First, the service target.
All pregnant women in this area.
Second, the service content
(1) Before pregnancy 12 weeks ago, the township hospitals and community health service centers where pregnant women live established the Handbook of Maternal Health Care, and followed up 1 early pregnancy.
1. Evaluation of pregnant women's health status: ask about their past and family history, observe their posture and spirit, and conduct general physical examination, gynecological examination and blood routine examination. In areas where conditions permit, it is suggested to carry out laboratory tests such as blood type, urine routine, liver function, vaginal secretion, syphilis serological test and HIV antibody detection.
2 to carry out personal hygiene, psychological and nutritional health care guidance in early pregnancy, with special emphasis on avoiding the adverse effects of teratogenic factors and diseases on embryos, and at the same time promoting prenatal screening and prenatal diagnosis.
3. According to the examination results, fill in the first prenatal follow-up service record form, and refer pregnant women with pregnancy risk factors, possible contraindications and serious complications to higher-level medical and health institutions in time, and follow up the referral results within 2 weeks.
(2) Prenatal follow-up was conducted at 16 ~ 20 weeks and 2 1 ~ 24 weeks, respectively, to evaluate and guide the health status of pregnant women and fetal growth and development.
1. Health assessment of pregnant women: through inquiry, observation, general physical examination, obstetric examination and laboratory examination, the health of pregnant women and the growth and development of the fetus are assessed, and the key pregnant women who need prenatal diagnosis and referral are determined.
2. For pregnant women with no abnormalities, besides personal hygiene, psychology, exercise and nutrition guidance during pregnancy, prenatal screening and prenatal diagnosis should be carried out to prevent birth defects.
3. Carry out self-monitoring method guidance, delivery preparation education and breastfeeding guidance, and carry out prenatal examination and hospital delivery in medical and health institutions with midwifery qualifications after 24 weeks of pregnancy.
4. Pregnant women who find abnormalities should be transferred to higher-level medical and health institutions in time. Pregnant women with critical signs should be immediately transferred to higher medical and health institutions for emergency treatment.
(3) Prenatal follow-up 1 time at 25 ~ 36 weeks and 37 ~ 40 weeks of pregnancy respectively, and key pregnant women should be carried out in medical and health institutions with midwifery qualifications, and the frequency should be increased as appropriate.
1. Ask if there are any special circumstances after the previous prenatal examination, and pay special attention to complications during pregnancy and their manifestations.
2. Measure body weight and blood pressure, check edema and other abnormalities, and suggest reviewing blood routine and urine routine.
3. Review the fetal position, listen to the fetal heart rate, measure the height of the fundus and abdominal circumference, and pay attention to whether the fetal size is consistent with the gestational age.
4. Provide pregnant women with health education during pregnancy and urge them to do self-monitoring.
(4) Postpartum visit: Township hospitals (village clinics) and community health service centers, after receiving the delivery information from the delivery hospital, should visit the puerperal home within 3-7 days, carry out puerperal health management, strengthen breastfeeding and newborn care guidance, and visit the newborn at the same time.
1. Through observation, inquiry and examination, we can know the general situation of parturient, breast, uterus, bleeding and lochia, and the recovery of perineal or abdominal wounds.
2. Women who return to normal and have problems such as breastfeeding, postpartum constipation, hemorrhoids and perineal wounds should be given puerperal health care guidance and related issues.
3. Found postpartum infection, postpartum hemorrhage, uterine involution, pregnancy complications and postpartum depression and other issues of maternal, should be promptly transferred to the superior medical and health institutions for treatment.
4. Understand the basic situation of newborns through observation, inquiry and inspection.
(5) Physical examination 42 days after delivery.
1. The normal parturient was examined for postpartum health, and the abnormal parturient was examined in the original delivery medical and health care institution.
2. Evaluate the recovery of pregnant women through inquiry, observation, general physical examination and gynecological examination, and auxiliary examination when necessary.
3. Provide guidance on sexual health care, contraception, reproductive tract infection and exclusive breastfeeding for 6 months.
Third, the service process
Fourth, the service requirements
(1) Institutions engaged in maternal health management should have the necessary basic equipment and conditions.
(two) personnel engaged in maternal health management services (including rural doctors) should obtain corresponding qualifications and have received professional and technical training in maternal health care.
(three) in accordance with the requirements of the relevant national norms of maternal health care, maternal health management.
(four) to strengthen contact with the village (neighborhood) committee, women's federations, family planning and other relevant departments, to master the information of pregnant women in this area.
(five) to strengthen publicity, inform the service content, so that more women of childbearing age are willing to accept services, improve the registration rate of early pregnancy.
(six) the information and inspection results of each follow-up service are accurately and completely recorded in the "Handbook of Maternal Health Care" and the maternal health file.
(seven) the active use of traditional Chinese medicine methods (such as diet, emotional adjustment, diet, postpartum rehabilitation, etc.). ), to carry out health care services during pregnancy, puerperium and lactation.
Verb (abbreviation of verb) evaluation index
(1) Early pregnancy registration rate = number of people registered before pregnancy 12 weeks in this area/number of live births in this period × 100%.
(2) Prenatal health management rate = the number of people who received five or more prenatal follow-up services during pregnancy according to the requirements of the Regulations/the number of live births in this area during this period × 100%.
(3) Postpartum visit rate = the number of parturients who received 1 visit and 1 visit or more within 28 days after delivery/the number of live births in this period × 100%.
Attachment of intransitive verbs
1. 1 prenatal follow-up service record
2. The second to fifth prenatal follow-up service record form
3. Postpartum visit record form
4. 42 days postpartum health examination records