications in the third trimester.
Can you give birth naturally after infection?
Can I choose labor analgesia?
After COVID-19’s infection, if it is mild, under strict protection, pregnant women can choose to give birth naturally. If it is severe or critical, it needs to be discussed by multidisciplinary teams. If pregnant women can’t tolerate it, they should choose cesarean section.
In the process of natural delivery, it is not taboo for the parturient infected with COVID-19 to have labor analgesia. Labor analgesia can also relieve hyperventilation caused by pain and anxiety, reduce maternal oxygen consumption and burden of cardiopulmonary function, and the natural delivery process may be smoother.
At the peak of infection
What should pregnant women pay attention to in prenatal examination?
At the peak of infection, pregnant women are advised to know about the changes of outpatient time in midwifery institutions. Many midwifery institutions have online medical treatment, and online consultation can reduce the number of visits to hospitals.
Some inspection items have critical time points, which should not be postponed (such as ectopic pregnancy screening, NT, prenatal screening or prenatal diagnosis, fetal ultrasound screening in the second trimester, etc.). We should communicate with the prenatal hospital and the attending doctor to determine the prenatal inspection plan.
Pregnant women should be well protected during prenatal examination, and the suggestions are as follows:
One isThrough online appointment registration and appointment inspection, etc., know the relevant inspection contents in advance to minimize the stay time in the hospital;
The second isWear N95 mask when visiting a medical institution;
The third isTry not to take crowded public transport;
The fourth isKeep a distance of more than 2 meters from others as much as possible;
The fifth isAfter touching suspicious exposure, it is recommended to wash your hands with hand sanitizer or soap through running water according to the standard washing method, or use antibacterial hand gel containing 75% alcohol.