Behind the smooth birth of the baby is a relay of life - before the pregnant woman was admitted to the hospital, for special key populations including pregnant women, the elderly, infants and young children, Chengdu Public Health Center has formulated a special emergency response plan, and desktop rehearsals and actual drills.
After a pregnant woman is admitted to the hospital, the Chengdu Public Health Center continuously monitors her condition, arranges for an expert group to regularly assess her condition, develops a plan for diagnosis and treatment of delivery, and prepares a negative pressure operating room, a delivery room, and a neonatal ward to ensure that the pregnant woman gives birth smoothly.
November 27, Red Star News reporter learned that if all goes well, the newborn will be discharged in recent days. Dad Peng Bo exclaimed, "There is such a good medical staff to ensure the safety of mother and child."
As early as February this year, Chengdu City, the new crown pneumonia epidemic prevention and control command medical treatment group issued the "Chengdu City, the state of emergency medical services to protect the implementation of the program". Which is clear, to ensure that in emergency situations to do a good job of chronic disease patients, critically ill patients, dialysis patients, tumor radiotherapy patients, pregnant women, newborns, psychiatric patients, people with disabilities, mobility impaired elderly people and other special key populations of medical services to protect the work, to maintain the normal order of medical care.
▲Chengdu's first case of new crowns pregnant women successful cesarean section, mother and child safe
Emergency transfer
Pregnant women infected with new crowns, was sent to the city's public health center to wait for delivery
November 22, in Chengdu living in a pregnant woman Liu Xin is close to the birth of a baby, the family received a report of nucleic acid test is positive. Seeing the report, husband Peng Bo said worriedly, "Mother-in-law, wife and I are infected, how to ensure the safe delivery of his wife? Will the baby be infected with the new crown?"
Originally, due to Liu Xin's approaching due date and the epidemic, Peng Bo's family has rarely gone out lately except to buy groceries. According to records of the flow of the transfer showed that his family is likely to be infected in the food market, "the arrangement was immediately disrupted."
"The most important thing is to have a safe delivery and make sure the mother and child are safe." Peng Bo asked the epidemic prevention personnel for this reason, learned that the Chengdu City Public Health Center, which is about to be transferred to have an obstetrics and gynecology department, the department of medical staff with extensive clinical experience, etc., he was a lot more at ease.
In the early hours of Nov. 23, an ambulance carried Peng Bo's family to the Chengdu Public Health Center. At the other end, the Chengdu Public Health Center had been informed of the impending arrival of the pregnant woman.
Pregnant, primiparous, 39+_, and likely to give birth at any time - all characteristics that indicated to the center's medical staff that the handling of the case would be a hard battle. Previously, the Chengdu Public Health Center has been multi-disciplinary organization of many discussions to ensure that nothing is left to chance. After receiving the pregnant woman, a tense and orderly "protect the birth" action to start.
Because it was her first time giving birth, and because she was diagnosed as positive for the new coronavirus, Liu Xin, 29, showed anxiety because she was worried about her baby. In order to ensure that the pregnant woman's mood is stable, the Chengdu Public Health Center arranged for Liu Xin's husband, Peng Bo, to stay in the same isolation ward with her for 24-hour care. At the same time, the center also arranged for the head nurse of the obstetrics department to enter the ward for her to "tell her and the baby that everything is fine" in order to ease Liu Xin's nervousness and anxiety.
Since Liu Xin's hospital is in Longquanyi District, the Chengdu Public Health Center urgently contacted the hospital to ensure the safety of the pregnant woman and her baby, and arranged for gynecological and pediatric experts from West China Hospital of Sichuan University and Chengdu Women's and Children's Center Hospital to discuss the case in several rounds through online meetings. While the expert group was discussing, midwives, obstetricians, anesthesiologists, operating room nurses, and neonatal nurses of Chengdu Public Health Center had already acted in accordance with the developed emergency plan.
Smooth delivery
Medical and nursing wear three levels of protection, surgery in the negative pressure operating room
Given that the fetus has an umbilical cord around the neck, and Liu Xin is a primigravid woman, a smooth delivery may take up to seven or eight hours, the hospital communicated with the family and ultimately decided to carry out a cesarean section.
But before the surgery was scheduled, the test came early. on the night of November 24, Liu Xin's water broke, accompanied by irregular contractions, which was a precursor to the birth of the baby.
Hearing the news, many people in the contact group for Liu Xin became nervous.
Because of all the preparations in advance, the operation was intense and orderly. The director of the ward @ each department head in the contact group, a brief sentence "received", all the staff began to rush. The head nurse of the ward carried the waiting box prepared in advance for the pregnant women and guided them to go out. Negative pressure ward is only a few dozen meters away from the negative pressure operating room, and it is most convenient to use surgical trolleys, but the open-air push is prone to cross-infection, and the narrow trolleys will also make pregnant women feel bad. Therefore, they arranged for the negative pressure transfer car in advance, the pregnant woman safely transported to the negative pressure operating room downstairs.
Because the negative-pressure operating room is on the third floor of the fever clinic, there are still fever patients in the clinic. In order to avoid cross-infection, the center also notified the Security Section in advance to pull the cordon and temporarily control the temporary personnel of the fever clinic.
In accordance with the epidemic prevention and control requirements, pregnant women were pushed into a special negative pressure operating room. Here, doctors and nurses from the Department of Obstetrics and Gynecology and the Department of Anesthesiology have been waiting for a long time. During the operation, the doctors and nurses put on positive-pressure respirators to meet the test with three levels of protection.
▲Performing a C-section
"Surgery for a confirmed case, while ensuring the safety of the patient, but also to ensure that the medical staff is not exposed to infection. And to perform a cesarean section on a confirmed pregnant woman, while ensuring the safety of the first two, every effort must be made to ensure the safety of the newborn." Duan Xiaofei, director of the center's infection management department, explains.
To this end, the Chengdu Public Health Center's medical department, nursing department, hospital infection department, logistics department, obstetrics and gynecology, pediatrics, anesthesiology, operating room, emergency ward composed of special medical staff are on standby to respond to emergencies.
At about 3 a.m. on Nov. 25, a 5-pound, 4-two-two newborn was born with a clear cry. To prevent the newborn from being exposed to infections, nurses immediately transferred him to a specific ward, where he was cared for by the hospital's neonatology staff, midwives and the child's relatives.
"How is the maternal condition? Make sure the mother and child are safe!" At about 3 a.m. on the 25th, Jiang Liangshuang, vice president of the Chengdu Public Health Center, remained awake, emphasizing to everyone in the 47-member contact group.
Four hours later, the child's first nucleic acid results came back, "negative!" Everyone in the group was thrilled to hear the news that cross-infection of the newborn had been avoided because of the professional and rapid handling of the case.
▲Contact group
Meticulous care
Hospital prepared "monthly meal", the baby's three nucleic acid test are negative
25 at 4:00 a.m., came to accompany the birth of the baby's mother to take care of the baby Peng Bo sent a WeChat message to his son, " The baby was born! I heard the cry! The sound is loud!"
In the morning, Bloomberg received another picture of the baby, saying, "Now there's a visualization of what it's like to be a father."
That day, Liu Xin returned to the ward. Seeing his wife, Peng Bo said he was heartbroken, but it was good that the hospital had arranged special nurses to take care of Liu Xin.
▲Maternity and husband, doctors
Mao Yi, director of the emergency ward at the Chengdu Public Health Center, said doctors checked in twice in the morning and evening and the mother had recovered well.
Considering the fact that the mother is in the hospital, the diet must be light and nutritious, the hospital's nutrition department also communicated with the cafeteria, Liu Xin's "monthly meal" nutritional guidance.
After the birth of the child, in order to avoid cross-infection, Liu Xin and the child temporarily separated. Through the video, Liu Xin saw the child in the arms of his grandmother sleeping sweetly, she said she and her husband Peng Bo feel very relieved. According to the center's pediatrics director Zhang Zhaoyong, the child's spirit, reaction and breastfeeding conditions are very good, no fever, cough and other conditions, and 25, 26, 27, three nucleic acid test, the results are negative, has reached the discharge criteria. "If it goes well, it will be discharged in the next few days."
Looking back over the past few days, Peng Bo said, "There are such good medical staff, which ensures the safety of mother and child." Both he and Liu Xin are looking forward to being able to go home soon and hold their baby.
Security in order
Special key populations in emergency situations have access to designated hospitals
After the first case of a new crown of pregnant women gave birth, the next day, also at the Chengdu Public Health Center, another new crown of pregnant women gave birth, and the newborn's first nucleic acid test results were also negative.
According to Jiang Liangshuang, vice president of the Chengdu Public Health Center, the city's public health center conducted a special desktop exercise as early as June 10 and September 11 this year for confirmed pregnant women. By the center's medical department, nursing department, hospital sensory department, logistics department, obstetrics and gynecology, pediatrics, anesthesiology, operating room, emergency ward and other relevant personnel involved in the preoperative preparations to the patient's transfer, from the medical treatment to newborn rescue, from hospital sensory protection to postoperative disposal are detailed field exercises.
The process of rehearsal itself is also a process of continuous optimization. After the first case, the team's bonding improved, and everyone sorted out and optimized the problems that arose during the process, "When we encountered similar patients in the follow-up, we also knew that this set of handling procedures could be drawn upon."
It is understood that not only pregnant women, for the elderly, infants and young children, including special focus groups, the center has a special emergency disposal plan, "as small as appendicitis, as large as the birth of a pregnant woman, we have rehearsed in advance, prepared plans, but also to facilitate the training of special staff."
▲Chengdu City Public **** Health Clinical Medical Center
Not only in Chengdu City Public Health Center, as early as February this year, Chengdu City, the new crown pneumonia epidemic prevention and control command medical treatment group issued the "Chengdu City, the implementation of key populations of medical services to protect the state of emergency". Which is clear, to ensure that in emergency situations to do a good job of chronic disease patients, critically ill patients, dialysis patients, oncology radiotherapy patients, pregnant women, newborns, psychiatric patients, people with disabilities, mobility impaired elderly people and other special key populations of medical services to protect the work, to maintain the normal order of medical care.
The "program" requires medical institutions to adhere to the principle of people first, life first, in accordance with the "zoning and grading, the first diagnosis is responsible for accurate service, efficient norms, strengthen the sense of control", to do a good job of prevention and control of epidemics and patients with the normal protection of health care services, in principle, according to the original channels for medical treatment, make sufficient plans in advance, strict delineation and management, reduce cross-district access to medical care. In principle, the original channel for medical treatment, make sufficient plans in advance, strictly delineate the area, reduce cross-district consultation, standardize the consultation process, strengthen communication and collaboration, strengthen hospital infection prevention and control, and comprehensively improve the ability to guarantee medical services. It is strictly prohibited to use epidemic prevention and control as a reason to shirk, refuse to accept, delay patients reasonable medical treatment.
"Program" also announced the Chengdu emergency state of special key populations of medical services to protect the designated list of hospitals, to ensure that each district and county of special key populations can be timely treatment.
In the city's public health center, the WeChat group called "new crown patients, provincial and municipal experts to discuss the group", since July 2020, almost every day there is a discussion of the condition, and sometimes this discussion will last from the morning to the next morning. Because of the strong "protection team", not only Liu Xin, but also more special diagnosed patients from here safely discharged, reunited with their families.
"We also want to convey to the public through this incident, please rest assured, at ease, we will escort everyone." Jiang Liangshuang said.
Red Star News reporter Zhang Ling Wang Tuo Yan Xue Interviewee for photo
Edited by Yu Mango