社区卫生服务机构在产前筛查网络管理中的实践体会

青岛市李沧区建立并完善以基层社区卫生服务机构为网底,以区级妇幼保健机构为枢纽,以市级产前诊断中心为技术支撑的三级产前筛查管理网络。不断加强社区网底建设,充分发挥基层社区在出生缺陷防治中的优势,依托基本公共卫生服务,从建立《母子健康手册》开始,以健康教育与健康促进为有力抓手,落实好产前筛查的宣传告知、高风险人群初筛、孕期督促筛查及产后妊娠结局随访等工作,将社区基本公共卫生服务与出生缺陷产前筛查服务紧密结合,可有效提高孕妇产前筛查知晓率、参与率和产前诊断率,有效减少先天缺陷儿出生。

Practices and Experiences of Grass-Roots Community Health Service Institutions in Prenatal Screening Management Network

Licang District has established and improved a tertiary prenatal screening management network with primary community health service institutions as the bottom,district-level maternal and child health care institutions as the hub,and municipal prenatal diagnosis centers as technical support.It needs to constantly strengthen the construction of the community network and give full play to the advantages of primary communities in birth defects.Relying on basic public health services,starting with the establishment of Mother and Child Health Manuals,and taking health education and health promotion as a strong starting point,it will implement the publicity and notification of prenatal screening,the initial screening of high-risk groups,the supervision and screening during pregnancy and the follow-up of postpartum pregnancy outcomes.The combination of community basic public health services and birth defect screening services can effectively improve the awareness rate of prenatal screening,prenatal screening participation rate and prenatal diagnosis rate of pregnant women,and effectively reduce the occurrence of congenital defects.