Ji'nan will carry out hierarchical management of high-risk women.
to actively respond to high risk pregnant and lying in pregnant women, scar uterus pregnant and lying in women and other pregnant women, the Ji'nan Municipal Health Planning Commission has worked out the implementation plan for the classification management of high risk pregnant and lying in women in Ji'nan. The implementation scheme proposed that the high risk pregnant and parturition for 42 days from the beginning of pregnancy to 42 days after the postpartum period (where pregnant women, fetal and neonatal health or dystocia are likely to be harmful to pregnant women) should be graded. The cases are serious, that is, grade C and other pregnant women with complicated and difficult risk factors. It should be transferred to the Ji'nan critical and critical maternal and child fixed medical institutions for medical examination, treatment and delivery in hospital.
A hospital for high-risk pregnant women to implement the first diagnosis of
implementation of the
implementation plan, high risk pregnant and lying in women management goal is: high risk pregnant and lying in women management rate 100%, high risk pregnant and lying in women in hospital delivery rate 100%, maternal mortality control under 15/10 million, perinatal mortality control under 8 per thousand management The subjects are: high risk pregnant women from the beginning of pregnancy to 42 days after delivery (where pregnancy may be harmful to pregnant women, fetal and newborn health or cause dystocia due to some factors).
according to the regulations, the medical and health care institutions at all levels should provide antenatal examination for all pregnant women according to the "standard of health care work in Shandong province". At the same time, the health status of pregnant and parturient women is evaluated 12 weeks ago. At the same time, in strict accordance with the "Ji'nan high risk pregnant and parturient assessment scale", the high risk screening of early pregnancy is carried out, and the pregnancy is pregnant. In the middle and late stages, the high-risk pregnant women screened were classified and graded.
our city also proposed that the hospital should carry out the first consultation responsibility system, and clearly put forward that "the health care institutions at all levels carry out the first consultation responsibility system for high risk pregnant and lying in women, find the high risk pregnant and lying in women should build the file management, the special person is responsible, the early intervention, the timely report and the referral, and avoid the delay of diagnosis and treatment."
B should first save
for high-risk and high-risk pregnant women.
the medical institution for emergency treatment of critical and high-risk pregnant women should set up a medical rescue team composed of relevant leaders and multi department experts to establish corresponding emergency management system and work flow in order to ensure the unimpeded access to green channels for critically ill pregnant women. Medical and health care institutions at all levels have difficulties in paying medical expenses for critical and high-risk pregnant women. They should be organized to rescue them and give corresponding medical assistance according to the relevant policies. Blood centers at all levels should give priority to ensuring the blood supply for critically ill and high-risk pregnant women.
in addition, the principle of local and near rescue can be implemented for high-risk pregnant and parturient women who are critically ill and can not tolerate referral. On the basis of respecting the wishes of the patients after the condition is stable, they will be transferred to the other superior medical institutions.
grade management for high risk pregnant women with a
grade a grade A (except special markers) at a level and hospitalization,
grade a grade, and grade B (except special markers) at B level and inpatient delivery
B grade and score The pregnant women of high risk for C (except special marker) at the C level and hospitalized delivery
grade C band and other complicated and difficult and high risk factors should be transferred to the medical institutions of critical care and parturient in Ji'nan for the treatment, treatment and hospitalization.
in addition, our city confirmed 5 three level comprehensive medical institutions, Shangdong Province-owned Hospital, the East Hospital of Qianfo Hill, Shandong University, the Second Affiliated Hospital of Shandong University, and the hospital of Shandong province.