Ms. Zhang and his wife are natives of Heyuan, and they have been married for 3 years and have not been able to conceive a baby. Since there is no special infertility specialist in the county, it would take more than three hours to travel to Guangzhou for treatment, which was particularly difficult for the couple because they were both hearing-impaired and it was challenging to go out.
In March of this year, a turning point appeared. Guangdong Provincial Reproductive Hospital took the lead in establishing the "Lingnan Reproductive Andrology Specialty Alliance" and the "Infertility Prevention and Treatment Specialty Alliance" to carry out medical services at the grassroots level.
As a member of the alliance, Dongyuan County Maternal and Child Health Hospital (hereinafter referred to as "Dongyuan Maternal and Children") welcomed reproductive medicine experts from the province, and with their help, Ms. Zhang and his wife solved the fertility problem at the "doorstep".
▲Experts from Guangdong Provincial Reproductive Hospital (Liu Huang, third from left, Zhong Xingming, fifth from left) regularly visit Dongyuan women and children
Provincial experts sit for consultation
Grassroots patients pick up "good pregnancy" at the door
Every Wednesday afternoon, we depart from Guangzhou, take the high-speed train and the car, and arrive at Dongyuan Women and Children after 3 hours. The next day, I started a full day of medical consultation and teaching, and then spent another 3 hours after work to rush back to Guangzhou late at night.
Since March this year, every specialist stationed at the Guangdong Provincial Reproductive Hospital has been on this trip. They go to Dongyuan for women and children every week, assist in the construction of reproductive health departments, and carry out pre-pregnancy eugenics, infertility diagnosis and treatment and other services.
On March 14, Zhong Xingming, director of the Department of Reproductive Immunology, who visited Dongyuan for the second time, met Ms. Zhang and his wife.
After learning that the woman's menstrual period was irregular and the test found that the anti-sperm antibody was positive, Zhong Xingming believed that it was infertility caused by ovulation disorder combined with cervical factors, and carried out treatment for her.
In less than a month, Ms. Zhang and her husband successfully became pregnant. Subsequently, the specialist also instructs them on a prenatal diagnosis to rule out the risk of congenital deafness in the fetus.
In order to facilitate communication, Zhong Xingming would write three or four sheets of A4 paper for each consultation, but he didn't feel tired at all. "Trying to communicate in detail, and being able to help them brings out the greatest value to me. She said.
▲The patient came to the consultation room to thank Director Zhong Xingming
It is reported that the local people's demand for infertility diagnosis and treatment is relatively strong, and the popularity of provincial experts is also getting higher and higher. Now, every time Zhong Xingming visits Dongyuan women and children, nearly 40 patients come to seek medical treatment, including patients who rush to Dongyuan from Huizhou to see a doctor.
"I will be a little more tired than in Guangzhou Hospital, but I have a sense of accomplishment, and I have received the good news that 9 patients are pregnant. Zhong Xingming said happily.
Efficient referral by medical alliances
Take the examination to the provincial hospital for surgery
It is understood that the patients in the Dongyuan Maternal and Child Reproductive Health Department are mainly ovulation disorders, polycystic ovary syndrome, irregular menstruation, precocious puberty and other diseases, and some people have the need for advanced age and childbirth.
Through the help and guidance of the stationed experts, the technical level of the department has been continuously improved, and some diagnosis and treatment problems have been better solved. At the end of March, the hospital successfully carried out the first case of hysterosalpingography under ultrasound, and also carried out the first minimally invasive surgery in andrology.
▲Liu Huang, deputy chief physician of the Department of Andrology of Guangdong Provincial Reproductive Hospital, operated on local patients in Dongyuan Women and Children
For some patients who are unable to get pregnant naturally after local treatment and meet the indications for IVF, the Guangdong Provincial Reproductive Hospital will transfer the patient to Guangzhou for follow-up treatment through the green channel of the medical alliance on the basis of the local perfect examination.
"Doing a good preoperative examination in Dongyuan and then going to Guangzhou for surgery saved a lot of time and money. After remarrying, Ms. Li, 38, wanted to have tubal reversal surgery to prepare for pregnancy, so she was referred to Guangzhou through the green channel of the medical alliance and completed the operation the next day.
Ms. Wu, from Zijin County, did a preoperative examination in Dongyuan Women and Children in advance, she went to Guangzhou in the morning and underwent laparoscopic surgery in the Guangdong Provincial Reproductive Hospital in the afternoon.
"It is as convenient as possible for patients to be treated nearby, to enjoy high-quality provincial medical services conveniently, and to help improve the technical level and service capacity of reproductive health in Dongyuan area, and the significance of the construction of our medical alliance has been achieved. Huang Weibiao, vice president of the Provincial Reproductive Hospital, said that the hospital will continue to carry out a four-in-one cooperation model of "technical guidance, talent training, telemedicine, and two-way referral" with Dongyuan Women and Children, guide high-quality medical resources to sink to the grassroots level, and fill the gaps in the field of reproductive medicine and infertility diagnosis and treatment of primary medical institutions.
Reporter | Su Haining
Edit | Yin Zhen Editor-in-charge| Zhang Xiuli
Correspondents | Zhang Jing
Produced by the Guangdong Health Online all-media team