[Explanation] Since the "8.25" local epidemic in Chengdu, the risk of social transmission has been high, and the prevention and control situation has been severe and complicated.

As of 24:00 on September 2, Chengdu had 254 high-risk areas and 239 medium-risk areas.

  [Explanation] From 18:00 on September 1, all residents of Chengdu will stay at home in principle.

How does this mega city with a permanent population of more than 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?

Cao Qinyan, an attending physician in the obstetrics department of Chengdu Women and Children's Central Hospital, was in front of the phone and, together with her colleagues, tracked the cases of pregnant and lying-in women in the city's medium and high-risk areas.

  [Concurrent] Cao Qinyan, attending physician of the Obstetrics Department of Chengdu Women and Children's Central Hospital

  Our main job is to follow up on the phone after obtaining the list of pregnant and lying-in women in the closed-and-controlled area, and then mainly to understand whether the parturient has a regular obstetric examination, whether there are any comorbidities and complications, and what is the current state? Are there any high-risk factors that require medical attention?

If you need to see a doctor, we will summarize the list and hand it over to our medical department, and let the community be responsible for escorting these pregnant women to the obstetric inspection clinic for pregnant women in the closed and controlled area.

  [Explanation] Under the hospital's case tracking mechanism, many pregnant women in medium and high-risk areas received timely medical treatment.

In the isolation ward, Ms. He, a pregnant woman in the medium and high-risk area, is undergoing various obstetric examinations.

It is reported that during the local epidemic, Chengdu Women and Children's Central Hospital provided medical security work such as obstetric examination and diagnosis and treatment of diseases during pregnancy for pregnant and lying-in women in risk areas within the city.

Pregnant women in the risk zone can make reservations for related medical services through the hospital's public customer service phone number.

  [Concurrent] Ms. He, a resident of medium and high risk areas in Chengdu

  Because our community was closed in the early morning of yesterday (September 1), but I postponed it for one day (prenatal checkup), and I checked all of it today.

I contacted the hospital, and the hospital told me to come for an examination this afternoon (September 2), and then I would pass the answer to the community, and the community would arrange a car for me, and send me this afternoon Come here (prenatal check).

Anyway, the difference from usual (prenatal checkup) is not very big, and the checkup that should be done is the same as before.

  [Explanation] During the epidemic, the reason why Chengdu can accurately grasp the information of pregnant women and children in the city, so as to conduct case tracking, is mainly due to the "Mother and Children One Card" health information management system that Chengdu began to build more than 10 years ago.

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.

  [Concurrent] Yang Liu, Director of the Health Department of Chengdu Women and Children's Central Hospital

  For key areas, such as how many pregnant women are in the medium and high-risk areas, what about the pregnant women over 36 weeks, how many pregnant women with red and yellow codes, and the number of high-risk pregnant women above orange, we also make daily dynamic reports Sent.

The data of children aged 0 to 6 who are sealed and controlled within the jurisdiction are also reported daily.

Medical institutions can clearly understand the current situation of the target population, so that we can have sufficient medical resources to respond.

Then there is another aspect, if there is a critical and severe situation, we still have the ability to carry out some coordination.

  [Explanation] According to the hospital, through the "one-card" big data investigation, the hospital will make management more refined, focusing on pregnant women over 36 weeks, high-risk pregnant women, and children aged 0 to 6, and reporting information every day.

  Lu Yang and Chen Xuanbin report from Chengdu

Responsible editor: [He Sanli]