Liao Qinping, head of the National Cooperation Group of Obstetrics and Gynecology Infectious Diseases of Chinese Medical Association, said that good pre-pregnancy management can greatly reduce the occurrence of neonatal malformations and genetic diseases, and at the same time reduce the occurrence of maternal and child complications during pregnancy, but the current situation of pre-pregnancy management in China is very bad. In the field of obstetrics and gynecology, infection is one of the most common diseases, such as cytomegalovirus, toxoplasmosis and rubella. , including inflammation, cervicitis, syphilis, AIDS, etc. If the expectant mother is infected during pregnancy, the cardiovascular and nervous organs of the fetus may be deformed.
According to Hu Lina, director of the Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Chongqing Medical University, among the infectious diseases that cause birth defects in China, syphilis ranks first, and AIDS is also more. The incidence of syphilis in China is three to five thousandths. If it can be treated before pregnancy, the birth defects caused by syphilis infection will be greatly reduced.
Infection can not only directly lead to birth defects of newborns, but also lead to premature delivery. At present, the highest perinatal mortality rate in China is premature delivery, and the most common cause of premature delivery is related to infection. Premature newborns will face the risk of many diseases, such as cerebral palsy, retinal diseases, low birth weight infants and so on. If infection can be avoided during pregnancy, the risk of premature delivery can be reduced, thus reducing birth defects and miscarriage.
In addition, infection can also lead to infertility. According to the investigation in 20 10 years, the incidence of infertility in China is 10% in one year, 15% in two years, and 10 is 25%. A very important reason is infection. Fan Shangrong, director of the Department of Obstetrics and Gynecology of Shenzhen Peking University Hospital, said that the actual infection rate of chlamydia in China exceeded 5%, but it did not attract the attention of patients and doctors, and almost no one went to check it, so many infected people were missed.
The most affected people are abortion patients. At present, chlamydia infection is not checked in many places, so the chlamydia infection in the cervix becomes intrauterine infection, then to the fallopian tube, and finally to ectopic pregnancy infertility. There are more than 1000 million abortion patients in China every year. According to the chlamydia infection rate of 5%, more than 500,000 abortion patients are at risk of infertility and ectopic pregnancy.
To solve the problems of ectopic pregnancy caused by birth defects, premature delivery, infertility and infection, the most important thing is to strengthen pregnancy management and promote preventive examination. Although infection during pregnancy may lead to birth defects, the incidence rate is not 100%. In fact, only a few newborns will have it. However, if infection is found in early pregnancy, pregnant women will have to face a painful choice-induced labor or risk giving birth to children. Either way, pregnant women and their families can't stand it, because Professor Liao Qinping and Professor Hu Lina call for an early check-up before pregnancy. Once an infection is found, you can actively treat it. If there is no infection, you can inject a vaccine, such as rubella vaccine, to ensure that you are not infected during pregnancy and prevent problems before they happen.
Professor Liao Qinping said that the concept of pregnancy management should not only educate women of childbearing age, but also make doctors in Linyi have this concept, so as to guide pregnant women to prepare for health. China * * * International Medical Exchange Foundation launched the "Management Project of Pre-pregnancy Infection during Pregnancy" activity, which aims to make obstetricians and gynecologists across the country realize the importance of controlling pre-pregnancy infection, guide and standardize clinical treatment, and reduce birth defects caused by infection in three years.