You are pregnant. For a few weeks or months that your body and your life have changed to adapt to your new state, you make plans about how you will spend your pregnancy, dreaming about the moment of your baby's birth, anticipating everything you will need upon arrival, thinking about new routines and, if there are older siblings, preparing them for the arrival of the new member of the family. And while, in the world, they only talk about coronavirus and this worries you. How to face pregnancy in the health emergency situation?
In a short time we have learned many things about the Covid-19 virus, which, as we already know, is highly contagious and is transmitted by small drops of saliva. A very special population and about which little is still known regarding the response and evolution to a SARS CoV-2 infection are pregnant women.
Although so far the majority of cases of pregnant women with coronavirus infection have been mild, it is known in advance that the changes inherent to pregnancy make women more prone to contracting respiratory infections and have a higher rate of complications . Thus, We recommend that during the coronavirus pandemic you strictly carry out the same measures that have been recommended to the general population:
- Wash your hands frequently.
- Avoid touching your eyes, nose and mouth, since your hands facilitate the transmission of the virus.
- Use disposable tissues to eliminate respiratory secretions and throw them away after use.
- When coughing or sneezing, cover your nose and mouth with your elbow flexed.
- Limit your trips to those strictly necessary.
- Avoid contact with infected people or who may be infected.
It is worth mentioning that by maintaining a healthy diet, drinking plenty of fluids, doing a daily exercise routine and resting, optimal health conditions are ensured, which will allow the immune system to respond to a possible virus infection.
To this day, the cases of pregnant women who have had refer almost exclusively to the third trimester. It has not been shown that babies can get the virus in utero, nor that it can be transmitted through the placenta, nor has its transmission at the time of delivery, or through breast milk.
Regarding the moment of birth, skin-to-skin contact is still recommended, provided that the mother is asymptomatic or with isolation measures (surgical mask, previous cleaning). Breastfeeding is still considered the ideal method of feeding, exclusively, the first 6 months and then continue it at least until the first year of life, as indicated by the World Health Organization (WHO). These simple recommendations are constantly reviewed, but to date, there have been no infections derived from these behaviors and the benefit they give to the newborn is unquestionable.
- If you are sure that you were in contact with someone sick with COVID-19, Maintain the recommended isolation and call the numbers specially enabled for this purpose in your autonomous community.
- If you have any symptoms that make you think you might have a coronavirus infection such as fever, cough, general malaise, stay at home, following the recommendations we have already discussed, you can consult with your doctor by phone or through telemedicine services. You don't need to rush to the hospital or doctor if you have mild symptoms.
- If you have a high fever, difficulty breathing or vomiting that does not allow you to stay hydrated, go to the hospital. Remember to follow the strict hygiene measures that are recommended and put on, if possible, a mask when you leave your room.
- At any time during your pregnancy, if you have painful contractions, heavy vaginal bleeding or fluid leakage, you must go to the hospital.
- If you are already in the third trimester and you think that the time has come for your baby to be born, go to the hospital.
- If you have been in contact with a confirmed case or probable coronavirus infection, go to the hospital wearing a surgical mask, and comment on your arrival. From here, follow the instructions of the health personnel who will guide you in the best way.
If you have decided that you should go to the hospital, either because it is time for your baby to be born or because you have any symptoms that warrant it, it may be that the staff caring for you is using protective measures that you are not used to seeing during regular hospital visits. Do not be alarmed, all the protection measures are to take better care of you and your baby.
It may be that, due to exceptional situations, your birth plan cannot be carried out as you imagined it, such as the fact that you have some symptom of COVID-19. The health personnel will assess each case in particular, trying, if conditions permit, to maximize breastfeeding and joint accommodation.
You should know that, at this time, numerous visits to hospitals are discouraged to reduce infectionsespecially for you, your baby and grandparents. The presence of a single person with you will be valued, but you will most likely be alone with your baby if you are healthy. Make use of electronic media to share photos and the good news, when you decide. Enjoy your son and your new stage of mom.
Remember that all these recommendations can be modified because the epidemiological situation is very changing.
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