These questions the correspondent “the Russian newspaper” has asked the head of the obstetric observation Department of the perinatal center name of Kungaevoy, the gynecologist Hoping Sageway. Recently, she took first in Kalmykia birth in women with COVID-19.
Hope Mukanovna, in the ICU two patients with coronavirus safely gave birth to children. The birth was difficult?
Hope Sagaeva: In both cases the disease was diagnosed mild. In the first patient it was the first birth, the second – the third. Both birth easily.
They ran me through how everything will be, therefore, mothers were not afraid and behave properly. One woman, after receiving a negative test result for coronavirus has been discharged together with the child. A second yet. While we await the test results, it is separated from the child. We still have pregnant women who are under observation but they have not yet given birth.
And how generally it turns out that infected by coronavirus women born healthy baby?
Hope Sagaeva: This is because the placenta tissue does not transmit viruses in the body of the child. But the coronavirus can be passed on to him after birth by droplets, so you need to tread carefully.
How to deliver babies in women with coronavirus? What are their features?
Hope Sagaeva: They are mothers in disguise, and that the medical staff is using all personal protective equipment, to exclude the possibility of infection. Of course, much depends on the degree of severity of the disease.
As we had light patients, all went well. But of course we were worried. It is not fully understood infection and the first such birth in Kalmykia. We constantly monitored the hemodynamics and saturation of blood oxygen saturation so as not to miss respiratory failure. There was a danger of complications due to bleeding.
And in severe disease and respiratory failure, probably would have had to resort to emergency delivery.
You took birth in the personal protective equipment. But in a protective suit and goggles difficult to work with, especially in the warmer time of the year in Kalmykia.
Hope Sagaeva: Yes, taking birth from infected patients, we use the anti-plague suits, goggles, and gloves. It is not even discussed. Of course, uncomfortable, hot, glasses misted. But, you know, at that moment, simply forget about your own inconvenience. The important thing to the woman was comfortable that the child was not injured, and the delivery went well.
What happens to the child when he is born from coronavirus mom?
Hope Sagaeva: In the case of an infected patient, we exclude skin �� skin, not apply the child to the mother. To prevent the infection passed on to him by droplets, we immediately separate the child from the mother. It is isolated. And take the test for coronavirus infection from the nasopharynx and oropharynx. After that, the condition of the baby see the pediatrician.
Can a woman breastfeed if she is sick or ill by the coronavirus?
Hope Sagaeva: the Lactation in women persists. After negative results on coronavirus infection in mom and baby they are discharged. And permit breast-feeding. Of course, the statement happens if a home and a normal epidemic, and among others not infected.
And how was the treatment of pregnant women with coronavirus? Is it dangerous for a child?
Hope Sagaeva: Both of our patients suffered a coronavirus mild. In this case, significant differences in the treatment of pregnant women no. Monitored their well-being, when necessary, antipyretic and antiviral drugs. Of course, prescribers that are not harmful to the baby. Especially after 20 weeks when the fetus has already formed organs, such treatment is not dangerous.
are There any cases of coronavirus in which it is necessary to terminate the pregnancy?
Hope Sagaeva: At this point there are different points of view. At first, it was recommended to terminate the pregnancy up to 12 weeks in patients with COVID-19, but now look at it a little differently. If we are talking about a mild form of the disease, if pregnancy is desired, induced, with ECO, then to abort it is not necessary. In each case the doctors decide according to the situation. Of course, if the first screening at the 12-13 week revealed congenital malformations, and especially incompatible with the life of a child, the woman will offer to abort such a pregnancy.
whether you Go pregnant with the coronavirus in the antenatal clinic and is it not danger?
Hope Sagaeva: due to the current epidemiological situation of the infected patient are observed remotely. If necessary, the specialist comes to him in a protective suit, conducts the review and takes tests. All this is done at home.
whether discharged the baby some special care and monitoring?
Hope Sagaeva: the Main condition is to comply with the epidemic regime. You need to wear a mask when dealing with a child, try to withstand the insulation to both the mother and the child has less contact with the outside world.
first tip. Due to changes in the body, pregnant women are more susceptible to coronavirus infection. So for them it is especially important to follow socialwow distancing and siperian. It is necessary to reduce the number of contacts to monitor their health, to use a mask, often to measure the temperature and to wash their hands.
tip two. All pregnant women should be observed in female consultation remotely. And for tests and examinations my doctor will prescribe the time in which they can come, so as not to overlap with other patients.
tip three. Definitely need to pass the examination in first and second trimester.
tip four. To give birth have to go psychologically prepared, and nothing to fear.
In the Rostov region from 24 pregnant women identified coronavirus. 12 of them have recovered, and for the rest see doctors. At the time of the epidemic in 11 women with a light and middle course of the disease were born 13 children.
All the materials of the story “COVID-19. We can do it!” read the .
