What should pregnant women and nursing mothers do if they have fever and cough? How to care for the newborn?
2022-12-20
At present, the epidemic prevention and control measures have been adjusted in many regions of the country. Under such circumstances, how should pregnant women, as special groups, respond? What should I do if I am infected with COVID-19? What impact will it have on the baby? How to care for the newborn? The MDT team of the Department of Obstetrics, Department of Neonatology, Department of Infectious Diseases, Department of Pharmacy and Department of Respiratory Medicine of Peking Union Medical College Hospital answered questions and sent eight answers that pregnant mothers urgently wanted to know: Q: What will pregnant women show when they are infected with COVID-19? A: The degree of illness of pregnant women after infection is similar to that of the general population. The main symptoms are fever, sore throat, cough, muscle aches and other discomfort, which usually lasts for 1 week. Omicron mutant did not significantly increase the incidence of severe maternal disease. Q: What should I do after my pregnant mother is infected? A: 1) Basic treatment: the symptoms are mild, without discomfort such as poor breathing, increased respiratory rate, chest tightness, etc., and can be isolated at home. Only symptomatic treatment is needed, drinking more water, and taking a rest. Physical cooling is mainly used, such as warm water wiping and antipyretic sticker. If the cooling effect is not obvious, especially if the temperature rises to 38.5 ℃ or above, you can take medicine to reduce the fever. 2) If the pregnant mother has diabetes during pregnancy, hypertension during pregnancy, autoimmune system disease, heart disease, respiratory system disease and other basic diseases, the upper respiratory tract infection caused by the virus may aggravate the original condition. In addition to the symptoms of the upper respiratory tract infection, attention should also be paid to the changes in the organic function of the original basic diseases, such as blood sugar, blood pressure, heart rate, respiration, etc. Q: What conditions do pregnant women need to go to the hospital after infection? Answer: 1) Pregnant mothers should pay attention to fetal movement, abdominal tightness, vaginal discharge, bleeding, etc. If there is any abnormality, they should go to the obstetrics department. 2) When the pregnant mother has symptoms such as shortness of breath (>30 times/minute), dyspnea, purple lips, high fever (body temperature exceeds 38.5 ℃ for more than 5 days), chest tightness, chest pain, palpitations, etc., if the home can provide its own finger pulse oxygen monitor, if the blood oxygen saturation is lower than 93%, it is necessary to go to the fever clinic in the hospital as soon as possible, and cooperate with the respiratory department for treatment and obstetric consultation. Q: What should be paid attention to after the pregnant mother is infected? 1) The preferred drug for symptoms such as fever, sore throat, muscle ache, etc.: acetaminophen usage and dosage: repeat the drug every 4-6 hours, 0.3g-0.6g at a time, and no more than 4 times within 24 hours Caution: during the antipyretic process, water needs to be replenished in time, and dehydration may be caused due to excessive sweating Choose according to the doctor's advice: Chaiqin Qingning capsule, honeysuckle oral liquid, Lanqin oral liquid At present, the commonly used compound cold medicines such as Qiangli Cold Tablets contain many components, such as ephedrine, chlorpheniramine and other components, which are forbidden during pregnancy. Therefore, it is not recommended that pregnant mothers take various compound cold medicines on their own. 2) Cough is a kind of body protective activity. It can discharge sputum and foreign matters in the respiratory tract, so as to keep the respiratory tract clean and smooth, which is conducive to health. Therefore, the occasional mild cough will be relieved with the discharge of sputum, and there is no need to blindly use antitussive drugs. Attention should be paid to the use of antitussive and expectorant drugs in the first three months of pregnancy and those who need breastfeeding. During the second and third trimester of pregnancy, dextromethorphan, bromhexine, ambroxol, guaifenesin, pistil granules
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Source：https://www.workercn.cn/c/2022-12-17/7677097.shtml
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