Behind the smooth birth of a baby is the relay of life. Before pregnant women were admitted to the hospital, Chengdu Public Health Center had formulated special emergency plans for special key groups, including pregnant women, the elderly and infants, and conducted desktop deduction and actual combat drills.
After the pregnant woman was admitted to the hospital, Chengdu Public Health Center continued to monitor the pregnant woman's condition, arranged an expert group to regularly evaluate her condition, formulated a delivery diagnosis and treatment plan, and prepared a negative pressure operating room, delivery room and neonatal ward to ensure the smooth delivery of pregnant women.
165438+1On October 27th, the Red Star reporter learned that if all goes well, the newborn will be discharged in the near future. Dad Bloomberg lamented: "There are such good medical staff to ensure the safety of mother and child."
As early as February this year, the Medical Rescue Team of COVID-19 Epidemic Prevention and Control Command in Chengdu issued the Implementation Plan of Medical Service Guarantee for Key Groups in Emergency in Chengdu. Among them, it is clear that in an emergency, it is necessary to ensure the medical service guarantee for special key groups such as chronic patients, critically ill patients, dialysis patients, tumor radiotherapy and chemotherapy patients, pregnant women, newborns, mental patients, disabled people and elderly people with mobility difficulties, and maintain normal medical order.
▲ The first pregnant woman from COVID-19 in Chengdu had a successful cesarean section, and the mother and son were safe.
Emergency transshipment
Pregnant women infected with COVID-19 virus were sent to the municipal public health center for labor.
165438+1On October 22nd, when Liu Xin, a pregnant woman who lives in Chengdu, was in labor, her family received a report and her nucleic acid test was positive. Seeing this report, her husband Bloomberg said anxiously: "My mother-in-law, my wife and I are all infected. How can I ensure my wife's safe delivery? Will the baby be infected with COVID-19 virus? "
Originally, due to the approaching due date of delivery in Liu Xin and the epidemic situation, the Pumbaa family seldom went out recently except to buy food. According to the epidemic record, his family was probably infected in the vegetable market, and "the arrangement was suddenly disrupted".
"The most important thing is to give birth safely and ensure the safety of mother and baby." Bloomberg asked the epidemic prevention personnel about this and learned that the Chengdu Public Health Center, which is about to be transferred, has obstetrics and gynecology, and the medical staff in the department have rich clinical experience. He was relieved a lot.
165438+1In the early morning of October 23rd, an ambulance took the Peng Bo family to Chengdu Public Health Center. On the other hand, Chengdu Public Health Center has learned that pregnant women are coming soon.
Pregnant woman, primipara, 39+_, may give birth at any time-all the characteristics show to the medical staff in the center that the handling of this case will be a tough battle. Previously, Chengdu Public Health Center has organized many discussions from various departments to ensure foolproof. After receiving pregnant women, a tense and orderly "labor protection" action was launched.
Because this is the first time that she gave birth to a child, and she was diagnosed as COVID-19-positive, 29-year-old Liu Xin showed anxiety about her unborn child. In order to ensure the emotional stability of pregnant women, Chengdu Public Health Center arranged for Liu Xin's husband Bloomberg to stay in the same isolation ward with her for 24-hour care. At the same time, the center also specially arranged for the head nurse of obstetrics to enter the ward to examine her and "tell her and the baby that everything is all right" to relieve Liu Xin's anxiety.
Because Liu Xin's record-keeping hospital is located in Longquanyi District, in order to ensure the safety of pregnant women and fetuses, Chengdu Public Health Center contacted the record-keeping hospital urgently, and arranged several rounds of discussions between women and children experts from West China Second Hospital of Sichuan University and Chengdu Women and Children Central Hospital through online meetings. At the same time as the expert group discussed, midwives, obstetricians, anesthesiologists, operating room nurses and newborn nurses in Chengdu Public Health Center have acted according to the emergency plan.
Smooth production
Doctors and nurses wear three-level protection and operate in negative pressure operating room.
Since the fetus has umbilical cord around its neck and Liu Xin is a primipara, it may take seven or eight hours to give birth. After communicating with her family, the hospital finally decided to have a caesarean section.
But the test came early before the operation time was determined. 165438+1On the night of October 24th, Liu Xin's amniotic fluid broke, accompanied by irregular contractions, which was a precursor to production.
Hearing this news, many people in the contact group for Liu Xinjian are nervous.
Due to the full preparation in the early stage, the action of "ensuring production" is tense and orderly. The ward director is in the contact group @ department heads. After a short "received", people from all directions began to flock. The head nurse in the ward hung up the waiting box prepared for pregnant women in advance and guided them forward. The negative pressure ward is only tens of meters away from the negative pressure operating room. Generally speaking, it is most convenient to use a surgical flat cart, but it is easy to cause cross-infection in the open air, and the narrow cart will also make pregnant women uncomfortable. Therefore, they arranged a negative pressure transfer vehicle in advance to safely transport pregnant women to the negative pressure operating room downstairs.
Because the negative pressure operating room is on the third floor of the fever clinic, there are fever patients in the clinic. In order to avoid cross infection, the center also notified the safety warning line in advance to temporarily control the fever clinic.
According to the requirements of epidemic prevention and control, pregnant women were pushed into a special negative pressure operating room. Here, doctors and nurses in obstetrics and gynecology and anesthesiology have been waiting for a long time. During the operation, doctors and nurses put on positive pressure respirators to meet this test with three-level protection.
▲ perform cesarean section.
"Surgery on confirmed cases should ensure the safety of patients and ensure that medical staff are not infected. For pregnant women who have been diagnosed with cesarean section, while ensuring the safety of the first two, we must do our utmost to ensure the safety of newborns. " Duan, director of the infection management department of the center, said.
To this end, the medical department, nursing department, hospital department, logistics department, obstetrics and gynecology department, pediatrics department, anesthesia department, operating room, emergency ward and other departments of Chengdu Public Health Center are all on standby to respond to emergencies at any time.
165438+1At 3 o'clock in the morning on October 25th, with a crisp cry, a newborn weighing 5 kg and 4 kg was born smoothly. In order to prevent the newborn from being infected, the nurse immediately transferred it to a specific ward and was taken care of by the newborn medical staff, midwives and relatives of the children in the hospital.
"How is the maternal situation? Be sure to ensure the safety of mother and child! " At 3 am on the 25th, Jiang, deputy director of Chengdu Public Health Center, was still awake. He emphasized to everyone in the 47-member contact group.
Four hours later, the child's first nucleic acid result came out, "negative!" " "Because the disposal is professional and rapid, cross-infection of newborns after birth is avoided. Hearing the news, everyone in the contact group was excited.
▲ Contact group
Take good care of sb
The hospital prepared a "moon meal", and the baby's nucleic acid test was negative three times.
At 4 o'clock in the morning on the 25th, Bloomberg's mother, who came to accompany and take care of the baby, sent her son a WeChat: "The baby was born! I heard crying! The sound is very loud! "
In the morning, Bloomberg received another photo of the child. He said, "Now I have an intuitive feeling of being a father."
On the same day, Liu Xin returned to the ward. Seeing his wife, Bloomberg said he was very upset. Fortunately, the hospital specially arranged nurses to take care of Liu Xin.
▲ Maternity and husband, doctor
Mao Yi, director of the emergency ward of Chengdu Public Health Center, said that the doctor made rounds twice in the morning and evening, and the parturient recovered well.
Considering that lying-in women have to "sit on the moon" in the hospital, their diet must be light and nutritious, and the nutrition department of the hospital also communicates with the canteen to provide nutrition guidance for "Moon Meal" in Liu Xin.
After the baby was born, in order to avoid cross infection, Liu Xin and the baby were temporarily separated. Through the video, Liu Xin saw the child sleeping soundly in her grandmother's arms. She said that she and her husband Pumbaa felt at ease. According to Zhang Chaoyong, director of the center's pediatrics department, the child's mental state, reaction and nursing status are very good, and there is no fever or cough. The results of three nucleic acid tests on 25th, 26th and 27th were all negative, reaching the discharge standard. "If it goes well, I can be discharged in the near future."
Looking back on these days, Bloomberg said: "There are such good medical staff to ensure the safety of mother and child." Both he and Liu Xin are looking forward to going home as soon as possible, holding their children.
Ensure order
In case of emergency, special key groups seek medical treatment, and there are designated hospitals.
Following the successful delivery of the first pregnant woman in COVID-19, another pregnant woman from COVID-19 gave birth in Chengdu Public Health Center the next day, and the result of the first nucleic acid test of the newborn was also negative.
According to Jiang, deputy director of Chengdu Public Health Center, the municipal public health center has deducted the desktop fees as early as June 10 and September 1 1. By the central medical department, nursing department, hospital infection department, logistics support department, obstetrics and gynecology, pediatrics, anesthesiology, operating room, emergency ward and other related personnel to participate in, from preoperative preparation to patient transfer, from internal medicine treatment to neonatal treatment, from hospital infection protection to postoperative disposal, there are detailed field exercises.
The process of exercise itself is also a process of continuous optimization. After the first case, the running-in degree of the team has been improved, and everyone has sorted out and optimized the problems in the process. "We also know that this process can be used for reference."
It is understood that not only pregnant women, the elderly, babies and other special key groups, the center has special emergency plans. "From appendicitis to the delivery of pregnant women, we have conducted drills in advance, prepared plans, and facilitated the training of special class personnel."
▲ Chengdu Public Health Clinical Medical Center
Not only the Chengdu Public Health Center, but also as early as February this year, the Medical Rescue Team of COVID-19 Epidemic Prevention and Control Command in Chengdu issued the Implementation Plan of Emergency Medical Service Guarantee for Key Groups in Chengdu. Among them, it is clear that in an emergency, it is necessary to ensure the medical service guarantee for special key groups such as chronic patients, critically ill patients, dialysis patients, tumor radiotherapy and chemotherapy patients, pregnant women, newborns, mental patients, disabled people and elderly people with mobility difficulties, and maintain normal medical order.
The "Program" requires all medical institutions to adhere to the principle of people-oriented and life first, and make overall plans to prevent and control the epidemic situation and ensure the normal medical services for patients in accordance with the principles of "grading by region, being responsible for the first diagnosis, providing accurate services, being efficient and standardized, and strengthening the hospital's sense of control". In principle, we should seek medical treatment through the original channels, make adequate plans in advance, strictly manage doctors in different regions, standardize the medical treatment process, strengthen communication and cooperation, strengthen the prevention and control of hospital sense, and comprehensively improve the ability of medical service support. It is strictly forbidden to shirk, refuse or delay reasonable medical treatment for patients on the grounds of epidemic prevention and control.
The "Program" also announced the list of designated hospitals for medical service guarantee for special key populations in Chengdu in case of emergency, so as to ensure that special key populations in all districts and counties can receive timely treatment.
In a WeChat group named "COVID-19 Provincial and Municipal Experts Discussion Group" in the Municipal Public Health Center, from July, 2020, there were discussions about the illness almost every day, and sometimes such discussions lasted until the early hours of the morning. It is precisely because of the strong "support team" in the rear that not only Liu Xin, but also more special confirmed patients are safely discharged from the hospital and reunited with their families.
"We also want to convey to the public through this matter. Please rest assured and feel at ease. We will escort you." Jiang said to him.
Photo courtesy of Red Star journalist Zhang Ling Wang Tuo Xue Yan
Editor Yu Mange