At the beginning of the new year in 2022, the Shandong Provincial Health Commission announced the first batch of provincial neonatal health care specialties and the second batch of provincial maternal and menopausal health care specialties list, and the Department of Obstetrics and Gynecology of the Affiliated Hospital of Weifang Medical College won the title of "Provincial Maternity Health Care Specialty".
Provincial specialties of maternal and childbirth health care are one of the important indicators to measure the connotation and technical level of obstetrics and gynecology professional management in hospitals. In recent years, the Affiliated Hospital of Weifang Medical College has actively strengthened the construction of special specialties for health care during pregnancy and childbirth, given full play to the advantages of tertiary comprehensive hospitals, enriched service connotations, innovated service models, optimized service processes, improved service quality, and strived to meet the multi-level and diversified health care service needs of pregnant women, so as to provide safer and better services for the majority of pregnant women.
Weiyi Hospital escorts the majority of pregnant women
The Affiliated Hospital of Weifang Medical College closely follows the development trend of obstetrics at home and abroad, accelerates the pace of discipline construction, and establishes a perinatal medical health care system covering preconception consultation, prenatal diagnosis, pregnancy care, pregnancy comorbidities and complication diagnosis and treatment, childbirth monitoring, and postpartum rehabilitation.
Preconception care is the beginning of the full reproductive journey. The hospital provides pre-pregnancy health care clinics, pre-pregnancy consultation clinics and genetic counseling clinics, provides fertility assessment and scientific pregnancy preparation guidance for couples planning to become pregnant, and provides rationalized advice and related genetic counseling for high-risk groups.
On the basis of undertaking pre-pregnancy health care services in the jurisdiction, the discipline gives full play to the advantages of general hospitals, fully applies multidisciplinary joint diagnosis and treatment (MDT) to patients with difficult and complex serious diseases with fertility requirements, organizes relevant professional experts to fully assess the condition and post-pregnancy risks, puts forward guidance on whether pregnancy can be conceived, and provides treatment plans and health care priorities during pregnancy to reduce pregnancy risks.
High-risk pregnant women are supervised throughout the process. The first is to formulate a maternal pregnancy risk assessment and management system, implement the maternal responsibility system for the first diagnosis, implement the "five-color classification" management of pregnant women, and carry out high-risk maternal color marking and tracking management with "orange, red and purple" as the key population. The second is to apply the maternal and infant wisdom medical platform to carry out information management of pregnant women, have information prompts for pregnant women who have not been examined on time, and have special telephone follow-up, if the follow-up fails, they will be followed up by grass-roots community workers through the three-level network. In the past three years, the management rate of high-risk pregnancies in hospitals has reached 100%. The third is to report the "double orange" and "red" high-risk pregnant women to the Ministry of Medical Affairs and the Kuiwen District Maternal and Child Health Care Team for dual management, and report the information to the hospital's high-risk maternal rescue team, implement close monitoring, and be ready for consultation and rescue at any time, so as to "find a case, register a case, report a case, manage a case, and treat a case." The fourth is to open high-risk outpatient clinics, carry out special management of high-risk pregnant women, provide dynamic monitoring, standardize treatment, improve the level of health care management of high-risk pregnant women, and ensure the safety of mothers and babies.
As the maternal treatment center of Weifang City, the hospital undertakes the task of treating pregnant women with acute and critical illness. Give full play to the advantages of tertiary general hospitals, carry out multidisciplinary consultation and multidisciplinary joint treatment for critically ill pregnant women, serious pregnancy complications and comorbidities; set up MICU wards in the obstetric ward, in addition to professional rescue equipment and instruments, there are also ICU basic equipment, such as bedside cranes and equipment belts, ICU special beds, central monitoring systems, bedside monitoring systems, ventilators, defibrillators, cardiopulmonary resuscitation rescue vehicles, bedside color ultrasound and other instruments. Assist the health department to establish and improve the consultation network of high-risk pregnant women in the jurisdiction, and ensure the smooth green channel for critical and severe emergency care.
Improved prenatal diagnostic capacity to support maternal care. The hospital's prenatal diagnosis center carries out various forms of prenatal diagnosis and treatment technology on the basis of genetic consultation, medication consultation during pregnancy, prenatal screening non-invasive gene prenatal diagnosis and karyotype analysis of amniocentesis, so that the hospital's fetal medical level has reached a new level. In January 2021, he won the title of "Medical Genetics and Developmental Biology" Outstanding Youth Team of Shandong Colleges and Universities. In September 2021, the performance evaluation of Weifang Key Laboratory of Prenatal Diagnosis and Birth Defect Prevention and Control was completed. In October 2021, it successfully passed the three-year verification review of provincial experts.
Strengthen the quality and safety of obstetric medical care and reduce complications of natural childbirth. Further improve and enrich the quality control index system such as postpartum hemorrhage, obstetric injury, shoulder dystocia, perineal incision rate, neonatal asphyxia, and transital caesarean section, and carry out full training and regular drills. According to the PDCA rectification concept, the incidence of complications of natural childbirth is significantly reduced, and the birth is safely assisted, and natural childbirth is promoted.
Seamless connection with neonatology, smooth coordination. Regularly convene maternity federations, carry out intrauterine consultations in neonatology, enhance communication between children, improve the comprehensive treatment level of premature, ultra-preterm and high-risk infants, and significantly improve the survival rate and long-term prognosis of preterm infants.
Postpartum rehabilitation clinics were opened to extend health services to the postpartum period. Traditional postpartum examination has been far from meeting the health needs of the majority of women, the hospital opened a postpartum rehabilitation clinic in 2018, the implementation of systematic postpartum pelvic floor function screening, so that more than 80% of women away from urinary incontinence, vaginal laxity and uterine prolapse and other diseases. Sports rehabilitation treatment and family training are integrated into pelvic floor rehabilitation treatment, and rectus absorption separation treatment, pubic bone separation therapy, low back pain, stretch marks lightening, pelvic floor rehabilitation services have been carried out, so that postpartum mothers can obtain a full set of rehabilitation treatment services, improve the quality of life and overall health level of pregnant women.
According to the characteristics of pregnancy and childbirth under the new situation, the hospital also strives to meet the multi-level and diversified health care service requirements of pregnant women, and opens special outpatient clinics such as pre-pregnancy health care clinics, pregnancy nutrition consultation clinics, high-risk obstetric clinics, preterm birth outpatient clinics and recurrent miscarriage clinics, providing more professional and convenient services.
Obstetrics and gynecology and other related disciplines in the Affiliated Hospital of Weifang Medical College will continue to adhere to the development concept of combining clinical and health care, comprehensively strengthen quality and safety management, significantly improve service capabilities, and escort the health and safety of mothers and babies.