【Healthy Science Popularization Herb Garden】Pregnant with healthy babies Prenatal diagnosis experts for women and children come to escort

According to Health Guangyuan:

The birth of every child is the hope and future of the whole family, but the birth of a sick and disabled child is often dragged down by more than one family, and the spiritual harm and heavy social burden brought to relatives are immeasurable losses.

The mainland is one of the countries with a high incidence of birth defects, with about one defective child born every 30 seconds, which is one of the main causes of infant death, child and adult disability on the mainland.

Is it really that difficult to give birth to a healthy and cute "divine beast"?

In fact, it is not difficult, but it is very important, the handsome men and women who are preparing to get pregnant must do their homework, and must not ignore premarital health care, pre-pregnancy and pregnancy health care, but also pay more attention to prenatal screening, prenatal diagnosis, and timely newborn metabolic disease screening and hearing screening after the baby is born, as well as timely standardized system of child health care after the full moon.

How can birth defects be prevented? Let every life "come prepared"

Guangyuan Maternal and Child Health Hospital prenatal diagnosis experts recommend:

Most birth defects can be effectively avoided through pre-pregnancy examination and prenatal intervention, and the following steps are done to give the baby no "trapped" future

Step 1: Pay attention to the first-level preventive measures for birth defects

Primary prevention is a test and preventive intervention before marriage, before pregnancy and in the first trimester to prevent the occurrence of a fetus with birth defects. Including premarital and pre-pregnancy counseling examinations, genetic counseling, selection of the best age for childbearing, pre-pregnancy and first-trimester health care (including reasonable nutrition, infection prevention, prudent medication, smoking and alcohol cessation, avoidance of exposure to toxic and harmful environments, etc.). Birth defects can be prevented through premarital examinations, preconception eugenic examinations, and interventions such as health check-ups, eugenic genetic counseling guidance, folic acid supplementation, testing for pathogens such as AIDS, syphilis, rubella virus, toxoplasmosis, cytomegalovirus, and herpes simplex virus, and treatment of chronic underlying diseases that are not suitable for pregnancy.

Primary prevention is the most cost-effective means of preventing birth defects.

The second step is to put the secondary prevention of birth defects at the threshold

Secondary prevention is to take prenatal screening and prenatal diagnosis during pregnancy, is to avoid the birth of severely defective children, pregnancy regularly to the hospital for prenatal examinations, early detection of abnormal conditions, where there is too much or too little amniotic fluid, fetal development abnormalities or fetal suspicious malformations, early pregnancy contact with substances that may lead to fetal birth defects, family history of genetic diseases or have had a birth of children with congenital defects, the risk of women with genetic diseases and congenital diseases in the expected period of age of more than 35 years old is significantly increased, It is necessary to actively seek and cooperate with the doctor for prenatal diagnosis.

The third step is timely intervention in the tertiary prevention screening of birth defects

Tertiary prevention is for early detection and early intervention. After birth, newborns are screened for congenital genetic metabolic diseases and hearing screening for heel blood collection, such as screening and diagnosis of congenital hypothyroidism, phenylketonuria, congenital adrenal hyperplasia, glucose-6-phosphate dehydrogenase deficiency and congenital hearing impairment, and early diagnosis and treatment of defective children. At the same time, timely and standardized children's system health care is carried out, and through standardized professional physical examination and early detection of physical deformities and defects, timely correction, and selection of the best treatment time, etc., the prognosis of children is improved, the ability of defective children to integrate into society is improved, and the economic and mental burden on families and society is reduced.

In the tertiary prevention of birth defects, early is better than later, premarital medical examination and pre-pregnancy health care are better than pregnancy health care, and pregnancy health care is better than screening after the birth of newborn babies.

Only by doing these three steps,

Build a solid protective barrier,

In order to give each baby a "future without trapping"

Established in January 2020, the Prenatal Diagnosis Center of Guangyuan Maternal and Child Health Hospital is the only prenatal diagnosis institution in Guangyuan City, aiming to effectively reduce the rate of birth defects in the city through pre-pregnancy guidance, prenatal screening and prenatal diagnosis. In the past few years since its establishment, the outpatient clinic has received about 5,000 patients a year, and 455 cases of amniocentesis have been performed in the past 1+ years, avoiding the birth of more than 20 defective children and avoiding the occurrence of 7 cases of Down syndrome.

Prenatal Diagnostic Center Division:

1) Pre-pregnancy and pregnancy eugenics examination and consultation, screening of extended carriers of single-gene disease, genetic testing of abortion tissues;

2) Prenatal serological screening, non-invasive DNA testing of pregnant women's peripheral blood, etc.;

3) Prenatal diagnosis and perinatal treatment of birth defects;

4) Amniocentesis, three detection methods, 1. check the karyotype analysis of fetal chromosomes; 2. Fetal gene chip detection and high-throughput sequencing detection is a cooperation project with West China Hospital, which is the most advanced molecular detection technology at present, with high disease detection rate, accurate and reliable, and can enjoy the medical technology of West China in Guangyuan Maternal and Child Health Hospital;

Doctor recommendation of prenatal diagnosis center: Feng Jumei, female, deputy chief physician, member of Sichuan Medical Genetics Professional Committee. Director of the Office of the Prenatal Diagnosis Center of Guangyuan Maternal and Child Health Hospital. He has been engaged in clinical work in obstetrics and gynecology for more than 20 years, and has rich clinical experience in obstetrics. Good at prenatal screening and prenatal diagnosis, consultation of genetic diseases, amniocentesis surgery, prenatal diagnosis and perinatal management of birth defects, prevention of birth defects; Specializes in maternal care and treatment of recurrent miscarriage. In 2016, he studied for half a year in the Prenatal Diagnosis Center of the Second Affiliated Hospital of West China, and obtained the certificate of "genetic counseling" after passing the examination.

Tips:

(Some sources of information network, invasion and deletion)

Editor-in-Charge: Tao Wei

Editor: Guo Xingxin

Review: Xie Chunyan

Contributed by Tan Shuhua, deputy director nurse of Guangyuan Maternal and Child Health Hospital