Birth in Corona Evil Should I Wear a Mask? 20:31 July 17th

A new life is born every day even in Corona. On SNS, this kind of information exchange is popular among people who have given birth. "I wore a mask for 7 hours on the minute stand. It was a pain." "I was told that I shouldn't wear it because it's difficult because I'm out of oxygen." Which one? I interviewed. (Momoko Ariyoshi, Rie Oishi, Reporter, Network News Department)

Wearing a mask for 7 hours

"I had a baby about 10 days after the emergency declaration was issued. Wear a mask on the delivery table for 7 hours, and be careful if you forget to return after drinking water. There are people who can not drink enough water I raised my body temperature to 38.5 degrees and suspected corona. It was a vicious cycle where I could not keep trying and took extra time. It was painful."

I posted it by Nantei who gave birth in Tokyo in mid-April.

Mr. Nanchei didn't know in advance about wearing a mask when he was having a break, and on that day, he decided to give birth without any doubt. However, I gradually became unbearable with the mask.

Nanchei:
"It was so hot and painful. I couldn't even have a baby in the presence, so there was no one to squirm and rustle , and I was very feverish. I pinched the mask and tried to float it, I couldn't continue because I wanted to use my hands to hold the levers on the bench and push my hips.''

The staff may warn you that you have to remove the mask to drink water and leave it there. It seems that his body temperature has risen to 38 degrees and 5 minutes and he is now in a state to lie.

Nanchee-san
"I squeezed my mumbling head and got a wet towel, but it quickly became slimy, and I felt like I was finally revived by receiving a cool pillow."

At first, it was said that they would be born in about 1 hour, but it took 7 hours.

From that painful experience, he seems to have exchanged with people who gave birth at the same time on SNS.

Another woman
"I was so tired and hot during my labor that I couldn't even ask that I remove it, so I finally wore an oxygen mask."

Another woman,
"I couldn't breathe well even with a normal birth, but I wore a mask to endure my labor pains, and when I was a little off, I was told to repair it. I couldn't breathe well, and I couldn't move easily."

Nanchee wants many people to know the situation of the distribution room that has changed in Corona and hope that it will be useful in the future.

Mr. Nanchee
“To prevent pregnant women from having to wear masks, provide maternity protective clothing worn by medical staff, or explain to pregnant women in advance and prepare cool pillows and fans. I want you to be able to take measures.''

Some people gave birth without a mask

On the other hand, some hospitals have told me that they don't need to wear a mask.

"Of these, I gave birth during an emergency declaration, but the hospital told me not to give birth because wearing a mask is difficult because there is not enough oxygen."

Otsumu, who posted, gave birth this May in Sapporo. He said at the screening in the second trimester of pregnancy that his doctor said, "I don't need to wear a mask because I have a hard breathing while I'm having a baby."

With the maternity ward isolated from other wards, he was able to live without masks not only during diversions but also during hospitalization.

Otsumu-san
"I thought that I had to breathe properly during childbirth, but my breath was disturbed by all means. In the latter half, I lost half my consciousness, and I don't remember much, but it's tough, and finally I couldn't breathe well and gave birth with an oxygen mask. It was so painful without a mask, so I'd like you to consider if there's no way everyone can give birth without a mask."

In principle, all wear masks

What do hospitals think about it?

At the Virgin Hospital in Shinjuku-ku, Tokyo, which handles 1500 cases a year, women who give birth are asked to wear masks in principle. This is because it is thought that if you take a deep breath or breathe to get rid of the pain of labor pain, the jump will fly to the labor room and the separation chamber. And it lasts for a long time.

The attending medical staff also protects them with a high-performance medical mask called N95, a gown, gloves, and a face shield, but it is possible that the person giving birth may be infected without symptoms. It is said that it is necessary to have masks worn during pregnancy to prevent the spread of infection among pregnant women.

Keio Miyakoshi, Deputy Director of Obstetrics and Gynecology at Seibo Hospital
“I would like to have children give birth freely without masks, but once a nosocomial infection occurs, outpatient and ward functions stop and many This can affect childbirth. In the current situation of coronavirus transmission, we have to take preventive measures first.”

I have a PCR test in the medical checkup

At the University of Tokyo Hospital in Bunkyo Ward, Tokyo, all pregnant women undergo a PCR test at the time of medical examination.

However, in consideration of the possibility of "false negative" and the possibility of infection in the weeks from the test to delivery, we ask a woman who is providing delivery to wear a mask in order to suppress nosocomial infection. It seems that

According to the hospital, the separation room has an environment where the condition of the pregnant woman can be sufficiently monitored, so wearing a general mask does not pose a danger to the mother and baby such as lack of oxygen.

However, it seems that women who take part in the treatment are taking appropriate measures such as removing the mask when they complain that they are "suffering from the mask" or "I want to remove the mask."

Unified guideline "I don't think"

So, how many hospitals have you wear a mask when you share your meal?

In May this year, the Japan Society of Obstetrics and Gynecology asked the 766 facilities nationwide that they were doing servicing, and 64% of them answered that they would wear a mask during servicing.

I asked President Kimura Tadashi if there would be a unified view as an academic society.

Tadashi Kimura, President of the Japanese Society of Obstetrics and Gynecology
"The situation of infections varies greatly from region to region, so we are not thinking of issuing unified guidelines for academic societies."

In addition, President Kimura pointed out the points of thinking.

▽ Currently, 100% correct results cannot be obtained even if a PCR test is performed.

▽A mask does not completely prevent infection, but the risk will surely decrease if it is worn by both the medical staff and the patient.

▽ If nosocomial infection occurs, many patients will be inconvenienced, and every hospital is striving every day to bring the risk of nosocomial infection to zero.

▽With or without a mask, it does not affect the oxygen saturation in the body.

▽ Is it necessary to oblige even in areas where there are few infected people?

▽Is it necessary to have even patients who feel painful wear it?

Kimura Tadashi:
“I understand that maternity workers are having a tough time when they are having a split, but everyone is gradually inconvenienced, so I would like to ask those who can cooperate to wear masks. I think it is most important to repeat steady measures such as washing hands and wearing a mask to prevent infection."

To protect community medicine

The effect of the new coronavirus that extends to the separation room. At the Obstetrics and Gynecology Clinic, which has been handling childbirth for many years in the Kanto region, I would like you to understand how to wear a mask.

A person related to the hospital,
"If an infected person comes out and another pregnant woman waits at a hotel or home, who will be in control of the condition without an obstetrics and gynecology doctor? If mothers who are not giving birth are able to transfer to a nearby hospital in the event of a baby, we have to think about what to do when a baby is infected.

In this hospital, supplies such as non-woven gowns and medical masks, which are indispensable for infection prevention, continue to be in short supply, and it seems that they manage to obtain supplies by using that hand.

A person related to the
hospital "We have goggles, medical masks, gowns, etc. as a hospital, and we are taking infection prevention measures recommended by the academic society. The staff also feel that pregnant women are likely to suffer, and there is no new coronavirus. I don't have to make such a request, but I hope you understand this situation.''