Expectant mothers, stop watching and listen! Matters needing attention in confinement in foreign countries

Expectant mothers, stop watching and listen! In the global village, more and more expectant mothers choose to give birth overseas. However, pregnancy and childbirth have certain risks. Pregnant mommy goes overseas to give birth alone, not only in a strange place, but also bears many unknown risks. It is absolutely necessary to prepare homework in advance. Completeness of Prenatal Examination There are many health insurance subsidies in Taiwan Province Province. "Everyone thinks that the moon abroad is round, but many people have no idea. The health insurance system in Taiwan Province Province actually provides a lot of protection for pregnant women! Pan Hengxin, an obstetrician and gynecologist at Guangxin Wuhuoshi Memorial Hospital, said that in the past, medical insurance only subsidized expectant mothers who were pregnant for 20 weeks to have ultrasound examinations. However, with the intensification of medical competition, pregnant mothers have a variety of choices, such as 2D, 3D, 4D and high-level. Domestic obstetricians and gynecologists often "Shabis" (note: free of charge) for multiple ultrasound prenatal examinations. Today, ultrasound seems to have become one of the necessary items for prenatal examination.

On the other hand, in foreign countries, pregnant women only do ultrasound examination at an early stage. In the United States, for example, they only have three ultrasound examinations at the 8th, 12 and 20th week of the fetus. After 36 weeks of prenatal examination, the hospital will pass the relevant information to the midwife, and the follow-up examination will mainly focus on observing fetal movement, and will not easily take B-ultrasound.

In fact, through ultrasound examination, it is mainly to confirm the implantation position of the embryo, rule out the possibility of ectopic pregnancy, observe whether the baby is singleton or twin, and evaluate the weeks of pregnancy and the expected date of delivery according to the size of the fetus. Generally speaking, the baby's normal and stable heartbeat can be observed at 8 ~ 10 weeks of pregnancy. As long as there is no risk, most foreign doctors will not do extra ultrasound examination because of the requirements of pregnant women.

Once the pregnant mother decides to give birth overseas, remember to bring a report before going abroad so that the local doctor can make a correct judgment. In addition, she must ask the doctor to issue an airworthiness certificate.

At present, airlines have different regulations. Generally speaking, if you are pregnant for more than 28 weeks, you must have a doctor's certificate to board the plane. It is recommended to ask an obstetrician and gynecologist for a certificate the day before boarding. Airlines have the right to refuse to transport pregnant women and newborns within 4 weeks from the expected date of delivery or within 7 days after delivery. In addition, pregnant women who have experienced premature birth, multiple births and dystocia must also be certified by a doctor to be healthy before boarding the plane.

Dr. Pan Hengxin emphasized: "No one knows when pregnant women will break water. Even obstetricians and gynecologists can only write down the status according to the results of prenatal examination. In principle, they must carry airworthiness certificates after 28 weeks. Every country has different policies. For example, the US Customs has great power to keep pregnant women out of the country, which is why people who have experienced it suggest that expectant mothers choose late autumn and winter and hide their bellies through clothes.

Expectant mothers, stop watching and listen! Precautions for confinement in foreign countries: the midwife is generally responsible for the birth check-up. In Taiwan Province Province, the same doctor is responsible for the birth check-up, especially during childbirth, most doctors will deliver the baby personally as much as possible, but in recent years, a few hospitals have gradually changed to shift system; In the United States, Britain and other overseas countries, the birth check-up is sometimes just a simple health education for midwives, or doctors are not fixed, and it is more likely that doctors and midwives on duty deliver babies during childbirth, and mothers cannot ask for it.

Dr. Pan Hengxin took Canada as an example. The general practitioner is responsible for the examination. "A natural mother will go directly to the hospital to be delivered by a midwife or a doctor on duty unless the prenatal examination is willing to help you deliver the baby, or her mother will find a full-time doctor to help her deliver the baby if she has other complications. 」

Due to the high cost of overseas production, sometimes even if the mother has broken water, it can't be sent directly to the emergency room, and doctors will not easily install fetal monitors for expectant mothers.

The most important thing in overseas confinement planning is that in Taiwan Province Province, mothers who have a natural birth need to be hospitalized for 3 days and have a caesarean section for 5 days; In foreign countries, natural delivery is often the day after delivery, and caesarean section is the most hospitalization 1 day. Dr. Pan Hengxin said that the average healing time of a mother's postpartum wound is about 2 1 ~ 42 days. "China people confinement for 30 days is an average concept. Traditionally, the main purpose of bed rest is to restore the wound and restore the uterus to its normal position. 」

"China people's concept of confinement does have some science. Dr. Pan Hengxin emphasized that the postpartum uterus weighs about 800 ~1000g, which is easy to cause muscle relaxation for the muscles hanging around the uterus. White people are used to getting out of bed immediately after the wound is sutured, which easily leads to an increase in the probability of uterine prolapse. As for helping the wound heal faster, it is recommended to drink more fish soup with high protein.

At present, the norms of the moon center in overseas countries are quite different. In the United States, medical staff need a license to set up a month-end center, while in the Canadian Chinese community, people set up a "one-stop" month-end center, and the average cost 1 day is about NT$ 500 ~ 600 yuan (about NT$1kloc-0/000 ~ 1, 300 yuan), which is comparable to the charging standard of middle and high-end month-end centers in Taiwan Province Province.

Expectant mothers, stop watching and listen! Precautions for confinement in foreign countries: the production cost is high, and the delivery is 240,000. As for the overseas production cost that pregnant mothers are most concerned about, generally speaking, the domestic natural delivery cost is about 8,000 yuan, and in the United States it is 8,000 US dollars (about NT$ 240,000). The cost of caesarean section is 5 to 65,438+00 times that of Taiwan Province Province, and the medical center costs about 65,438+0 to 20,000 dollars (about NT$ 30,000 to 20,000).

Generally speaking, it is convenient to see a doctor in Taiwan Province province, and the medical expenses are much cheaper than those abroad. A few high-risk pregnant mothers, including gestational diabetes, pregnancy-induced hypertension, placenta previa, etc. It may cause complications during childbirth, so it is best to avoid foreign production, lest you are unfamiliar with the place, don't know how to deal with it, or exceed the budget.

In fact, the health insurance benefits in Taiwan Province Province are very good. Many women in Taiwan Province Province who are married abroad will choose to go back to Taiwan Province Province to give birth to their children and have confinement after pregnancy, because no matter where they give birth, their nationality will not be affected.

Pan hengxin

Education: Department of Medicine, Fatima Medical College; Master's degree in Institute of Medical Management, St George's University; Master's degree in Institute of Law, Soochow University.

Experience: Supervisor of Taiwan Province Obstetrics and Gynecology Endoscopy and Minimally Invasive Medical Association, Deputy Convening Member of Medical Disputes Professional Committee of Taiwan Province Obstetrics and Gynecology Medical Association.

Current position: Attending physician of obstetrics and gynecology, Wuhuoshi Memorial Hospital of Guangxin, and lecturer of the Department of Medicine, Fu Jen Catholic University.