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What are the pre-pregnancy health care?

Release date: August 1, 2016 Views: Times

个月)是通过评估和改善计划妊娠夫妇的健康状况,降低或消除导致出生缺陷等不良妊娠结局的危险因素,预防出生缺陷发生,提高出生人口素质,是孕期保健工作的前移。 Pre-pregnancy care ( 3 months before pregnancy) is to assess and improve the health status of pregnant couples planning to reduce or eliminate risk factors leading to adverse pregnancy outcomes such as birth defects, prevent birth defects and improve the quality of the birth population. shift.

I. Health education and guidance

1 )有准备、有计划的妊娠,避免高龄妊娠。 Follow the principle of combining universal guidance with personalized guidance, and provide pre-pregnancy health education and guidance to couples planning pregnancy. The main contents include: ( 1 ) Prepared and planned pregnancy to avoid advanced pregnancy. 2 )合理营养,控制体质量增加。 ( 2 ) Reasonable nutrition and control of body mass increase. 3 )补充叶酸 0.4 0.8mg/d ,或经循证医学验证的含叶酸的复合维生素。 ( 3 ) Supplement folic acid 0.4-0.8mg / d , or a compound vitamin containing folic acid verified by evidence-based medicine. NTD )的孕妇,则需每天补充叶酸 4mg Pregnant women who have previously experienced neural tube defects ( NTD ) need to be supplemented with 4 mg of folic acid daily . 4 )有遗传病、慢性疾病和传染病而准备妊娠的妇女,应予以评估并指导。 ( 4 ) Women with genetic, chronic and infectious diseases who are preparing to conceive should be evaluated and instructed. 5 )合理用药,避免使用可能影响胎儿正常发育的药物。 ( 5 ) Use medication reasonably and avoid using medications that may affect the normal development of the fetus. 6 )避免接触生活及职业环境中的有毒有害物质(如放射线、高温、铅、汞、苯、砷、农药等),避免密切接触宠物。 ( 6 ) Avoid contact with toxic and harmful substances (such as radiation, high temperature, lead, mercury, benzene, arsenic, pesticides, etc.) in living and professional environments, and avoid close contact with pets. 7 )改变不良的生活习惯(如吸烟、酗酒、吸毒等)及生活方式;避免高强度的工作、高噪音环境和家庭暴力。 ( 7 ) Change bad living habits (such as smoking, alcohol, drug use, etc.) and lifestyle; avoid high-intensity work, high noise environment and domestic violence. 8 )保持心理健康,解除精神压力,预防孕期及产后心理问题的发生。 ( 8 ) Maintain mental health, relieve mental stress, and prevent psychological problems during pregnancy and postpartum. 9 )合理选择运动方式。 ( 9 ) Reasonable choice of exercise method.

Second, routine health

1 . 1 )询问准备妊娠夫妇的健康状况。 Assess high-risk factors before pregnancy: ( 1 ) Ask the health status of the couple preparing to become pregnant. 2 )评估既往慢性疾病史,家族和遗传病史,不宜妊娠者应及时告知。 ( 2 ) Evaluate the history of previous chronic diseases, family and genetic diseases, and inform people who are not suitable for pregnancy. 3 )详细了解不良孕产史。 ( 3 ) Learn more about the history of poor motherhood. 4 )了解生活方式、饮食营养、职业状况及工作环境、运动(劳动)情况、家庭暴力、人际关系等。 ( 4 ) Understand lifestyle, diet and nutrition, occupational status and working environment, sports (labor), domestic violence, and interpersonal relationships.    

2 1 )包括测量血压、体质量,计算体质指数( BMI ), BMI= 体质量( kg )/身高( m 2 Physical examination: ( 1 ) Including measurement of blood pressure and body mass, calculation of body mass index ( BMI ), BMI = body mass ( kg ) / height ( m ) 2 . 2 )常规妇科检查。 ( 2 ) Routine gynecological examination.

Third, auxiliary inspection

1 . 1 )血常规;( 2 )尿常规;( 3 )血型( ABO Rh );( 4 )肝功能;( 5 )肾功能;( 6 )空腹血糖;( 7 HBsAg ;( 8 )梅毒螺旋体;( 9 HIV 筛查;( 10 )宫颈细胞学检查( 1 年内未查者)。 Required items: Include the following items: ( 1 ) blood routine; ( 2 ) urine routine; ( 3 ) blood type ( ABO and Rh ); ( 4 ) liver function; ( 5 ) renal function; ( 6 ) fasting blood glucose; ( 7) ) HBsAg ; ( 8 ) Treponema pallidum; ( 9 ) HIV screening; ( 10 ) Cervical cytology ( not checked within 1 year).

2 1 )弓形虫、风疹病毒、巨细胞病毒和单纯疱疹病毒( TORCH )筛查。 Items for investigation: include the following items: ( 1 ) Screening for Toxoplasma gondii, rubella virus, cytomegalovirus, and herpes simplex virus ( TORCH ). 2 )宫颈阴道分泌物检查(阴道分泌物常规、淋球菌、沙眼衣原体)。 ( 2 ) Examination of cervical and vaginal discharge (routine discharge, gonococcus, chlamydia trachomatis). 3 )甲状腺功能检测。 ( 3 ) Thyroid function test. 4 )地中海贫血筛查(广东、广西、海南、湖南、湖北、四川、重庆等地)。 ( 4 ) Screening for thalassemia (Guangdong, Guangxi, Hainan, Hunan, Hubei, Sichuan, Chongqing and other places). 5 75g 口服葡萄糖耐量试验( OGTT :针对高危妇女)。 ( 5 ) 75g oral glucose tolerance test ( OGTT : for high-risk women). 6 )血脂检查。 ( 6 ) Blood lipid examination. 7 )妇科超声检查。 ( 7 ) Gynecological ultrasound examination. 8 )心电图检查。 ( 8 ) ECG examination. 9 )胸部 X 线检查。 ( 9 ) X- ray examination of the chest .