Features of the care and conduct of pregnant women during pandemia Covid-19: influence on mother and child

The maintenance of pregnant women with Covid-19, a new coronavirus infection, is carried out according to the protocol. Read more in the article.

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In the end 2019 Coronavirus disease began and quickly spread around the world. Covid-19 It causes an infectious disease that provokes pneumonia, heat, ache throughout the body. The high incidence rate and mortality forced WHO to declare infection with pandemia. Measures were taken around the world: self -isolation, the use of personal protection, social distance, the closure of catering organizations and places of rest.

Read on our website another article on the topic: "Can coronavirus go without treatment?". You will find the reviews of other people and find out whether coronavirus passes without treatment, yourself.

How does coronavirus affect the course of pregnancy, the future mother and fetus? What precautions should doctors and patients themselves during pregnancy during the pandemic period? Look for answers to these and other questions in this article. Read further.

The effect of infection Covid-19for pregnancy and childbirth is almost not studied

The article below is mentioned Covid-19. Trust verified information from expert sources - study the information about coronavirus on the Rospotrebnadzor website And read answers to questions about coronavirus and vaccination from doctors, scientists and scientific correspondents.

The most prone Covid-19 People with weakened immunity, and advanced age. Of course, the disease brought additional problems to both maternity hospitals and women's consultations and women in position. Planning, care and pregnancy requires the help of a medical center, since the effect of pregnancy infection and childbirth has almost not been studied. For a successful outcome, it is necessary to be observed in consultation, as well as undergo examinations in time, take tests and follow the doctor's recommendations.

Influence COVID-19 on pregnancy planning

For the birth of a healthy baby, many parents initially, even before pregnancy, visit a doctor, take tests, if necessary undergo treatment and move on a healthier lifestyle. However, the pandemic has made its own adjustments. All patients who want to give birth in the near future are studying the influence Covid-19 for pregnancy planning.

Public measures to limit infection have led to the fact that many centers work only on urgent calls and do not accept new patients. Future parents cannot get to the reception, even pregnant women in the early stages are not able to register in the consultation. This threatens the occurrence of complications in both the child and the expectant mother. It is necessary to work out a plan for providing proper assistance in maternity hospitals and consultations.

Covid-19 distribution paths

In ordinary life, the virus is transmitted by airborne droplets, or tactilely through the surfaces. But the possibility of intrauterine transmission of infection from mother to fetus was not proved. What are the distribution paths Covid-19?

Analyzes and research are currently conducting, but there are no exact data yet.
The Chinese study was attended by 9 girls, and in all amniotic water showed a negative result.
Analyzes of placental shells, amniotic fluid, breast milk, umbilical cord blood were also negative.

It is more likely that neonatal infection occurs due to the close contact of the child with the mother. There is an opinion that a vertical transmission of the virus is possible, but large experiments are required to confirm. In any case, pregnant women with Covid-19 A more thorough supervision of a doctor is required.

Pregnancy and work in the conditions of pandemia Covid-19

Pregnancy in the conditions of pandemia Covid-19

The Labor Code of the Russian Federation clearly describes working conditions for a pregnant woman in part 1 of article 254. An employee has the right to write a statement to reduce the norm of hours per month. If working conditions are recognized as unfavorable, then, according to the application and medical certificate, the employer is obliged to transfer the woman within the enterprise to another job, or exclude the impact of adverse factors. What should be the working conditions of a pregnant woman in a pandemic Covid-19?

By recommendation Rospotrebnadzor, the employer during the epidemic is obliged to ensure the remote mode of the pregnant woman, and prevent her from actual workplace.

If the profession does not have the possibility of a remote mode (for example, a sales consultant), then the woman should be sent on vacation while maintaining average earnings at the expense of the enterprise.

The effect of covid-19 on the body of a pregnant woman

It was predicted that the virus will threaten pregnancy in a larger volume than the current observations show. What is the influence Covid-19 does a pregnant woman on the body?

Of course, the mother’s body is weakened, but in intensive care and hospitalization they only need about 7%.
Symptoms of ARVI with temperature and cough are subject to half the observed, shortness of breath and pain only manifests itself 10%, and at 20% The disease is asymptomatic.
Chronic diseases increase the risk of complications, because it is more difficult for the body to fight, but with proper medical care, they do not entail serious consequences.

For various studies, due to a decrease in physical activity and frequent hypercoagulation, pregnant women develop an increased risk of blood clots. The professional association of obstetricians and gynecologists proposed to prescribe thrombus-prophylaxis in individual cases. In addition to physical condition, during restrictive measures in pregnant women, the load on the mental state increases. Restrictive measures are applied not only to walks, but to the entertainment. Relatives and relatives should surround a woman in a position with care and attention.

Influence COVID-19 on a child

Confirmed data on the impact Covid-19 For a complication in childbirth, the frequency of miscarriages and the development of the fetus or child.

Is it possible to vaccinate from Covid-19during pregnancy?

Some world -famous associations recommend vaccinating pregnant women who are at risk of serious complications from Covid-19.

In Russia, the vaccination of pregnant women is partially approved. Throughout the world, several thousand women have already vaccinated, doctors are closely monitoring their condition. The complications from the vaccine in the focus group do not differ from the percentage of the complication of unvaccinated. Doctors are united in opinion that it is worth vaccinating provided "The benefit for the mother exceeds the risk for the fetus".

It is worth noting: The result of the experiments on animals confirms the safety of vaccination during pregnancy.

Visit to the Wondness Consultation during the Pandemia Covid-19

It is recommended to attend a doctor and a female consultation during a pandemic Covid-19according to standard graphics. Pregnant women should be observed in consultation in 12, 20, 28 and 36 weeks. Of course, if there are some indications, then the number of visits should be increased. The doctor is obliged to conduct a full examination, assess the condition of the woman and the child, identify risk factors and direct it to planned tests. If complaints occur, it is worth prescribing additional tests and studying the history more in -depth.

Important: It is not recommended to move by public transport. When traveling by taxi, you should be in a mask and sit on the rear seat.

After visiting the consultation or any public place, doctors advise disinfecting outerwear using special sprays or washing.

Precautions during planned examinations during pandemia Covid-19

Precautions during planned examinations for pandemia Covid-19

When observing by a doctor, a woman needs to protect herself as much as possible from infection. Here are precautions during planned examinations for pandemia Covid-19:

It is necessary to use all means of personal protection: mask, antiseptic, gloves.
The time spent in public places and contact with strangers minimize.
Medical personnel should also observe protective equipment, up to protective glasses, gloves and robes.
It is recommended to inspect pregnant women in an isolated room with a minimum number of staff.
In the maternity hospital or consultation, physical distance should be observed, at the entrance, temperature measured and mandatory disinfection of the hands of incoming people.
In case of suspicion Covid-19 In a pregnant woman, or in those with whom the woman contacted, she must inform her observant doctor, and self -invalidated for 14 days.

If an urgent situation arises, then you should go to the hospital, or call an ambulance home. If there are no complaints, after self -isolation, the pregnant woman must undergo an examination in the insulator. Read further.

Who is subject to diagnosis on the Covid-19?

Recommendations are standard for all people, including pregnant women. Diagnose on Covid-19 It is worth:

There is a symptoms similar to the virus
Have been traveling in the last 2 weeks
There was a contact with patients

A woman should understand all responsibility and carefully monitor her health. With a positive result, the doctor prescribes treatment according to the protocol.

Maintenance of pregnant women with coronavirus infection Covid-19: Clinical recommendations

Pregnant with mild and moderate symptoms of coronavirus infection - Covid-19,leads the standard groups of doctors. Clinical recommendations:

The analysis and observation of the fetus should go according to the schedule. But it is necessary to take the sick in a specially designated part of the consultation, employees must be dressed taking into account personal protective equipment.
In a severe course of the disease, a woman needs to be hospitalized.
Treatment is prescribed on the spot, depending on the indicators.
Antibiotic, antiviral therapy, oxygenation, intubation are standardly prescribed.
Temperature is also measured every 4 hours, monitoring of heart rhythm, pressure, saturation, nausea.
The fetus checked the heart rate 1 per day.

A blood fence for a general analysis is prescribed once a week due to a confirmed decrease in hemoglobin in the blood of sick people.

Covid-19 test for pregnant women: how is it?

Testing on Covid-19 For pregnant women, it is carried out in accordance with the regulations:

Blood is examined on antibodies, a smear from the nasopharynx and throat - on PCR.
To detect pneumonia in the initial stage, an X -ray and tomography are performed.

Important: When performing radiation diagnostics (x -ray or CT), the stomach is covered with a special screen.

The risk of premature birth and the influence of Covid-19

The doctors observed a picture of the progression of the distress syndrome (respiratory disorder) in the fetus, and due to the danger to it, the birth was medication. What is the risk of premature birth and what influence Covid-19 On this process?

The growing child in the late stages every day presses more and more on the lungs and heart of the mother. Blood circulation and breathing are difficult, and if you add a seriously leaking Covid-19, then the condition of the woman can deteriorate sharply. Sometimes the temperature for infection in the later stages can be associated with premature fights and childbirth.

Interesting: The doctor from the Korolev Charlotte and Chelsea hospital in London drawn an analogy that, due to difficulties with breathing, doctors resort to Caesarean cross-section before the start of contractions.

There is no exact data that coronavirus leads to premature birth. However, the doctors falls on additional responsibility for tracking the state of the mother and an unborn baby.

Care during and after childbirth with pandemia Covid-19

Women in position with Covid-19 They are in the isolator. Care during and after childbirth with pandemia:

The beginning of childbirth is fixed according to the standard approved in the maternity hospital.
Doctors carefully observe all the indicators of the future mother (heartbeat, pressure, saturation).
With the help of CTG, doctors carry out the fetus.
The number of employees must be minimized. Personnel participating in the adoption of childbirth should have personal protective equipment.

After childbirth, the child is isolated from the mother in order to avoid his infection. Mother can sign the documents and pick up the child right away, but then she takes the whole risk of infection of the baby. Or wait for a negative dough for coronavirus and only then pick up the baby.

Important: The neonatal brigade during childbirth is on duty at the entrance to the insulator in order to urgently provide assistance, with such a need.

Types of labor of women with COVID-19: when is a cesarean section performed?

The influence of infection on the method of delivery has not been proven in no way. Doctors should act and choose a type of woman's birth with Covid-19 According to the protocol, and build on the indicators of the mother and the child. If there are obstetric indications in favor of Cesarean section, then a procedure is carried out in compliance with all standard measures.

Before discharge, women are directed to tomography. In the absence of pneumonia, a preventive course of antiviral is written out. With a positive analysis, they are transported to the hospital, because Treatment of pneumonia requires hospitalization. The child at this time will be in the maternity hospital, or relatives can be taken away with a certificate of the absence of a virus.

Breastfeeding at Covid-19

Breastfeeding is shown to all women, regardless of infection, even with Covid-19. The benefits of this process are proved and exceeds risks. Breast milk guarantees the supply of the baby’s body with important substances, the transfer of immunity to the mother to the child, as well as physical contact, which has a beneficial effect on the mental state of both the baby and mother.

Before feeding, a woman must follow hygiene procedures: thoroughly wash her hands and chest, put on a mask during feeding. If it is impossible to physical feeding, it is possible to express milk and feed the baby from the bottle.

It is worth knowing: Transmission of SARS-Cov2 infection from mother to baby through breast milk has not been proven.

The coronary epidemic has become a serious problem for society in all sectors. A huge load fell on the medical staff. Moreover, to employees of maternity hospitals, because it is so important to save a new little life. The disease can cause complications in a woman, and the weakening of the body as a whole. The possibility of communication on-line through smartphones with the attending physician should be implemented. Do not refuse constant observation by the doctor because of the coronavirus. On the contrary, such women need to pay increased attention for the successful birth of the baby and maintaining the health of the mother.