Escorting Love--Paying attention to seriously ill pregnant women and ensuring the safety of mothers and babies

Giving birth to a new life is the top priority for every family. However, women face a series of challenges on the road to becoming mothers. Some pregnant women become seriously ill due to various high-risk factors, and the lives of pregnant women and babies are seriously threatened. Therefore, we should pay attention to seriously ill pregnant women, give them care and love, and ensure the health of pregnant women and babies! This article will take you to understand the relevant knowledge of seriously ill pregnant women, so save it now!

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1. What factors may lead to the occurrence of severe pregnant and postpartum women?

Severe maternal illness refers to women who have serious complications during pregnancy, delivery or postpartum, and need close monitoring and emergency treatment. Although the physical condition of each pregnant woman is different, the factors that lead to severe maternal illness can be attributed to the following aspects:

1.1 Hypertension during pregnancy

Hypertension is common among pregnant women, among which gestational hypertension and preeclampsia are the most prominent. Gestational hypertension refers to systolic blood pressure ≥140mmHg or diastolic blood pressure ≥90mmHg, and no obvious proteinuria when the pregnancy is more than 20 weeks; preeclampsia refers to systolic blood pressure ≥140mmHg or diastolic blood pressure ≥90mmHg, proteinuria and other organ dysfunction in pregnant women who have not suffered from hypertension before, after 20 weeks of pregnancy. Hypertension increases the cardiovascular burden and overworks the heart, thereby increasing the risk of heart disease and hypertensive encephalopathy in pregnant women. In severe cases of preeclampsia, it may further develop into eclampsia, that is, cerebral vasospasm, abnormalities of the nervous system and systemic organ failure. Eclampsia can cause coma, convulsions and respiratory and circulatory failure in pregnant women. It is a very serious pregnancy complication that poses a great threat to the life and health of both pregnant women and fetuses.

1.2 Gestational diabetes

Gestational diabetes is an abnormality of sugar metabolism that occurs during pregnancy, usually in the late stages of pregnancy. When the insulin secretion of pregnant women cannot meet the metabolic needs of the body, blood sugar levels will rise, which may lead to complications such as fetal macrosomia and placental dysfunction. Fetal macrosomia can lead to prolonged labor and fetal shoulder dystocia, while placental dysfunction can lead to fetal malnutrition and fetal hypoxia, which in turn increases the risk of premature birth and developmental delay. At the same time, gestational diabetes and gestational hypertension often coexist. These two conditions influence and promote each other in a high-risk state, increasing the mortality rate of pregnant women and fetuses.

1.3 Heart disease and kidney disease

During pregnancy, the heart and kidneys will be under greater strain. If the pregnant woman has heart disease or kidney disease before pregnancy, it may worsen during pregnancy and cause other complications, leading to the occurrence of severe pregnant and postpartum diseases.

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1.4 Infection during pregnancy

The immune system of pregnant women changes during pregnancy, making them more susceptible to various pathogens. Infections include urinary tract infections, respiratory tract infections, endometritis, etc. If not treated in time, it may cause serious complications and lead to the emergence of severe maternal illness.

2. How to treat critically ill pregnant women?

2.1 Treatment of hypertension during pregnancy

The treatment of hypertension during pregnancy mainly includes drug therapy and blood pressure monitoring to control blood pressure and prevent complications. After being diagnosed with hypertension during pregnancy, pregnant women should measure their blood pressure regularly, generally once a week. If the hypertension of pregnant women is more serious, they need to measure it every day to ensure that the blood pressure can be controlled within a safe range. According to the actual situation of blood pressure, doctors may recommend that pregnant women use antihypertensive drugs to control blood pressure. Commonly used antihypertensive drugs include α-blockers, β-blockers, calcium channel blockers and diuretics. These drugs lower blood pressure by regulating vascular tension, cardiac contractility and blood volume. At the same time. For patients with hypertension during pregnancy. Regular prenatal examinations are also very important. By examining the urine, blood and ultrasound examination of pregnant women, the patient's risk level and the health of the fetus can be assessed.

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2.2 Treatment of gestational diabetes

Gestational diabetes is mainly controlled through lifestyle intervention and drug therapy. Lifestyle intervention is the basis for the treatment of gestational diabetes. Pregnant women need to control their diet reasonably, limit the intake of sugary foods, ensure regular meals, and avoid excessive hunger or overeating. At the same time, they should exercise regularly and do appropriate exercises according to the doctor's instructions, such as walking, swimming, yoga, etc. If the goal of controlling blood sugar cannot be achieved through lifestyle intervention, doctors usually recommend drug treatment for pregnant women. Drugs include insulin and oral medications. Generally speaking, insulin injections are the first choice for treatment during pregnancy, and blood sugar levels are controlled by supplementing insulin in the body. If insulin injections are difficult to implement or the patient has contraindications, the doctor will prescribe oral medications for blood sugar control. Commonly used drugs for the treatment of gestational diabetes include metformin mesylate, which can reduce liver glucose production and enhance the body's sensitivity to insulin. Its safety is relatively guaranteed, but it still requires monitoring and guidance from a doctor during use. Another drug is acarbose. It can delay the digestion and absorption of carbohydrates in the intestines, thereby lowering blood sugar levels, but it is usually less used in the treatment of gestational diabetes.

2.3 Management of Heart and Kidney Disease

For pregnant women with heart and kidney diseases, if the pregnant woman's heart disease or kidney disease is stable and there are no other serious complications. Then, they can give birth through natural delivery. For pregnant women with severe heart disease or kidney disease, doctors may recommend a cesarean section to reduce the burden of delivery on the cardiovascular system and kidney function, and reduce the risk of intense force during natural delivery. The doctor will decide whether to perform a cesarean section based on the specific situation of the pregnant woman, the severity of the disease and the health of the fetus. In certain specific cases, the doctor may recommend that the pregnant woman give birth early to reduce the patient's heart and kidney burden. Regardless of the delivery method chosen, the doctor will closely monitor the pregnant woman's condition and the health of the fetus, and take appropriate treatment measures as needed. Pregnant women need to actively cooperate with the doctor's guidance and receive regular prenatal examinations and evaluations to ensure the safety of themselves and their babies.

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2.4 Treatment of infections during pregnancy and delivery

Treatments for complications of infection during pregnancy mainly include antibiotic treatment and supportive treatment. Antibiotics are drugs used to treat infections, and appropriate antibiotics are selected according to the site of infection and the pathogen. Since medication during pregnancy requires extra caution, doctors will select appropriate antibiotic categories and doses based on the specific conditions of the pregnant woman and the sensitivity of the pathogen. At the same time, supportive treatment is also essential, including maintaining fluid balance, balanced nutrition, and controlling fever. Pregnant women with complications of infection generally need to rest and follow the doctor's advice to avoid overwork. During the treatment process, pregnant women should cooperate with the doctor's monitoring and management, regularly evaluate the progress of the disease and adjust the treatment plan. At the same time, doctors will also closely monitor the physical condition of women after giving birth to avoid bleeding, eclampsia, cardiovascular complications, puerperal infection, etc.

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The above is the relevant treatment and care knowledge for critically ill pregnant women. I believe that through the explanation of this article, you have already understood it. Critically ill pregnant women usually need to be closely monitored during pregnancy and delivery. Pregnant women should also pay special attention to self-monitoring. If they feel that their physical condition is abnormal, they should go to the hospital in time to avoid affecting their own and their baby's life and health.