Year-end summary of prenatal screening
Part I: Prenatal Diagnosis ReportI. Basic Overview of the *** Maternal and Child Health Hospital
II. Leadership Emphasis and Strong Promotion
III. Progress of Prenatal Diagnostic Service Organizations in Various Tasks
(I) Establishment of the Hospital (a) Establishment of the hospital's prenatal diagnostic organization and service management network
(b) Standardization of personnel management and formulation of sound rules and regulations
(c) Professional and technical capabilities
(d) Housing and equipment allocation
(d) Progress of the work of the hospital since the hospital obtained the qualification to carry out prenatal diagnostic trial operation
(e) Progress in carrying out prenatal diagnostic service projects in recent years
(f) Progress in carrying out prenatal diagnostic services
(h) Progress in carrying out prenatal diagnostic services
The hospital covers an area of 56974.51M2 (including the new hospital), with a building area of 6848.79M2. 100 beds are set up, and 123 beds are actually open. The hospital has fixed assets of 1183.14 million yuan, with 547 sets of medical equipment above 10,000 yuan. Currently, there are 290 employees, including 233 health professionals, 8 with technical titles above the vice senior level and 48 with intermediate technical titles. 2013 annual outpatient volume of 15.8 million, the number of discharges amounted to 8,623, with a total business income of 46.74 million yuan.
The key business departments of the hospital are women's health care, children's health care, gynecology, obstetrics, neonatology, premarital health care, and general pediatrics. The corresponding departments of these services have more advanced diagnostic and therapeutic instruments and equipment and strong technical force. Maternal and child health care is responsible for the city's technical guidance; obstetrics, neonatology, in addition to the hospital's daily diagnosis and treatment work, but also at any time to receive primary health care institutions referred to the critically ill.
The hospital insists on taking the road of science and technology to develop the hospital, and attaches importance to intellectual investment and talent cultivation and introduction. It actively carries out scientific research activities and applies new technologies. In recent years, it has been awarded the Advanced Collective of Guangxi Maternal and Child Health Care, Advanced Unit of Guangxi Implementing Reduction and Elimination Project, Advanced Collective of Guangxi Reduction and Elimination Project 2002-2012, Advanced Unit of Medicine and Health Science and Technology and Continuing Medical Education during the period of '11th Five-Year Plan' of the Department of Health of the Autonomous Region, Advanced Collective of Guangxi Health System Advanced collectives, Guangxi eugenics work advanced collectives, the city's health work advanced collectives, the city's implementation of maternal and child safety advanced collectives and other honorary titles; for several years in the municipal level of various types of activities and the system within the competition to win awards, and get the good reputation of the general public.
Second, the leadership attaches importance to promoting strong
Since 2011, the party and government leaders of the hospital to carry out the creation of *** prenatal diagnostic services as an important work of the hospital to grasp, and many times held a team meeting to study the development of the program and a clear goal, and has received the great attention of the leadership at all levels and support. Autonomous Health Department leaders Chen Lili Director, Chen Shuzhen researcher, Ou Anhong Director and autonomous region of maternal and child health hospital Tian Xiaoxian Director, Director Du Juan and other leaders have visited our hospital many times to guide the creation of prenatal diagnostic services organization work. The support of the leaders and the guidance of the experts have strongly promoted the process of creating a *** prenatal diagnostic service organization in our hospital.
Three, the progress of the work of prenatal diagnostic service institutions
(a) the establishment of the hospital prenatal diagnostic organization and service management network
Improvement of prenatal diagnostic institution organization and standardization of prenatal diagnostic technical services management. A prenatal diagnosis leading group, a prenatal diagnosis office, a prenatal diagnosis expert group, a medical ethics committee, a prenatal diagnosis technical service diagnosis and treatment group, a prenatal diagnosis quality control group, a prenatal diagnosis information management group and other organizations have been set up, and the work systems and duties of the personnel of each organization have been formulated to carry out the technical services of prenatal diagnosis in accordance with the law.
1. Establishment of hospital-based prenatal diagnosis technical service network. Carrying out prenatal diagnosis technical service serial mode of operation, under the unified command of the prenatal diagnosis leading group and the office, by the obstetrics and health department, eugenics and genetics room, obstetrics, pediatrics, children's health department, ultrasound room, laboratory, genetic laboratory *** with the completion of the various departments and departments, each section of the mutual cooperation, the link is closely interlinked.
Clinical screening: through clinical examination of pregnant women and their husbands, combined with medical history and physical examination, initially identify high-risk pregnant women.
Laboratory screening: screening for high-risk pregnancies (trisomy 21, trisomy 18, neural tube malformation, thalassemia) through laboratory tests.
Medical imaging screening: ultrasound can be used to screen or diagnose fetal macrostructural malformations such as anencephaly and syndactyly.
Genetic laboratory diagnosis: For high risk pregnant women in prenatal screening, genetic laboratory diagnosis is carried out, using biochemical immunity, cytogenetic, molecular genetic methods to confirm whether the fetus has malformations, genetic and other diseases.
Genetic counseling: The genetic counselor explains the results of the prenatal diagnosis to the pregnant woman and her family and provides the counselor with relevant information so that the counselor can make the most appropriate decision.
Informed choice of the pregnant woman: the pregnant woman and her family make a choice after fully understanding the test results through counseling.
2. Establishment of a management network for out-of-hospital services. ***There are 96 healthcare institutions with obstetrics departments***, of which 20 are above the county level and 76 are township health centers. All health-care institutions above the county level offer prenatal screening technology services. Each health-care institution first provides genetic counselling services and prenatal screening for high-risk pregnant women, and the screened high-risk pregnant women are referred to our hospitals for prenatal diagnosis. For high-risk pregnant women referred by other health care institutions, our hospital is registered by the prenatal care department, which selects the appropriate prenatal diagnostic program according to the condition of the pregnant woman. Diagnosed with severe congenital defects in children through genetic counseling to provide medical guidance, the termination of pregnancy is recommended to induce labor, reduce the birth of children with congenital defects, improve the quality of the birth population.
(B) standardize the management of personnel and the development of sound rules and regulations
1. Strengthen the management of personnel engaged in prenatal diagnostic technical services and training, personnel engaged in prenatal diagnostic technical services, can strictly abide by the code of conduct for personnel to do in accordance with the law, respect for the patient's personality and rights, civilized and courteous service, kindly, caring for the patient, to provide patients with serious, The staff of the service can strictly abide by the code of conduct of the personnel, respect the patient's personality and rights, serve in a civilized manner, have a kind attitude, care for the patients, provide serious, serious, friendly and confidential services to the patients, and strictly adhere to the technical specifications, and there is no illegal identification of fetal sex.
2. Formulate standardized and feasible rules and regulations: such as quality control management standards, specimen collection and management system, the establishment and management of specialized files, consultation system for difficult cases, referral system and tracking system, statistical summary and reporting system, patient informed consent system and standardized use of informed consent. The company has developed a genetic disease diagnosis and various technical operation routines.
3. Prenatal diagnosis quality control. The quality control team has been established, and the relevant departments have formulated quality control standards and control measures, the quality control team is responsible for the relevant departments
Part II: Prenatal screening summaryIn order to protect the health of mothers and babies, and to improve the quality of the birth population, in accordance with the "XX Municipal Prenatal Diagnostic Management Implementation Measures", and constantly standardize the various aspects of the work of the hospital's prenatal screening. Against the "XX city prenatal screening work assessment rules", item by item against, article by article implementation, in the city prenatal screening office correctly batch guidance and all the relevant personnel *** with the efforts of the region's prenatal screening work has made certain achievements,. In order to continuously improve the quality of prenatal screening work, the year mainly did the following work:
1, clear implementation of prenatal screening work responsibility. Perinatal health section actively do the work of prenatal screening throughout the region. Seriously fill out the application form for prenatal screening, so that the contents of the fill in accurate and complete, clear handwriting, timely registration of prenatal screening and report card results record, high-risk pregnant women in a good consultation at the same time, immediately notify the person and his family in a timely manner to the maternal and child hospital prenatal diagnostic clinic. They also do a good job of tracking and following up high-risk pregnant women. And report the statistical report of prenatal screening to the Municipal Prenatal Screening Office on time. The Laboratory Department in accordance with the "XX City prenatal diagnosis blood specimen collection, delivery routine" to determine the person responsible for the establishment of the blood collection, separation, storage system, to ensure the quality of screening blood samples, and do a good job in a timely manner to register the work.
2, actively do a good job of prenatal screening publicity and mobilization. Take a variety of ways to the jurisdiction of the maternal knowledge of prenatal screening publicity, the first prenatal checkups on the maternal health physician to explain to the pregnant women and their families the importance of prenatal screening work and screening disease content, and distribution of publicity materials; the use of pregnant women's school to the maternal publicity to introduce, so that they have a comprehensive understanding of this work. Under the principle of informed voluntarism, mobilize society and families to actively participate in and support prenatal screening.
3, do a good job of high-risk groups of follow-up tracking work. This year, the number of people who should be screened in our region is 2,285, and the actual number of prenatal screening is 1,898, with a screening rate of 83.06%. The screening result was 37 cases of high-risk pregnant women, accounting for 1.95%. Among them, there were 31 cases with high risk of trisomy 21, 3 cases with high risk of trisomy 18, and 3 cases with high risk of NTD, accounting for 83.78%, 8.11%, and 8.11% of the high-risk pregnant women, respectively. The high-risk pregnant women were promptly notified and advised to go to prenatal diagnostic centers for further examination. This year, 110 cases of high-risk pregnant women (including 57 cases of advanced age and 16 cases of twin births) were followed up, and 1 case of malformation was found in the delivery outcome of high-risk pregnant women. Twenty cases of malformations were found in low-risk pregnancies.
In XXXX, the leadership of our hospital paid attention to the prenatal screening work, the work of the departments and departments work with each other, the whole district colleagues of the prenatal screening work of the seriousness and responsibility, *** with the efforts of the region, the prenatal screening work of our district has remarkable achievements, in the city's top ranking.
Part III: pre-pregnancy eugenic health examination year-end summaryAccording to the National Family Planning Commission to carry out free pre-pregnancy eugenic health examination of the spirit of the document, the Qixingguan District Guidance Station free pre-pregnancy eugenic health examination of the Office of the guidance of the party committee and the government of my town. I station 2012 to solve the problem of supporting funds, solve the problem of technical personnel, the implementation of the relevant safeguards, adhere to the "five implementation", strengthen the "three publicity", pay close attention to the "two training" and standardize "two". The first step is to establish a pre-pregnancy eugenics health checkup leading group, regular research work, for pre-pregnancy eugenics health checkups to provide leadership protection.
Second, the implementation of the technical training mechanism. Dispatch specialized personnel to the Qixingguan District Family Planning Guidance Station to specialize in learning, receive training, daily work guidance and inspection and evaluation, and technically achieved a strong support.
Third, the implementation of the work objectives. Developed and issued a "pre-pregnancy eugenics health check work implementation program", clear work tasks and related personnel office responsibilities, and will be included in the year-end assessment, to ensure a comprehensive and in-depth pre-pregnancy eugenics health check work.
Fourth, the implementation of the funds. In the party government's strong support, the new purchase of a large number of advanced medical equipment, so that the station's technical services hardware and software construction on a new level.
Fifth, the implementation of the technical staff. Under the leadership of the station director, all the doctors in the department are involved in pre-pregnancy eugenic health checkups, and a detailed division of labor is carried out, so that the technicians required for each piece of work are put in place.
Two, strengthen the "three propaganda", to ensure that the pre-pregnancy eugenics promotion work in a strong atmosphere
First, strengthened the three-dimensional propaganda. The first one is to strengthen the publicity car assembly in time, using the township set and various population anniversary, traditional festival, in-depth countryside to carry out eugenics as the main content of publicity activities.
The second is to strengthen the targeted publicity. On the basis of extensive surveys, highlighting the eugenics education of key populations, mainly for newlyweds and couples who are not yet pregnant to organize eugenics popular science classes to enhance their awareness of birth defects prevention.
Thirdly, the one-on-one publicity has been strengthened. For women who come for pregnancy checkups, face-to-face publicity and education is carried out so that every pregnant woman understands the scientific and technological knowledge of prenatal screening.
Three, pay close attention to the "two training", to ensure that the pre-pregnancy eugenic health examination technical force full
First, pay close attention to the backbone of the teacher training. According to the content of the pre-pregnancy eugenics health checks, as well as the township level technical work responsibilities, I station with the practice of qualified personnel to carry out the backbone of the teacher training, so that the six backbone of the doctor's pre-pregnancy eugenics professional level has been significantly improved.
The second is to pay close attention to the village-level birth control officers and target population training. The training of eugenic knowledge for village-level specialists and people waiting for pregnancy has been carried out universally, so that all technical service personnel have mastered the basic skills and workflow of implementing eugenic promotion projects. Using the timing of rural patrols and outpatient clinics to carry out targeted training for the target population, improving the "population coverage".
Four, standardize the "six work", to ensure that pre-pregnancy eugenics to promote the deepening of the work
First, standardize the work of the project text. The first one is to standardize the text of the work project. My station also in the framework of the project text, the development of work plans, a clear direction of work and service content.
Second, standardized the baseline survey. In order to effectively improve the pre-pregnancy eugenic health check my station on the planned pregnancy object survey, mapping, registration.
Third, the standardization of job duties. According to the pre-pregnancy eugenics health check needs, I set up the station examiner, investigator, counselor, ultrasound physician, blood collector and other jobs, each position has developed a detailed job responsibilities. On this basis, the eugenic health examination and prenatal screening files, report cards and registers have been carefully standardized. Adhere to the target population people do not miss the test, the test does not miss the item, and constantly improve the duty system.
Fourth, standardize the workflow. We developed and publicized the "pre-pregnancy eugenics health check flow chart" to increase the transparency of eugenics work.
Fifth, we standardized the civilized service standards. For all the service people who come for examination, we emphasize love and responsibility everywhere, insist on smiling service, and pay attention to the protection of personal privacy.
Sixth, standardized file management. According to the standard I station established a eugenic health examination and the establishment of a corresponding registry, unified file labels, to fill out the correct, neat, in line with the standards set out in the medical instruments.
As of September 30, my station *** check the project object 82 pairs, the basic information of the project object has been grasped, eugenic screening work has entered an intense and orderly stage.
In general, through active work, my station's free pre-pregnancy eugenic health screening has been steadily promoted, my station to implement the responsibility, real work, pioneering and enterprising, to benefit the people, benefiting the children and grandchildren pre-pregnancy eugenics to promote the work of practical, detailed and good.
In the free folic acid supplementation program, we have increased the efforts of birth defects intervention, carried out in the station-wide free folic acid supplementation program. We have done "four in place".
First, strengthen the leadership to ensure that the free folic acid supplementation guarantee in place. In order to better adapt to the work of free folic acid supplementation, we strictly in accordance with the "birth defects primary prevention series of activities to implement the program" to seriously implement the responsibility, clear tasks.
Second, publicity and advocacy to ensure that free folic acid supplementation lead in place. Publicity and education is the basic premise of the work of free folic acid supplementation, we take a variety of forms of publicity and advocacy. Give full play to the role of the mass media, carried out socialized publicity, through modern communication and network channels, vigorously publicize the knowledge of folic acid supplementation, printing leaflets 13,000 copies, distributed to the hands of people of childbearing age, and achieved good results.
Third, improve the mechanism to ensure that free folic acid supplementation norms in place. In order to ensure that the free folic acid work to regular, institutionalized and standardized direction, in strict accordance with the content of the "free folic acid project text" to establish and improve the folic acid follow up system, reporting system, regular notification and evaluation system, townships, villages, free folic acid issuance process, such as the unified standard norms to carry out the work.
Fourth, strengthen the management, to ensure that free folic acid training in place. We take the method of centralized training and key personnel individual guidance, graded to carry out free folic acid supplementation of basic knowledge training, the overall improvement of professional and technical personnel of the business quality and service ability. Through the efforts of our station in 2012, the free folic acid take rate reached 83.6%, folic acid compliance rate of 65.7%, the public awareness rate of 95%, the indicators have reached the provincial, municipal and district requirements of the standard for next year's free folic acid supplementation program work to lay a solid foundation for the smooth implementation.
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