Why prenatal check-ups have not been able to reduce the incidence of disabled ch

Three major reasons

1. Most of the professional knowledge of pregnant women has blind spots

Prenatal check-ups are very important, but I can't really say what new items I actually checked, what the cause of each new check-up is, and what problems the results of the check-ups indicate. And Sun, a member of the public whose child has already turned 1 year old, said that until now, she can't figure out what the "Tang Sieve is" is screening, and even confuses it with the test of diabetic patients.

In Qingdao City, 90% of pregnant women actively go to the hospital to prescribe prenatal check-ups during pregnancy, while pregnant women in rural areas have relatively low concepts about these aspects, but 30% of pregnant women will actively go for check-ups. "Although the concept of testing is very strong, it is true that many pregnant women have very little professional knowledge about maternity, and a very small number of pregnant women will check it online, but the vast majority of them do not know what prenatal testing is.

The only hospital with prenatal diagnosis qualification certificate, other hospitals and their maternal and child health institutions in seven districts and five cities can be contracted to extract the blood of pregnant women and re-examine them in maternal and child health hospitals for screening. Lack of expertise in pregnant women has led to the necessity of relying on hospitals, and the slightest carelessness or failure to report medical errors can lead to adverse effects.

2. High-risk pregnant women often abandon diagnosis

According to statistics, prenatal diagnosis only reduces the scope of fetal disease and only detects the risk value. Under normal circumstances, prenatal diagnosis should be made at 15 weeks and 20 weeks of pregnant women to see if the fetus has heart disease, meningitis, external warping of internal organs, rabbit lips and other malformations, and at 22 weeks to 26 weeks of pregnant women, ultrasound diagnosis should be done. But half of the high-risk pregnant women who really found out what was wrong with the fetus actually gave up on further diagnosis.

Originally, prenatal diagnosis must carry out amniocentesis examination or extract the umbilical cord blood stem cells of the fetal baby, both of which have a 0.5% risk, resulting in miscarriage and distress in pregnant women, and half of the high-risk pregnant women are unwilling to do it due to risk scruples. There were 3 high-risk pregnant women in the local area last year, who were lucky and felt that their families were physically and mentally healthy and not prone to malformed fetuses, so they refused further examination and gave birth to malformed fetuses. The hospital has technical professionals to carry out mid-to-late and late care, so the risk will be low, and pregnant women should not be overly worried.

3. The autonomy of childbirth and pregnancy is often ignored by others

No matter which hospital she goes to, once she is diagnosed as high-risk by the maternal and child health hospital, she will immediately "recruit" the pregnant woman. In accordance with the requirements of the "Regulations on the Technical Administration of Prenatal Diagnosis", in the event that the fetus is found to be abnormal, the treating doctor must notify the pregnant woman in writing of the consequences of the re-pregnancy and the termination of the pregnancy and the decision on further treatment, and the pregnant woman and her wife shall independently choose a solution plan for each other, and the plan must be identified for medical fault and the husband and wife must sign a consent form with each other. "Once there is a problem with the sex chromosomes, the doctor will give the pregnant woman a written notice of labor induction, and mild malformations, such as cleft lips and other diseases that can be treated in the middle and late stages, do not need to induce labor. Zhang Zhanhong told reporters that if pregnant women refuse, they need to be responsible.

In the pre-labor examination, many pregnant women do not know that they still have the "autonomy to conceive", for this matter, the maternal and child health hospital stated that the medical fault identification has the responsibility to inform, including when to do the examination, what to do, the results of the examination, to solve the risk, etc., for those who are not familiar with the professional knowledge of pregnancy testing, the hospital has the responsibility to explain.

In addition, pregnant women must have the corresponding examination within the required time, and it will be difficult to detect it if it is missed.

Physician's tip: Prenatal diagnosis depends on the qualification certificate

Prenatal diagnosis is one of the countermeasures to reasonably prevent high-risk infants, and last year, the maternal and child health hospital screened a total of 12,532 pregnant women, including 314 cases of amniocentesis and fetal umbilical cord puncture, 30 cases of chromosomal mutations of fetal babies, and 11 cases of fetuses with serious malformations.

According to statistics, some congenital defects such as neural tube defects and Down syndrome, although they are genetic diseases, are greatly harmed by environmental factors, and have a certain degree of accidentality, so it is necessary for pregnant women to do prenatal diagnosis.

It is understood that in order to make better profits, some hospitals do examinations without authorization, and once a problem occurs, it is usually more inconvenient, and even because the advanced equipment is not timely to detect the malformed fetus, so the doctor proposes that pregnant women must go to the area with a qualification certificate to carry out the examination when they do the examination.