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In order to ensure the safety, health and eugenics of the mother, fetus, and newborn, active monitoring and research should be carried out from the time of diagnosis of pregnancy, and prevention and improvement should be carried out for the problems that may occur in the fetus during the perinatal period, which is called perinatal health care. In addition to the participation of doctors from obstetrics and gynecology, pediatrics, maternal and child health care, and anesthesiology, there is also the cooperation of personnel in human reproduction, endocrinology, physiology, pathology, biochemistry, physics, immunology, genetics, pharmacology, etc. Foreign countries attach great importance to perinatal medicine, and regard perinatal mortality as an important indicator that reflects the socio-economic situation, living standards, health work, and cultural knowledge level of a country or region.
At present, most of the perinatal statistics at home and abroad are from 28 weeks of gestation to 1 week postpartum. However, from the requirements of protecting the normal growth of the fetus, reducing the perinatal fetal and infant mortality rates and improving the health of the newborn, protection should be started from the first trimester. Early pregnancy health care begins about 3 months of pregnancy, and it is necessary to do a good job of registering first-time pregnant women.
Including: 1. Inquire about the medical history in detail, understand the health of the pregnant woman, and do a comprehensive health examination, measure the pelvic meridian and related routine laboratory tests, detect internal diseases as soon as possible, and decide whether it is suitable for pregnancy according to the degree of the disease.
2. Understand the condition of the reproductive tract, the size of the uterus and the presence of tumors through pregnancy examination.
Pregnant women over the age of age who have genetic diseases or have been born with congenital malformations in their relatives should receive genetic counseling and necessary prenatal examinations for congenital malformations, so as to reduce perinatal mortality and hereditary diseases such as congenital malformations and dementia, cultivate the next generation with strong physique, and improve the quality of the nation.
4. Actively prevent the impact of adverse environmental factors and certain drugs on fetal growth and development, and publicize to pregnant women the health care knowledge to avoid harmful chemical and physical factors and the influence of drugs, and the health care in the third trimester is to do regular prenatal examinations after 7 months of pregnancy, correct abnormal fetal position, guide the health of late pregnancy and the preparation of newborns after birth, strengthen the management and monitoring of key objects in the perinatal period, and avoid the occurrence of premature birth, dystocia, overdue birth and stillbirth.
Perinatal health care is a series of health care measures for mothers, fetuses, and newborns from the beginning of pregnancy, which is the key to ensuring the smooth birth of healthy babies. It is an important measure to implement prevention first, to ensure the health of the mother and fetus and the safe delivery and safety, so the choice of where to do perinatal health care should be cautious, only by doing this work well, will the good wishes of the mother and child be healthy and safe, and the whole family will be happy.
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Perinatal care, as the name suggests, is perinatal health care, and it is also a daily prenatal examination. It takes nearly a year for pregnant women to return to normal after pregnancy, childbirth and postpartum, which is the longest physiological process that requires medical observation and protection. Special physiological periods such as pregnancy, childbirth, and puerperium have their own characteristics and different health care requirements.
The quality of health care in each period is interrelated and mutually influencing and has a direct impact not only on the health of the mother and the fetus, but also on the next period of pregnancy. Thus, perinatal medicine was established around scientific research before and after childbirth.
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