Shandong launched this year to implement a separate two child experts to remind elderly parturient cautiously
source: Qingdao network TV station
will also start the second batch of comprehensive reform research of public hospitals at the county level to set up the "two child" implementation plan, supporting measures and other
yesterday, the provincial health and Family Planning Committee issued the "main points of health and family planning work of the province in 2014". The "two child alone" policy mentioned in the main points of work, the provincial health and Family Planning Commission said that this year, our province will start implementing the "two child alone" policy. Study and formulate implementation plan, supporting measures and risk prevention and control plan.
the second batch of county-level public hospitals reform started
this year, Shandong will launch the second batch of comprehensive reform of county public hospitals. In order to break the "medicine supplement" mechanism, the scientific compensation mechanism, the medical performance evaluation mechanism, the personnel compensation system which conforms to the characteristics of the medical industry, and the modern hospital management system are gradually established. We should reform the bidding and purchasing methods for public hospitals at county level, and implement the combination of recruitment and production, volume price linkage and double envelope system. To establish a priority system for drug use in public hospitals above grade two and above. Centralized procurement of high-value medical consumables should be carried out to standardize the use and management of high value medical consumables in medical institutions. We should promote the reform of medical service prices, raise the prices of skilled labor, and strictly control unreasonable excessive growth in medical expenses. We should carry out the pilot of the reform of public hospitals in the city, and carry out the pilot of the first medical treatment, the grading treatment and the two-way referral, and choose some public hospitals to carry out the administrative pilot.
Shandong province will adjust and improve the family planning policy this year, and do a good job in family planning. Start the implementation of the "two child" policy. Study and formulate implementation plans, supporting measures and risk prevention and control plans, strengthen publicity and education, personnel training, birth control, birth early warning and inspection and assessment, strengthen the implementation of daily service management measures, achieve smooth implementation of the policy and orderly work, ensure that the natural growth rate of the population in the Province is within 8.5 per thousand and legally born. The fertility rate remained above 90%. The provincial health and family planning committee said that it will urge all levels to do well in the implementation of the legal reward policies of family planning, and to promote the implementation of the 30% one-off pension subsidy policies for the retirement of the only child parents of the employees. To increase the support of families with special family planning difficulties, the support standard of one child dead husband and wife is raised to 400 yuan per person per month. The support standard of the only child disabled couple is raised to 270 yuan per person per month in town and 150 yuan per person per month in rural areas.
survey alone two children? Citizens a little "moving"
"separate two children" policy to let the public concern. Yesterday, reporters randomly surveyed a dozen people, found some couples moved "heart", they have a second birth, expect policy to be implemented.
the 33 year old officer of the year said that now the family conditions are good and can have the conditions to raise two children, and if the policy is implemented, he plans to have one more child. Mr. Han, 37, who lives in Shibei District, said that a family has two children, so that they can feel their sisterhood and can take care of each other later. Of course, there are other people who hold the opposite view. Mr. Wang, who lives in Yan's Island Road, says that he and his wife are both only children. Now there is a daughter, although they are in accordance with the second child policy, but do not want to regenerate children, just to take good care of their daughter's healthy growth.
"doctor, I must choose a good product." Once the two child policy is implemented, I can still have a baby. " In the late pregnancy, Meng Meng (a pseudonym) recently made this request to the doctor. Reporters interviewed learned that some mothers were afraid of pain, or chose a good day to abandon their natural labor. Now there are more pregnant women like Meng Meng's idea. "
" I checked the information on the Internet. Once the first child took a 'cesarean section', the second tire was very difficult to produce, and the risk of production increased. Meng Meng asked Sun Hang, director of Obstetrics and Gynecology of the Ninth People's Hospital of the city, that she wanted to adjust her body condition to win the baby's natural labor.
SUN hang told reporters that she encouraged the birth of sprout, but whether or not it would depend on the physical condition of the day of production. Sun Hang said, now the policy of two separate children has not landed, the expectant mothers who have the right conditions have begun to prepare for this, so they are more inclined to choose spontaneous labor. In
interviews, some mothers raised such questions: "can the first fetus perform cesarean section and the second child can have a spontaneous labor? Is it harmful to the body? " For this problem, eight medical director Liu Qunying said that the first time after cesarean section, the chances of second birth are small, but as long as the fetal weight is light, the fetal position and the birth canal are normal, there is no obvious abnormality in the pregnant women's various indexes, and the natural childbirth can be considered.
experts remind older women to be careful when they are
want to have a second child, not everyone can, of which physical factors are also crucial. "Not long ago, a 38 year old woman went to the hospital to see if she could have a second child." Sun Hang told reporters that for overaged women, pregnant women must be cautious in their production, otherwise they will easily be exposed to risks and affect their health. Sun hang also cited an example of a 39 year old woman who planned to conceive a second child, but threatened abortion. "I once met a 35 year old patient who was overweight and diabetic, but was determined to have a second child. I later carefully inquired to know that the woman's mother-in-law was very strong and must make her have a second child. This is a dangerous situation, and it is easy to jeopardize the life of a woman. If pregnant with pregnant women with heart disease, the production process can increase the burden of heart, induce heart failure caused by life risk, must consult the doctor before pregnancy. Sun Hang said.
SUN hang said that the best age for female reproduction is about 25-29 years old. The risk factor of pregnancy and childbirth increased with age. First, the age is too big, the birth canal and perineum, the pelvis joint hardened, not easy to expand, the uterine contraction force and the vaginal stretch is also poor, so that the time of delivery prolonged, easy to produce dystocia. The greater the age of pregnant women, the more opportunities for complications of hypertension, diabetes, and heart disease, and therefore the more opportunities for cesarean section.
"elderly children, this is a challenge to their health." Liu Qunying said that all the pregnant women, including elderly women, should have good antenatal care. Due to the decline in the physical function of older women, pregnant women who are relatively young are more likely to have pregnancy induced hypertension and diabetes, so it is necessary to monitor all kinds of physical data more closely. If there is serious pregnancy induced hypertension and immune system disease, it is not recommended to continue to be pregnant.
pregnant women should be careful of scar pregnancy
there is still a great risk for women who have the idea of having a second child. That is scar pregnancy.
Sun Xuan, an expert in obstetrics and Gynecology of haicicu group, told reporters that in general, the scar pregnancy in obstetrics is a woman who has had a history of cesarean section. In the second pregnancy, the pregnancy is in the original scar of the uterus. Due to the thin and thin blood supply in the scar tissue, if the embryo develops in this place, it is possible that there will be intraperitoneal bleeding in the second trimester.
"even for pregnant women who are pregnant to a later period of pregnancy, it is very likely to erode the bladder to cause penetration, or to cause serious postpartum hemorrhage, rupture of the uterus and other life-threatening conditions." Sun Xuan told reporters that they had received a similar case, but fortunately rescued timely, and saved the life of a woman.
SUN selection told reporters that there are many complications after cesarean section. The common complications include scar pregnancy, intestinal adhesion, intestinal obstruction, uterine wall defect, and perilous placenta previa. In comparison, cesarean section has great harm to the female body in both daily life and pregnancy. Generally speaking, the first cesarean section does not affect the second pregnancy. But if the incision of the uterine wall after caesarean section is poor in the short term healing, pregnant women prematurely, and the development of the fetus continuously supports the uterus, which makes the uterine wall thinner, especially in the caesarean section, which is connective tissue and lack of elastic force. The fresh scar will be easily dilated during the end of pregnancy or during childbirth, and it will also cause large abdominal cavity. Bleeding even threatens life.