Screening
strategies among pregnant women should be based on their risk of
infection:18
Specific epidemiological history: occasional visits to an epidemic
area, worked at or lived near epidemic area, exposure to an infected
patient;
Symptoms: fever, respiratory symptoms, diarrheal, etc;
Existing evidence: abnormal blood routine, pneumonia-like radiographic
features, etc.
Assign designated hospitals for epidemic treatment for pregnant
women.
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For low-risk pregnant women referred to hospital |
Flowing prenatal examinations should not be postponed beyond its
opportune gestational age:
Ultrasound examination for confirming intrauterine pregnancy and
Nuchal Translucency (NT) measurement (11+0 to
13+6 weeks);
Screening for foetal aneuploidy;
Prenatal diagnosis with medical indications;
Ultrasound screening for foetal structural anomalies;
Oral glucose tolerance test (24+0 to
27+6 weeks).
Scheduled prenatal check or prompt hospitalization were highly
recommended for:
Approaching terminal gestational age (beyond 37 completed weeks);
Complex multiple pregnancy;
Pregnancy with severe maternal comorbidity or obstetrical
complication;
Signs of labour (rupture of membrane, severe abdominal pain, etc);
Any of the following signs including abnormal foetal movement, vaginal
bleeding, convulsions/fits, severe headaches with blurring vision,
fever, severe abdominal pain, fast or difficult
breathing.19
In areas where the epidemic is reported, appropriate protective
approaches were recommended to be performed during the visit to
hospital: wearing masks, hand hygiene, etc.
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Prenatal care out of hospital |
Mental health is recommended to be included in perinatal care during
PHE:
Close cooperation of psychologists, obstetricians, and public health
authorities is needed;
Long-term collaboration is worth keeping for investigating PTSD or
postnatal status;
Goals: rational risk perception of epidemic and stable mental status
during pregnancy.
E-health is recommended to be applied to the following aspects, not
limited to:
Education on diet and weight management, and on temperate home
activities;
Updated medical guidance;
Timely psychological counselling.
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