Article 1: Prenatal diagnosis report 1. Investigation on the basic situation of maternal and child health hospital

Second, leaders attach importance to it and vigorously promote it.

Third, the progress of prenatal diagnosis service institutions.

(1) Established the organization and service management network of prenatal diagnosis in our hospital.

(two) standardize personnel management, formulate perfect rules and regulations.

(3) Professional technical ability

(4) Distribution of houses and equipment

Four. Progress in related work since our hospital obtained the qualification of trial operation of prenatal diagnosis technology.

Five, in recent years to carry out prenatal diagnosis technical service projects.

Self-evaluation results of intransitive verbs

(1) Main problems

(2) Rectification measures

First, the basic situation of ××× Maternal and Child Health Hospital

* * * Maternal and Child Health Hospital was founded in 2003, which was formed by the integration of the original regional maternal and child health hospital and the county maternal and child health hospital. After ten years of construction, it has developed into a municipal maternal and child health hospital and a national baby-friendly hospital integrating health care, medical treatment and scientific research. It is the city's maternal and child health care management center, the maternal and child health care business training center and the city's obstetric emergency center.

The hospital covers an area of 56974. 5 1M2 (including the new hospital), with a construction area of 6848. 79 square meters. Bed 100, actually open bed 123. The fixed assets of the hospital are 1 183. 654.38+0.4 million yuan, and 547 sets of medical equipment above 10,000 yuan. There are 290 employees, including 233 health technicians, 8 with technical titles above deputy senior level and 48 with intermediate technical titles. The annual outpatient volume in 20 13 years is 15. 80,000 person-times, 8,623 people were discharged, and the total business income was 46.74 million yuan.

The key business departments of the hospital include women's health care, children's health care, gynecology, obstetrics, neonatology, premarital health care and general pediatrics. The departments corresponding to these businesses have advanced diagnosis and treatment instruments and equipment and strong technical force. Responsible for the technical guidance of maternal and child health care in the city; Obstetrics and Neonatal Department not only does a good job of daily diagnosis and treatment in the hospital, but also receives critically ill patients transferred from primary medical and health institutions at any time.

The hospital adheres to the road of rejuvenating the hospital through science and technology, and attaches importance to intellectual input, talent training and introduction. Actively carry out scientific research activities and apply new technologies. In recent years, it has successively won the title of Guangxi advanced collective for maternal and child health care, Guangxi advanced unit for implementing reduction and elimination project, Guangxi advanced collective for reduction and elimination project in 2002-20 12, advanced unit for medical and health science and technology and continuing medical education in the Eleventh Five-Year Plan period of the Health Department of the autonomous region, advanced collective for health system, advanced collective for prenatal and postnatal care in Guangxi and advanced collective for health work in the whole city, and advanced collective for maternal and child safety in the whole city. He has won awards in various municipal activities and competitions in the system for several consecutive years and has been well received by the masses.

Second, leaders attach importance to it and vigorously promote it.

Since 20 1 1, the party and government leaders of our hospital have attached great importance to the establishment of prenatal diagnosis service institutions as an important work of the hospital, and have held many team meetings to study and formulate plans and clear objectives, which have been highly valued and supported by leaders at all levels. Director Chen Lili, researcher Chen Shuzhen, director Ou Anhong, director Tian Xiaoxian and director Du Fu of the Maternal and Child Health Hospital of the Autonomous Region visited our hospital many times to guide the establishment of prenatal diagnosis service institutions. The support of leaders and the guidance of experts have strongly promoted the establishment of prenatal diagnosis service institutions in our hospital.

Third, the progress of prenatal diagnosis service institutions.

(1) Established the organization and service management network of prenatal diagnosis in our hospital.

Improve the organization and construction of prenatal diagnosis institutions and standardize the management of prenatal diagnosis technical services. The prenatal diagnosis leading group, prenatal diagnosis office, prenatal diagnosis expert group, medical ethics committee, prenatal diagnosis technical service diagnosis and treatment group, prenatal diagnosis quality control group, prenatal diagnosis information management group and other organizations were established, and the working systems and personnel responsibilities of each organization were formulated to carry out various prenatal diagnosis technical services according to law.

1。 Establish a technical service network for prenatal diagnosis in hospitals. Under the unified command of the prenatal diagnosis leading group and office, the maternal and child health care department, eugenics department, obstetrics department, pediatrics department, children health care department, B-ultrasound room, laboratory department and genetic laboratory jointly complete the series operation mode of prenatal diagnosis technical services, and all departments cooperate with each other and are closely linked.

Clinical screening: through the clinical examination of pregnant women and their husbands, combined with medical history and physical examination, high-risk pregnant women are initially identified.

Laboratory screening: screening high-risk pregnant women (2 1- trisomy syndrome, 18- trisomy syndrome, neural tube malformation, thalassemia) through laboratory examination.

Medical image screening: through B-ultrasound examination, we can screen or diagnose some gross structural abnormalities of the fetus, such as anencephaly and conjoined twins.

Genetic laboratory diagnosis: high-risk pregnant women who have been screened before birth are diagnosed in genetic laboratory, and biochemical immunity, cytogenetics, molecular genetics and other methods are used to diagnose whether the fetus has abnormalities and genetic diseases.

Genetic counseling: genetic counseling doctors explain the prenatal diagnosis results to pregnant women and their families, and provide relevant information to consultants so that they can make the most appropriate decision.

Informed choice of pregnant women: pregnant women and their families make choices after fully understanding the examination results through consultation.

2。 Establish an out-of-hospital service management network. * * * There are 96 obstetric medical and health institutions, including 20 at or above the county level and 76 township hospitals. Medical and health institutions at or above the county level have provided prenatal screening technical services. Medical and health institutions first provide genetic counseling services and prenatal screening for high-risk pregnant women, and then transfer the screened high-risk pregnant women to our hospital for prenatal diagnosis. For high-risk pregnant women referred by other medical and health institutions, our hospital is registered by the prenatal care department, and the corresponding prenatal diagnosis items are selected according to the situation of pregnant women. For children diagnosed with serious birth defects, medical guidance is provided through genetic counseling, and the suggestion of terminating pregnancy is to induce labor, reduce the birth of birth defects and improve the quality of the birth population.

(two) standardize personnel management, formulate perfect rules and regulations.

1。 Strengthen the management and training of technical service personnel engaged in prenatal diagnosis. Personnel engaged in prenatal diagnosis technical services can strictly abide by the code of conduct, serve according to law, respect patients' personality and rights, be polite, have a kind attitude, care for patients, provide patients with serious, earnest, cordial and confidential services, strictly abide by technical specifications, and have no illegal fetal sex identification behavior.

2。 Formulate normative and feasible rules and regulations, such as quality control management standards, specimen collection and management system, establishment and management system of specialized files, consultation system of difficult cases, referral system and follow-up system, statistical summary and reporting system, informed consent system of patients, and standardized use of informed consent forms. Formulate rules for the diagnosis and technical operation of genetic diseases.

3。 Quality control of prenatal diagnosis. Establish a quality control team, relevant departments have quality control standards and control measures, and the quality control team is responsible for the relevant departments.

Chapter II Overview of Prenatal Screening In order to protect maternal and infant health and improve the quality of the birth population, according to the provisions of the Implementation Measures for the Management of Prenatal Diagnosis in XX City, the prenatal screening work in our hospital has been continuously standardized. According to the "Detailed Rules for Prenatal Screening and Inspection in XX City", it was compared item by item and implemented item by item. With the correct recognition and guidance of the municipal prenatal screening office and the joint efforts of all relevant personnel, the prenatal screening work in the whole region has achieved certain results. In order to continuously improve the quality of prenatal screening, the following work has been done:

1, clearly implement the responsibility of prenatal screening. Perinatal health care departments actively do a good job in prenatal screening in the whole region. Fill in the application form for prenatal screening carefully, so that all the contents are accurate and complete, and the handwriting is clear. Timely record prenatal screening registration results and report forms. While consulting high-risk pregnant women, immediately inform themselves and their families to transfer to the prenatal diagnosis clinic of Women and Children Hospital in time. And do a good job in the follow-up of high-risk pregnant women. And report the statistical report of prenatal screening to the municipal prenatal screening office on time. According to the routine collection and transportation of blood samples for prenatal diagnosis in XX city, the clinical laboratory determines the person in charge, establishes the system of blood collection, separation and storage, ensures the quality of screened blood samples, and completes the registration work in time.

2, actively do a good job in prenatal screening publicity. Take a variety of ways to publicize prenatal screening knowledge to pregnant women in the area. During the first prenatal examination, the obstetrician explained the importance of prenatal screening and the contents of diseases screened to pregnant women and their families, and distributed publicity materials; Use the school for pregnant women to publicize and introduce pregnant women, so that they can fully understand this work. Under the principle of informed voluntariness, mobilize the society and families to actively participate in and support prenatal screening.

3, do a good job of follow-up of high-risk groups. This year, 2285 people should be screened in our district, and the actual prenatal screening 1898, the screening rate is 83. 06%。 The screening results showed that there were 37 high-risk pregnant women, accounting for 1. 95%。 Among them, 2 1- trisomy high-risk 3 1 case, 18- three body 3 case and NTD high-risk 3 cases, accounting for 83% of high-risk pregnant women respectively. 78%,8。 1 1%, 8。 1 1%。 Timely notify high-risk pregnant women, and suggest further examination at the prenatal diagnosis center. This year, 1 10 high-risk pregnant women (including 57 elderly women and 6 twins 1 0) were followed up, and1deformed children were found from the delivery outcome of high-risk pregnant women. 20 cases of deformed children were found from the delivery outcome of low-risk pregnant women.

In XXXX, the leaders of our hospital attach great importance to prenatal screening, the departments cooperate tacitly, and the colleagues in the whole region are serious and responsible for prenatal screening and make joint efforts. The results of prenatal screening in our district are remarkable, ranking among the best in the city.

Chapter III Year-end Summary of Prenatal Health Examination According to the spirit of the document of the National Family Planning Commission to carry out free prenatal health examination, under the guidance of the free prenatal health examination office of Qixingguan District Guidance Station, and with the strong support of our town Party Committee and government, in 20 12 years, our station solved the problem of supporting funds and technical personnel, implemented relevant safeguard measures, adhered to the "five implementations", strengthened the "three publicity" and paid close attention to the "two publicity"

First, adhere to the "five implementations" to ensure the implementation of pre-pregnancy eugenics health examination.

The first is to lead the organization and implementation. Establish a leading group for pre-pregnancy eugenics health examination, and study the work regularly to provide leadership guarantee for pre-pregnancy eugenics health examination.

The second is to implement the technical training mechanism. Special personnel were sent to the family planning guidance station in Qixingguan District for special study, training, daily work guidance and inspection and evaluation, and strong technical support was obtained.

Third, the work objectives have been implemented. The Implementation Plan of Pre-pregnancy eugenics health examination was formulated, and the work tasks and office responsibilities of relevant personnel were defined, which was included in the year-end assessment, ensuring the comprehensive and in-depth development of pre-pregnancy eugenics health examination.

Fourth, the funds have been secured. With the strong support of the Party Committee and government, a large number of advanced medical equipment have been purchased, which has made the software and hardware construction of technical services in our hospital reach a new level.

V. Implementation of technical personnel. Under the guidance of the stationmaster, doctors from all departments participate in the pre-pregnancy eugenics health examination, carry out detailed division of labor, and put the technical personnel needed for each work in place.

Second, strengthen the "three propaganda" to ensure the strong atmosphere of prenatal eugenics.

First, three-dimensional publicity has been strengthened. Assemble propaganda vehicles in time, make use of township gatherings and various population anniversaries and traditional festivals, and go deep into rural areas to carry out publicity activities with eugenics as the main content.

The second is to strengthen targeted publicity. On the basis of extensive investigation, eugenics education for key groups was highlighted, and eugenics science classes were held mainly for newly married couples and non-pregnant couples to enhance their awareness of preventing birth defects.

The third is to strengthen one-on-one publicity. Face-to-face publicity and education will be given to women who come for a physical examination during pregnancy, so that every pregnant woman can understand the scientific and technological knowledge of prenatal screening.

The third is to pay close attention to the "two trainings" to ensure that the technical strength of pre-pregnancy eugenics health examination is enriched.

First of all, we attach great importance to the training of key teachers. According to the contents of pre-pregnancy eugenics health examination and the technical work responsibilities at the township level, the qualified personnel of our station trained key teachers, which significantly improved the professional level of pre-pregnancy eugenics of six key doctors.

The second is to pay close attention to training village-level family planning staff and target groups. Training on eugenics for village-level professionals and pregnant women was generally carried out, so that all technical service personnel mastered the basic skills and workflow of implementing eugenics promotion projects. Taking advantage of the opportunity of going to the countryside and outpatient service, targeted training was conducted for the target population, which improved the "population coverage rate".

Fourth, standardize the "six tasks" to ensure the continuous deepening of prenatal eugenics promotion.

The first is to standardize the text of work items. I stand in the text of the national free eugenics health examination project. Our station has also formulated the work plan under the framework of the project text, and defined the work direction and service content.

The second is to standardize the baseline survey. In order to effectively improve the health examination level of pre-pregnancy eugenics, our station investigates, finds out and registers the planned pregnant objects.

The third is to standardize job responsibilities. According to the needs of pre-pregnancy eugenics health examination, our station has set up inspectors, investigators, consultants, B-ultrasound doctors, blood collectors and other posts, and each post has formulated detailed job responsibilities. On this basis, the files, reports and registers of eugenics health examination and prenatal screening were carefully standardized. Adhere to the target population not to miss inspection, not to miss inspection, and constantly improve the responsibility system.

The fourth is to standardize the workflow. We made and made public the flow chart of pre-pregnancy eugenics health examination, which increased the transparency of eugenics work.

The fifth is to standardize civilized service standards. For all the service personnel who come to check, we emphasize love and responsibility everywhere, insist on smiling service and pay attention to protecting personal privacy.

Sixth, standardize file management. According to the standard, our station has established the eugenics health examination and the corresponding register, unified the document label, so as to fill in correctly and neatly and meet the standards stipulated in medical documents.

As of September 30th, our station has inspected 82 pairs of project objects, and the basic information of the project objects has been mastered, and the screening of eugenics has entered a stage of intense and orderly development.

Generally speaking, through active work, the free pre-pregnancy eugenics health examination in our station has been steadily promoted. We carry out our responsibilities, work hard, forge ahead, and do a solid, detailed and good job in promoting prenatal eugenics that benefits the people and future generations.

In the free folic acid supplement project, we will increase the intervention of birth defects and carry out free folic acid supplement projects in the whole station. Achieved "four in place".

First, strengthen leadership to ensure that free folic acid supplementation is in place. In order to better adapt to the work of free folic acid supplementation, we strictly follow the "Implementation Plan for Primary Prevention of Birth Defects", earnestly implement our responsibilities and clarify our tasks.

The second is publicity and advocacy to ensure free folic acid supplementation. Publicity and education is the basic premise of free folic acid supplementation, and we carry out publicity in various forms. Give full play to the role of the mass media, carry out socialized propaganda, vigorously publicize and supplement folic acid knowledge through modern communication and network channels, print leaflets 13000 copies, and distribute them to people of childbearing age, which has achieved good results.

The third is to improve the mechanism to ensure that free folic acid supplements are in place. In order to ensure the development of free folic acid supplementation in a regular, institutionalized and standardized direction, we have established and improved the follow-up system, reporting system, regular notification and evaluation system of free folic acid supplementation in strict accordance with the contents of the free folic acid supplementation project, and carried out our work with unified standards and norms such as the distribution process of free folic acid supplementation in towns and villages.

The fourth is to strengthen management and ensure that free folic acid supplementary training is in place. We adopt the way of centralized training and individual guidance of key personnel, and carry out free folic acid supplement basic knowledge training at different levels to improve the professional quality and service ability of professional and technical personnel as a whole. Through hard work, the consumption rate of free folic acid in our station for 20 12 years reached 83.5%. 6%, and the rate of folic acid reaching the standard is 65. 7%, the public awareness rate is 95%, and all indicators meet the standards required by provinces, municipalities and districts, laying a solid foundation for the smooth development of the free folic acid supplement project next year.

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