When you encounter A current during pregnancy

Recently, HIN1 (HIN1) has been fierce, threatening the health of the people, and the elderly, children, pregnant women, and weak people are the main attack targets.The changes in the immune system, cardiovascular system, and respiratory system during pregnancy during pregnancy, and the virus can easily enter the deficiency, which may lead to the increase in the severity of the A current, which increases the risk of hospitalization, severe diseases and death., Premature birth, deformity, fetal internal distress and other adverse pregnancy endings.So what should I do as pregnant mothers who are special groups?

1. What is type A H1N1 flu?

A flow is an acute respiratory infectious disease caused by type A influenza virus (H1N1). Its source of infection is patients with A and asymptomatic infections. It is mainly transmitted by sneezing and cough.In contact with the discharge of mucous membranes and body fluids in the oral cavity, nasal cavity, eyes, etc.

2. How do pregnant mothers prevent sherself from infection?

Injecting influenza vaccines are the most effective way to prevent A flow. Injecting vaccines can reduce the prevalence of A flow and reduce the occurrence of severe and critical influenza.

Pregnant mothers must reduce the dense places of the crowd, wear masks and wash their hands; regardless of the home or in the office, pay attention to the frequent ventilation of the room and keep the air circulation; at the same time, we must maintain a balanced nutrition and sufficient sleep.

The infectious period of the A flow is about 1 week, and the infectiousness of the disease is the most infectious on the first day of the disease. Pregnant mothers must avoid close contact with people who have symptoms of respiratory diseases.

3. What are the symptoms of pregnant mothers infected with A flow?

The incubation period of the infection of A is generally 1 to 7 days, mostly 1 to 3 days, and generally manifested as mild cough, sputum, and fever. Those with pregnancy complications or basic chronic diseases.High fever, headache, general soreness, fatigue and even abdominal pain, diarrhea and other symptoms need to go to the hospital as soon as possible.

Infection in the middle and late pregnancy can be manifested as shortness of breath, dyspnea, pneumonia, and respiratory failure.Those with basic diseases can induce or aggravate the original condition, show corresponding clinical manifestations, and may even develop into severe pneumonia.

4. Will pregnant mothers affect the baby after infection?

Under normal circumstances, pregnant mothers are mainly mild, and they will not have much impact on pregnancy.However, early pregnancy is the most critical time for fetal development. At this time, if pregnant mothers infection, the risk of fetal congenital malformations such as lip fissure, neural tube defects, hydrocephalus, and congenital heart defects. Therefore, pregnant mothers are pregnant.Try to avoid suffering from A stream in the early days.

Infection in the second trimester will affect the diet, sleep and increased anxiety of pregnant mothers. For example, developing into severe illnesses can increase the risk of premature birth and limited growth in the fetus.risks of.

5. What should I do after pregnant mothers infection?

Pregnant mothers are infected with nail flow. If the symptoms are mild or asymptomatic, no treatment is required.Pay attention to rest during pregnancy, drink plenty of water, and increase foods rich in vitamins and protein.

During pregnancy, it should be actively treated. The body temperature can be slightly increased, such as cold compresses, warm water, drinking water, and supplement electrolytes. For exampleRemoval.

The pregnant women within 2 weeks of pregnancy or postpartum are easily developed into severe disease after the influenza. The following situations are severe manifestations, and they need to be hospitalized immediately.There is a continuous high fever> 3 days, accompanied by severe cough, cough, phlegm, blood phlegm or chest pain; fast breathing, difficulty breathing, and purple lips; dull response, drowsiness, restlessness and other conscious changes or obsession; severe vomiting, diarrhea, dehydration manifestations occur; Combined with pneumonia; the original basic disease increased significantly.

6. What medicines can pregnant mothers take after infection?

For acetylphenol: It is mainly the effect of antipyretic fever. The use of pregnancy during pregnancy has proven to be safe and can reduce the risk of maternal and infant risks caused by fever.If the high fever does not relieve for 2-3 days, it is necessary to go to the hospital for shortness of breath, or abnormal self-fetal movement.

Dafi (Oascwei): It is mainly antiviral effect. It is currently recommended as the preferred drug for pregnancy and influenza, and try to use it within 48 hours of the disease to reduce complications, reduce mortality, and shorten the hospitalization time.Specific usage: Oshwewei, 75mg at a time, twice a day, 5 days (preferred).

Others: Pregnant mothers need to take medicine under the guidance of doctors according to the symptoms and severity of the A flow. Do not buy and take medicine by themselves.

7. How can pregnant mothers give birth, maternity and breastfeeding after they are infected?

Regarding childbirth and delivery: If it is only a maternal maternal maternal maternal infection, the method and process of childbirth and process are no different from ordinary pregnant women, and they can also enjoy painless delivery services like other pregnant women.If the pregnant mother has symptoms such as fever, we will immediately separate the newborn from the pregnant mother after delivery.For severe pregnant mothers, fetal palace monitoring is required, according to obstetric indicators, symptomatic treatment and decide in time for childbirth.

Regarding breastfeeding: Since the influenza virus does not spread through milk, in general, the maternal infection does not need to interrupt breastfeeding.In addition, the protective antibody in breast milk can also reduce the respiratory tract infection of infants and young children; but we wear masks and protect them.According to the Guide of the American Diseases and Prevention and Control Center (CDC), mothers with H1N1 -type Fluid influenza can be breastfeed, but the mother needs to suck the milk, and the unintentional health personnel will feed the bottle of the newborn.

Note: During the course of the disease, it is best to separate the maternal and infants temporarily with the newborn until taking antiviral drugs for 48 hours, and there is no fever for 24 hours without using antipyretics.Infant rooms, continue breastfeeding.

8. What should pregnant mothers pay attention to influenza vaccine?

Pregnant mothers can prevent A flow by inocating influenza vaccines.At present, the influenza vaccine that has been approved by my country has three valence fluid vaccines (IIV3), a quadrival fluid vaccine (IIV4), and a three -valent drug reduction vaccine (LAIV3). Price (IIV4) Activated flu vaccine.

A large number of studies at home and abroad have confirmed that the risk of severe illness, death, and bad pregnancy ending after influenza, and the safety evidence of pregnant women at any stage of pregnancy during pregnancy is sufficient.Therefore, according to the "Chinese Influenza Vaccine Prevention Technical Guide (2022-2023)", it is recommended that pregnant women can be vaccinated at any stage during pregnancy.

After 2-4 weeks of vaccine vaccination, the body can produce antibodies with a protective level. Because the flu is easy to erupt in winter and spring seasons, and the flu virus will continue to mutate. ThereforeGet immune protection before the season.

The situation of the vaccine cannot be vaccinated: pregnant mothers are allergic to influenza vaccine ingredients and agents, or severe allergic reactions occur during other vaccines; pregnant mothers are suffering from urticaria, vascular nerve edema, bronchial asthma and other allergic diseases;If there are other microorganisms such as a cold, fever, etc., you must wait for the vaccine after healing.

Finally, I remind you that pregnant mothers, like the new crown, are also spread through droplets and contact, so you must avoid gathered in the crowd and wash your hands.Infection during pregnancy will increase abortion, premature birth, low birth weight, limited growth in the fetus and the risk of dead tires.Many pregnant mothers will worry that taking medicine will have an impact on the baby. Here I want to tell you that the impact of fever on the baby should be greater!However, pregnant mothers should not be too panic. As long as the prevention of prevention and vaccination in advance, the risk of developing into severe illnesses will be significantly reduced; after infection, early treatment and early treatment will be reducedThe occurrence of bad pregnancy ending.

— references–

[1] World Health Organization. Influenza (Seasonal) [DB/OL]. (2014-03) [2015-11-05].

[2] The Ministry of Health of the People’s Republic of China. Type A H1N1 Influenza Diagnosis Plan (2010) [J]. International Breathing Magazine, 2011,31 (2): 81-84.

[3] Denise jjamieson. Et al. Seasonal Influenza and Pregnancy. Uptodate®. Jun 09, 2022.

[4] Lucia E Larson. Et al.Approach to the Pregnant Patient with a Respiratory. Uptodate®. Jan 11, 2023

[5] Chinese influenza vaccine vaccination technology guide (2021-2022)

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