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    孕產婦保健知識
    2017年8月23日

    孕產期保健服務是指從懷孕開始至產后42天為孕產婦、胎兒及新生兒提供的系統檢查、監護和保健指導,包括孕產期衛生指導、基本的孕產婦系統保健、胎兒保健、新生兒保健、孕產期衛生咨詢和疾病防治。孕產婦系統保健管理應以提高產科質量為中心,篩選高危孕婦為重點。孕期保健應從孕前三個月開始,并且越早越好。由于各期都有應做的檢查、宣教及處理的特殊內容,因此各期保健均不可忽視。

    1:孕期查體至少五次:

    1):孕12周左右及時識別早孕癥狀,及早開始保健,早孕期至少檢查一次。

    2):孕16—20周詢問飲食情況,有無陰道出血、水腫等異常,胎動出現時間。

    3):孕20—24周在孕20—24周至少檢查一次,高危妊娠應增加檢查的次數。復查血色素、尿蛋白、查血糖等。有合并癥者做特殊檢查,并及時處理如矯正貧血等,孕20周開始在醫生的指導下補鐵補鈣。

    4):孕28—36周孕28周后爭取每2—4周檢查一次,如屬高危應當增加檢查次數。

    5):孕37—40周識別高危,重點注意貧血、妊高征、胎位不正、骨盆狹小、頭盆不稱、早產及過期妊娠等,進行早期診斷及處理,預定分娩地點和分娩方式。

    2:孕期保健指導注意休息,避免重體力勞動,預防早產。加強營養,必要時補充營養物質如鈣、鐵等。指導乳房護理,宣傳母乳喂養的好處,做好臨產前的準備,介紹臨產征兆。產前檢查總次數不應少與5次。

    3:產后產婦訪視內容

    ①產后常規訪視3次,時間分別為出院后三天內,第14天、28天,有異常情況酌情增加訪視次數。

    ②了解一般情況:精神、睡眠、飲食、大小便、心理狀態等。

    ③測體溫、脈搏,必要時測血壓。

    ④檢查乳頭有無皸裂,乳房有無紅腫、硬結、乳汁分泌量,乳腺管是否通暢。

    ⑤了解母乳喂養情況,進行指導與咨詢。

    朱家角鎮社區衛生服務中心

    2017年8月23日

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