On May 5, 2023, the World Health Organization announced that the new crown epidemic no longer constituted "the emergencies of international concern", which means that the new crown has "not left" since then, but this does not meanEssenceFor the special group of pregnant mothers, "Can this child be infected, can this child be?"Care and worry issues.
1. I have a new crown during pregnancy and will I be transmitted to my baby?
The transmission pathway for pregnancy and non -pregnancy crowds is basically the same, mainly direct transmission.Maternal and infant transmission (also known as vertical transmission) refers to the pathogens of maternal mothers to the sub -dynasty through the placenta, birth canal or breastfeeding, including in -house, time or early birth.At present, the scope of vertical transmission of new coronal virus is still unclear, and there is no sufficient evidence that the new coronal virus can infect the fetus through the placenta barrier.Existing research and reports show that the probability of transmission in the new coronary virus is extremely low, and the total incidence of congenital infections in future generations is <2%.Fetal malformations, miscarriage, and premature birth have not risen due to infection.Some studies analyzed several cases in the middle and late pregnancy, and no new coronary virus was detected in the placenta, amniotic fluid and umbilical blood.
A foreign study showed that if the mother was infected with the new crown virus during childbirth, the risk of infection in her newborn increased significantly.Pregnant women who infected with new crown viruses during childbirth were positive for newborn tests; among pregnant women infected during childbirth, the infection rate among newborns was as high as 13.6%, but of which, some newborn testing may be the test results of the test results.It is infected with a pseudo -positive or after being infected with a mother or other caregivers.The newborn new coronal virus infection is generally mild, and it will be restored within one to two weeks after the onset.
2. I am pregnant, will I be more likely to be infected with the new crown virus during pregnancy?Will it increase the risk of pregnancy if the infection is infected?
A large number of studies have proved that pregnancy will not increase the susceptibility to infection of new coronary virus. Its transmission pathway, infectious duration, immune response and re -infection risk are the same as those of non -pregnancy people, but the clinical disease may worsen.Generally speaking, most (> 90%) patients with pregnancy can recover without hospitalization.For pregnant women who are infected with new coronal viruses, especially those with pneumonia, the incidence of premature birth and cesarean section may increase, which may be related to severe illnesses.The risk factors of severe illnesses during pregnancy include age, obesity, previous complications, and unaginged vaccines.
For pregnant mothers who are infected with new crowns, if the following non -productive factor performance appears, you must seek medical treatment in time.
l Difficulty breathing, shortness of breath, chest pain, chest tightness, asthma, acceleration of heartbeat, etc.;
L’s body temperature is too high, the body temperature continues to exceed 39 ° C after taking the antipyretic drug, or the symptoms are recurred after the symptoms improve;
L headache, ear pain, cough, severe throat pain and other symptoms still have no relief after symptomatic treatment;
l The symptoms of nasal congestion and runny nose for more than 10 days have no significant relief and seriously affecting daily life such as rest and sleep.
3. In the early pregnancy infection, the new coronal virus is infected. Can this child want it?
Early pregnancy (within 12 weeks of pregnancy) is an important period of fetal development. Each organ of the fetus is in a stage of high degree of differentiation and rapid development, and it is also highly sensitive to drugs.Is this child still? "We don’t recommend blindly adopting the" one -size -fits -knife -cut "termination of pregnancy, and need to be individually evaluated the risk of pregnancy based on the situation of gestational week, body temperature, medication, etc.At present, a large number of evidence has shown that the natural abortion rate of patients with new crown virus and the congenital malformation rate of future generations has not increased.
Generally speaking, within 4 weeks of menopause, if it is not continuously high fever (exceeding 39 ° C), there are not many problems, but monitoring needs to be strengthened in the later period.For menopause between 5-12 weeks, that is, the sensitive stage of embryonic development. If the body temperature exceeds 39 ° C for more than 48 hours, it may increase the risk of embryo development.If you take related drugs at the same time, it is recommended that the hospital consults experienced medical doctors, and decides after weighing the advantages and disadvantages according to the classification of medication during pregnancy and the time of medication.If bleeding, abdominal pain, etc. during observation, you need to seek medical treatment in a timely manner, especially for patients who do not check the position of the pregnancy capsule without ultrasound examination, you need to be alert to the occurrence of ectopic pregnancy.
4. If you accidentally infect the new crown, can we use medicine?
Pregnancy is common in cases of non -symptoms. Studies have shown that there are fewer fever, cough, respiratory difficulty and myalgia in pregnancy infected. Some clinical manifestations may overlap with symptoms of normal pregnancy, such as fatigue, shortness of breath, nosebleed, nausea/ nausea/ nausea/ nausea/Vomiting and so on.
For mild pregnant women, you can relax your mentality, pay attention to diet and rest, drink more water, physical cooling, etc., and you do not need to take the medicine blindly.
For pregnant mothers with heavy symptoms, it is recommended to actively treat symptomatic treatment.If the fever exceeds 38.5 ° C, you can choose to treat heating drugs. It is recommended to prefer acetaminol (remember not compound preparations).Four times; but for abnormal liver biochemical indicators, the potential hepatic toxicity of acetaminol should be taken into account when taking medication, usually <2g/d is safer;Existing evidence shows that the use of each stage during pregnancy can cause adverse risks. Therefore, some pregnant women can only temporarily, low frequency, and low -dose in the case of no acetaminol.When choosing, pay attention to the minimum effective dose; the best administration should be less than 48 hours, and the potential fetal toxicity (e.g., too little amplifiers and premature closure of arterial catheter) are guided by tire age.
If other severe clinical symptoms occur, such as severe nasal congestion and nose blocking, you can choose Sitlinizine and Relazing; if a severe dry cough occurs, you can choose right Michafin, but you need to pay attention to it during early pregnancy;, Acetamine is preferred or carefully selected, but it should be noted that the latter is not recommended during early pregnancy.
5. Do you need to be isolated from your baby after childbirth?Can you breastfeed?
Generally speaking, the risk of newborn is low in the risk of infection with the new coronal virus by the mother. Statistics show that there is no significant difference in the risk of infants in the same room or whether the baby is infected with the mother.However, the mother should wear a mask and pay attention to the hand when contacting the baby.
At present, breastfeeding is generally available to maternal and infants, and should be encouraged and supported.At present, there have been very few breast samples that have been detected, and it is not clear whether the new coronary virus will spread through breast milk.However, when the mother is infected with the new coronary virus or vaccinated the vaccine, the baby may consume IgA and IgG neutralizes and the virus is passively immune to the virus, and the possibility of the mother transmitted to the newborn after taking infection prevention measures. Therefore, it is recommended that pregnant mothers recommend that pregnant mothersBreastfeeding should be taken for proper infection control measures.During breastfeeding, you can pay attention to the following aspects to prevent baby infection:
● Wear a mask or respirator with a good fit;
● Do your hand hygiene;
● Symptoms of common surfaces that are exposed to symptoms.
Zhang Kai, attending physician at the Obstetrics and Gynecology Department of Beijing Friendship Hospital affiliated to the Capital Medical University
Cui Xin, attending physician of the obstetrics and gynecology department of Beijing Friendship Hospital affiliated to the Capital Medical University
Long Yan, chief physician of the Obstetrics and Gynecology Department of Beijing Friendship Hospital affiliated to the Capital Medical University
Editor in charge: Jiang Lei
Source: China Youth Daily Client