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Model Elvin is going to be a mother during Corona. |
The first blow of any global epidemic, war or disaster falls on women and children. The Covid-19 global epidemic is no exception. At this time, those who are pregnant or those whose delivery time is approaching, they have to follow extra precautions, they have to be aware.
Those who are pregnant at the time of Covid-19
If there is no big problem during corona, I advise mothers to stay at home during pregnancy. You should not leave the house unless you need to. This is because pregnant women are at particular risk of contracting the virus. They need the utmost caution. Avoid using public transport, avoid crowds and events, and adhere to hygiene and etiquette at home. Not only at home, but also at home. Stay away from any patient with fever or sneezing-coughing. Wash your hands frequently. Drink plenty of water and watery foods. You will need a lot of meat and nutritious food. Vitamin mineral supplementation will also be done on the advice of the doctor. It is better to consult telemedicine for minor problems.
Under normal circumstances, the World Health Organization recommends a total of eight antenatal visits or visits to a doctor during pregnancy. But the number of these visits has been reduced during the Corona epidemic. The first two visits (8 weeks and 12 weeks) have been asked to be taken through telemedicine without going to the health center. A total of four pregnancies will go to the health center physically at 16 weeks, 24-28 weeks, 32 weeks and last time at 34-36 weeks. When going to the health center or doctor, you must wear a face mask, keeping a distance of 3-6 feet from others. The tetanus vaccine must be given at the right time.
After five months, the movement of the baby in the abdomen should be noticed. Under normal circumstances, it will move 10 times in 12 hours, that is, it will have to be counted from 8 am to 8 pm. If there is a major deviation, you have to go to the hospital.
Everyone in the family should keep a watchful eye on the pregnant woman at home. He must be kept mentally healthy at this time. Give him courage.
Knowing the blood group, you have to keep it in harmony with the whole family. Because, blood may be needed at any time.
The specific place for delivery should be fixed. He has to test Covid-19 twice. The first is within 5 months (20 weeks) and the second is around 9 months (36 weeks). The World Health Organization and the Bangladesh government have also said that pregnant women should be given priority in the covid test. Because, if the corona is positive and known in advance, she will also be safe and the person who will give birth will also be safe.
When the time come
Arrangements have to be made in advance to take the mother to the medical center in time. Make sure that the decision is made in the specific place where the health worker, the doctor stays regularly. If the Covid-19 test done at 36 weeks is positive, find out in advance which hospital such delivery is done. Signs of danger during pregnancy: Bleeding, water breakage, severe headache and blurred vision, loss of movement, severe pain or cramps in the lower abdomen, etc. Go to the hospital immediately.
If infection
If coronary heart disease occurs during pregnancy, there is nothing to panic about. If the symptoms are mild, stay in isolation at home. You can take paracetamol to reduce fever. But do not take any other medicine without the advice of the doctor. Keep in touch with the doctor with the help of telemedicine during this time. Keep a pulse oximeter at home, occasionally to see if the amount of oxygen in the lungs is normal. Consult a doctor as soon as it goes below 92.
If you become negative before delivery, don't worry. However, if the covid is positive, the corona sufferers should be taken to a specific place in the hospital where the service is provided. If there is no big problem, normal delivery is possible.
If the mother is not very ill, the newborn can be kept close to the chest. The newborn should be breastfed within two hours. Corona does not spread through breast milk. If the mother is ill, breast milk can be fed in a bowl with a spoon or other mother's milk or outside milk can be given. When breastfeeding, the mother should wear a face mask and wash her hands.
It is currently being said that every mother should have a blood CBC, CRP, covid test and chest X-ray before delivery or cesarean. These are needed to reduce his complexity.
Author
Professor Dr. Raushan Ara Begum
Department of Gynecology and Obstetrics
Holy Family Red Crescent Medical College and Hospital, Dhaka.
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