China News Service, Chengdu, September 3 (Reporter Wang Peng) "Hello, did you feel sick during home isolation? Do you need to seek medical attention?" Work with colleagues to follow up on a case of pregnant women in medium and high risk areas across the city prior to the call.
Recently, a local epidemic has occurred in Chengdu, the risk of social transmission is high, the prevention and control situation is severe and complicated, and the task of dealing with the epidemic is arduous.
As of 24:00 on September 2, Chengdu had 254 high-risk areas and 239 medium-risk areas.
How can this mega city with a permanent population of over 20 million ensure the physical and mental health of pregnant and lying-in women in medium and high-risk areas and meet their medical needs?
A reporter from Chinanews.com made a visit.
Pregnant women in the risk area received obstetric examinations at the Chengdu Women and Children's Central Hospital.
Photo by Lu Yang
Carry out case tracking for pregnant women in high-risk areas to ensure normal obstetric examination and medical treatment
The reporter learned that during the local epidemic, Chengdu Women and Children's Central Hospital, in accordance with the requirements of the Chengdu Municipal Health and Health Commission, provided medical security work such as obstetric examination, pregnancy disease diagnosis and treatment for pregnant and lying-in women in medium and high-risk areas in the city.
Pregnant women in medium and high risk areas can make appointments for related medical services through the hospital's public service phone number.
In addition to taking the initiative to contact and make appointments for pregnant women, the hospital also organizes special staff to actively contact pregnant women in high-risk areas and track special cases.
At present, the attending obstetrician Cao Qinyan has contacted hundreds of pregnant women in high-risk areas.
She told reporters that she mainly conducts telephone follow-up of pregnant and lying-in women in medium and high-risk areas to find out whether they have regular obstetric examinations, whether there are comorbidities, complications, and whether there are high-risk factors that need to be seen.
"If you need to see a doctor, we will coordinate and let the community escort these pregnant women to our hospital for treatment, or the obstetric inspection clinic of a relevant hospital near the pregnant woman." Cao Qinyan said that under this case tracking mechanism, many pregnant women in high-risk areas have received medical treatment. Seek medical attention promptly.
The reporter met Ms. He, a pregnant woman in the risk area, in the isolation ward.
The community where she lives was controlled on September 1. The Chengdu Women and Children's Central Hospital told her that she would have a maternity examination on the afternoon of September 2. After the community got the news from the hospital, it immediately arranged a vehicle to take her there.
"It's not much different from the usual obstetric inspection. The inspections that should be done are the same, so I'm very relieved."
On the previous August 31st, Peng Yang, the director of the Medical Department of Chengdu Women and Children's Central Hospital, also received a special call: Ms. Li in Jinjiang District was under control at home alone. She was just pregnant, and due to special factors in the first trimester, she was in the abdomen. The fetus is at risk of miscarriage, and regular checkups are urgently needed to determine the condition of the fetus.
"She controls her home alone. Her husband cannot return home in time to take care of her when she is in the community because of work. Other relatives are also unable to come from her hometown because of epidemic prevention and control. Her mood fluctuates greatly." Peng Yang told reporters that after receiving the call, she immediately She comforted Ms. Li on the phone, and finally through the Chengdu Maternal First Aid Network, she successfully coordinated the maternal and child health care institutions in Jinjiang District and gave Ms. Li medical help.
Pregnant women in the risk area received obstetric examinations at the Chengdu Women and Children's Central Hospital.
Photo by Lu Yang
"One Card for Women and Children" finds out the data of women and children in the city's medium and high risk areas
Yang Liu, director of the health care department of Chengdu Women and Children's Center Hospital, told reporters that during the epidemic, Chengdu was able to accurately grasp the information of pregnant women and children in the city, and thus conduct case tracking, mainly due to the construction of the "Chengdu" which began more than 10 years ago. "One Card for Women and Children" health information management system.
It is understood that the system covers all midwifery institutions in Chengdu, medical institutions and community health service centers (stations) with maternity insurance and child insurance services, and manages all maternal and child health information through maternal and child health care. Comprehensive screening of high-risk pregnant women.
"On the basis of this system, the community will conduct verification and inspection to ensure that nothing goes wrong." Yang Liu said that on the basis of doing a good job in epidemic prevention and control in medium and high-risk areas and centralized isolation points, community staff will conduct a comprehensive inspection and verification in medium and high-risk areas. The information of pregnant women in labor, critically ill pregnant women, and critically ill newborns can be promptly transferred to the medical institutions that have been registered and registered for proper disposal when necessary.
Yang Liu said that due to the needs of epidemic prevention and control, if the original medical institutions that have been registered and established cards cannot continue to provide services, Chengdu Women and Children's Central Hospital will coordinate the implementation of designated obstetric inspection and delivery institutions to provide safe production guarantees for pregnant and lying-in women.
Yang Liu revealed that through the "one-card" big data investigation, the management will be more refined, "focus on pregnant women over 36 weeks, high-risk pregnant women, and children aged 0 to 6, and report information every day."
Chengdu's "One Card for Women and Children" health information management system can find out the data of women and children in medium and high risk areas in the city.
Photo by Wang Peng
Prepare contingency plans in advance to deal with risks
Yang Liu told reporters that after the local epidemic in Chengdu, in order to cope with the relatively large-scale control, Chengdu Women and Children's Central Hospital not only found out the data of pregnant women in the city's medium and high-risk areas, but also instructed lower-level medical institutions to prepare various emergency plans in advance.
"We require the yellow code medical institutions to reorganize the medical treatment process, including the personnel disposal process, the number of beds in the isolation area, and prepare medical resources to prevent the shortage of emergency beds after large-scale control." Yang Liu introduced that this time After the relatively large-scale control in Chengdu, there have been extreme cases in which the outpatient channel of the hospital was closed due to positive cases, and it took longer for patients to be admitted to the hospital.
To this end, they have specially established a coordination mechanism for municipal medical institutions to carry out emergency coordination.
Previously, in the local epidemic situation in other cities in China, there have been cases where the nucleic acid report of pregnant women was not released, resulting in the inability to be admitted to the hospital in time.
How does Chengdu deal with this situation?
In this regard, Yang Liu said that in principle, a 24-hour nucleic acid report is required for admission to the hospital, but in an emergency, the hospital will first respond, "send to the isolation ward or isolation channel first, and then conduct nucleic acid testing." (End)