the Ji'nan times
one of the country's 5 million cerebral palsy families, Chen Fengyan (pseudonym) looks at the 5 year old son, and the biggest wish is that the child can call himself a "mother". The Ministry of Health issued "China birth defect prevention report (2012)" (2012). China is one of the countries with high incidence of birth defects in the world. About 900 thousand of the 16 million newborns in China have birth defects each year, and birth defects seriously harm the health of children and cause great social economic burden. A large part of birth defects can be controlled through premarital checkup, pregnancy screening and prenatal screening of "three level prevention" network.
forced to cancel the premarital checkup for nearly 10 years, a reporter's investigation found that the newly married couple no longer included the premarital examination as a necessary agenda. In contrast, the incidence of birth defects is on the rise. Premarital examination is the "first line of defense" to prevent birth defects. Chen Fengyan looks a little weak for 1 years, but the tone of his voice is very quiet. "Since God gave me this kind of life, since my child is a child with cerebral palsy, I can't change it, so I can only adapt." This is the first thing Chen Fengyan said to reporters. After the end of 2007, Chen Fengyan produced the next son Xiang Xiang (the name of Xiang Xiang), and half a year later, Feng Yan found the child's hands and feet stiff, the movement inflexible and the reaction slow. Subsequently, the hospital was diagnosed with congenital cerebral palsy (partial type).
Chen Fengyan said, when she took the diagnosis, she was covered. Looking at the son who flickered with big eyes in her infancy, after crying, she had only one idea to cure her son, and to cure his son.
voluntary checkup rate in Ji'nan is only 10% more
"is it not voluntary now? I think it's too much trouble to run." Mr. Li said that he was going to marry his girlfriend, but did not consider going to the premarital examination. At present, the new policy of "free premarital inspection and government pay" has been implemented in Ji'nan City, and the rate of premarital examination has been rising slowly, only 10%. We have been carrying out the policy of "free marriage inspection, government purchase" in the whole area since September, and the rate of marriage inspection is limited, although it is in the front of the whole city, the rate of marriage inspection is very limited, "
5000 pairs of new couples." The person in charge of the Baojian Railway Station of the Department of maternal and child health of the District Health Bureau told reporters that a year of marriage is about 5000 pairs, only more than 400 pairs, less than 10%.
October 1, 2003, the Marriage Registration Ordinance has been put into effect. "Compulsory premarital examination" has become "voluntary premarital examination". Many people misread as "Premarital Check-up is unnecessary". The rate of premarital examination has dropped to a single digit since the sharp drop in 2004. According to the final statistical monitoring report of the Ji'nan children's development program, published in 2011, the number of pre marital medical examinations is rising, but the effect is not obvious. In 2010, the rate of premarital examination in Ji'nan reached 12.87%, the rate of urban premarital examination was 3.13%, and the rate of rural premarital examination was 30.96%, which is far lower than that of urban 95% and rural 85%.
reporters found that the number of birth defects in the city was 772 in 2010, an increase of 258 over the previous year, an increase of 50.19%.
marriage check and marriage registration is expected to be "one stop"
Baojian Railway Station. "A lot of people who are ready to marry have misunderstandings about the pre marital medical examination, many new people are troublesome, and some even think this is the distrust of the lover. In fact, marriage inspection is the first barrier to prevent birth defects. It can find a temporary or permanent disease in the process of marriage or childbirth, and the new person can make decisions and arrangements for both the two and the next generation under the guidance of a doctor. "
premarital medical examination, through family history inquiry, family survey, family tree analysis, combined with physical examination, doctors can make a clear diagnosis of some genetic defects, and calculate the risk degree of "influence the next generation of eugenics" according to the law of transmission, and help both parties to make marriage and childbearing decision-making. "In order to further promote the marriage inspection, we are going to move the marriage registration center of the marriage inspection agency and the civil affairs department to a building to provide the" one-stop "service for the new people." The relevant person in charge of the District Health Bureau said.
birth defects are related to environment and other factors related to
related link
3 lines of birth defect prevention
first lines: pre marital medical examination and prenatal health
prenuptial examination before pregnancy 4 to 6 months prior to pregnancy to avoid marriage and childbirth of close relatives and childbearing age: 3 months before pregnancy to 3 months after pregnancy supplementation of folic acid and iodization Preventable endemic cretinism, 3 months before pregnancy inoculation of rubella vaccine, and timely discovery and treatment of diabetes and other diseases in the early pregnancy * to keep away from drugs, quitting smoking and drinking alcohol strictly control the safety of drug use during pregnancy. Women should avoid exposure to harmful substances
second lines: antenatal screening, prenatal diagnosis and maternal health care
prenatal genetic counseling and genetic examination - prenatal screening and abnormal chromosome screening - 16 to 24 weeks of pregnancy by ultrasound examination of
third lines: neonatal disease screening and children's system health
screening for neonatal congenital metabolic diseases and early intervention Children's hearing screening, early detection, early prevention and reduction in the degree of hearing disability - the development of children's system health care, namely, the early detection of malformed defects through standardized physical examination