Analysis of perinatal diagnosis and treatment of Coronavirus Disease 2019 in pregnant women

PAN Zhigang; SHAO Juan; LYU Yingpu; TIAN Yanling

doi:10.7619/jcmp.20222084

Journal of Clinical Medicine in Practice > 2022 > 26(23): 50-54. > DOI: 10.7619/jcmp.20222084

PAN Zhigang, SHAO Juan, LYU Yingpu, TIAN Yanling. Analysis of perinatal diagnosis and treatment of Coronavirus Disease 2019 in pregnant women[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 50-54. DOI: 10.7619/jcmp.20222084

Citation:

PDF (900 KB)

Analysis of perinatal diagnosis and treatment of Coronavirus Disease 2019 in pregnant women

Department of Gynecology, Shijiazhuang People's Hospital of Hebei Province, the 980 th Hospital of Joint Service Support Force of Chinese People's Liberation Army, Shijiazhuang, Hebei, 050000

More Information

Received Date: July 05, 2022
Available Online: December 22, 2022

Graphical Abstract

Abstract

Abstract

To investigate the perinatal diagnosis and treatment of one pregnant woman in the convalescing period of Coronavirus Disease 2019 (COVID-19). The symptoms, signs, laboratory tests and fetal status of perinatal women were recorded and analyzed before delivery, during delivery and after delivery. The influence and risk factors of COVID-19 pregnant women were explored and the diagnosis and treatment procedures based on personal clinical experience were gradually improved. Prenatal isolation should be strictly performed, body temperature, blood oxygen and other routine indicators should be monitored, left decubitus position should be taken, fetal heart monitoring and maternal nutrition support should be strengthened. In the process of delivery, continuous electrocardiograph monitoring and fetal heart monitoring were given to the parturient; after delivery, the newborn was isolated for observation to reduce the risk of infection and to breastfeed the newborn appropriately. In addition, the vital signs of the mothers were closely monitored to prevent postpartum bleeding, and the psychological state of the mothers was paid attention to.
- Coronavirus Disease 2019,
- rehabilitation period,
- the pregnant and birth giving women,
- the perinatal period,
- newborn

FullText(HTML)

References (17)

References

[1]	中华人民共和国国家卫生健康委员会. 新型冠状病毒感染的肺炎诊疗方案(试行第七版)[EB/OL]. (2020-03-04)[2020-03-15]. https://wenku.baidu.com/view/60b074a66629647d27284b73f242336c1eb930b6.html_wkts_=1670307931935&bdQuery
[2]	中华人民共和国国家卫生健康委员会. 中华人民共和国国家卫生健康委员会公告(2020年第1号)[EB/OL]. (2020-01-20)[2020-02-07]. http://www.gov.cn/zhengce/zhengceku/2020-01/21/content_5471164.htm
[3]	CHEN N, ZHOU M, DONG X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study[J]. Lancet, 2020, 395(10223): 507-513. doi: 10.1016/S0140-6736(20)30211-7
[4]	王新燕, 吴杰, 鲁新华, 等. 河南省新型冠状病毒(2019-nCoV)感染孕产妇管理策略建议[J]. 郑州大学学报: 医学版, 2020, 55(2): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK202002012.htm
[5]	中华人民共和国国家卫生健康委员会妇幼健康司. 关于加强新型冠状病毒肺炎疫情防控期间孕产妇疾病救治与安全助产工作的通知[A]. 肺炎机制发
[6]	中华人民共和国国家卫生健康委员会. 医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)[EB/OL]. (2020-01-22)[2020-03-15]. https://www.cn-healthcare.com/article/20210913/content-560103.html
[7]	中国医师协会妇产科医师分会母胎医师专业委员会, 中华医学会妇产科分会产科学组, 中华医学会围产医学分会, 等. 妊娠期与产褥期新型冠状病毒感染专家建议[J]. 中华围产医学杂志, 2020, 23(2): 73-79. doi: 10.3760/cma.j.issn.1007-9408.2020.02.001
[8]	VINCENZO B. Coronavirus disease2019(COVID-19). Pregnancy issues[EB/OL]. (2020-04-21)[2020-04-23]. https://pubmed.ncbi.nlm.nih.gov/32105680/
[9]	ORTIZ EI, HERRERA E, DELATORREA. Coronavirus (COVID-19) infection in pregnancy[J]. Colomb Med: Cali, 2020, 51(2): e4271.
[10]	辽宁省母胎医学中心, 辽宁省危重孕产妇抢救中心, 辽宁省产科专业质控中心. 辽宁省新型冠状病毒感染流行期间孕产妇管理指导意见[J]. 中国实用妇科与产科杂志, 2020, 36(2): 127-130. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF202002010.htm
[11]	The American college of obstetricians and gynecologists. novel coronavirus 2019(COVID-19)[EB/OL]. (2020-04-21)[2020-04-23]. https://www.docin.com/p-1311418170.html
[12]	The French College of Gynaecologists and Obstetricians. SARS-CoV-2 infection during pregnancy. Information and proposal of management care[J]. Gynecol Obstet Fertil Senol, 2020, 48(5): 436-443.
[13]	周天萍, 徐燕, 黄莺, 等. 妊娠期合并新型冠状病毒肺炎1例的护理[J]. 护理与康复, 2020, 19(12): 95-97. doi: 10.3969/j.issn.1671-9875.2020.12.028
[14]	QIAOJ. What are the risks of COVID-19 infection in pregnant women[J]. Lancet, 2020, 395(10226): 760-762. doi: 10.1016/S0140-6736(20)30365-2
[15]	POONLC, YANGH, LEEJC S, et al. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals[J]. Ultrasound Obstet Gynecol, 2020, 55(5): 700-708. doi: 10.1002/uog.22013
[17]	Centers for Disease Control and Prevention. Considera-tions for inpatient obstetric healthcare settings[EB/OL]. (2020-04-04)[2020-04-23]. https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html
[18]	The Oueesland Health. COVID-19 and breastfeeding[EB/OL]. (2020-03-22)[2020-04-23]. https://www.nature.com/articles/s41372-020-0738-6

[1]	DU Zhen, CHEN Xishan, SHENG Zengmei. Clinical value of detection of cervical thin-layer cytology test and high-risk human papilloma virus in patients with cervical cancer and cervical intraepithelial neoplasia[J]. Journal of Clinical Medicine in Practice, 2020, 24(17): 24-27. DOI: 10.7619/jcmp.202017006
[2]	ZHENG Jianjun. Value on detection of high-risk human papilloma virus, squamous cell carcinoma antigen and squamous cell associated carcinoma antigen after radical resection of cervical cancer[J]. Journal of Clinical Medicine in Practice, 2019, 23(23): 58-60. DOI: 10.7619/jcmp.201923017
[3]	LI Juan, LIU Yuehong, GU Ping, ZHU Mengtian, MA Xiaoling, LIU Yinmei. Significance of screening cervical lesionsby cytology examination combined with human papilloma virus genotyping[J]. Journal of Clinical Medicine in Practice, 2019, 23(14): 72-75. DOI: 10.7619/jcmp.201914019
[4]	JIANG Hui, ZHANG Yuquan, CHU Minjie, WANG Feng, CHEN Shouhua, WU Juanjuan. Analysis of cervical cancer screening in rural women in Jiangsu province from 2014 to 2015[J]. Journal of Clinical Medicine in Practice, 2017, (21): 59-61. DOI: 10.7619/jcmp.201721017
[5]	SHANG Lele, HU Jiefeng, WANG Yueqing, ZHU Yinyin, KUAI Shougang. Clinical value of human papillomavirus nucleic acid detection kit in screening cervical cancer and precancerous lesions[J]. Journal of Clinical Medicine in Practice, 2017, (19): 99-102. DOI: 10.7619/jcmp.201719028
[6]	ZHANG Jianhua, ZHAO Zongxia, ZHANG Jin. Value of HPV-DNA combined with HPV-E6 protein in screening of cervical cancer[J]. Journal of Clinical Medicine in Practice, 2017, (7): 74-76. DOI: 10.7619/jcmp.201707020
[7]	LIU Xiaoyun, PENG Hudan. Application of human papillomavirus DNA combined with thinprep cytologic test in the diagnosis of cervical lesions[J]. Journal of Clinical Medicine in Practice, 2016, (3): 91-94. DOI: 10.7619/jcmp.201603028
[8]	HUANG Rong. Clinical application of thinprep cytologic test combined with LEEP in diagnosis and treatment of patients with cervical intraepithelial neoplasia[J]. Journal of Clinical Medicine in Practice, 2014, (11): 64-66. DOI: 10.7619/jcmp.201411019
[9]	WANG Li, YU Kang, ZHOU Hui, REN Yuan, GU Jiandong, ZHAO Danmei. Diagnostic value of high-risk HPV test and colposcopy in diagnosing atypical squamous cells with undetermined significance[J]. Journal of Clinical Medicine in Practice, 2013, (17): 39-41. DOI: 10.7619/jcmp.201317012
[10]	LIU Hanzhong, YANG Jizhou, XIAO Lan, LU Ye, DAI Yifei, WANG Lan. Liquid-based cytology combined HPV-DNA genotyping in cervical cancer screening[J]. Journal of Clinical Medicine in Practice, 2013, (9): 44-46,49. DOI: 10.7619/jcmp.201309013

Cited By

Get Citation

PDF

XML

Article views (146) PDF downloads (5)

Turn off MathJax

Article Contents

Abstract

References

Analysis of perinatal diagnosis and treatment of Coronavirus Disease 2019 in pregnant women

Abstract

References

Related Articles

Catalog

Analysis of perinatal diagnosis and treatment of Coronavirus Disease 2019 in pregnant women

Abstract

References

Related Articles

Catalog

Export File

Citation

Format

Content