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目的探讨梧州地区产前筛查与产前诊断实施情况及应对策略。方法对2015年在我院建《广西孕产期保健手册》,定期产前检查的2413例孕妇进行追踪随访,了解其孕期保健、产前筛查、高危孕妇产前诊断实施情况及影响因素。结果 2015年例孕妇建卡2413例,产前筛查1570例,产筛率65.06%,未行产前筛查845例;产筛高危孕妇119例,其中进行有创性产前诊断为40例,占33.61,无创DNA产前检测36例,占30.25%,重新复核产前筛查为低风险5例,流产2例,未进行任何干预的36例,占30.25%。结论产前筛查率、产前诊断率不高,产前筛查和产前诊断是预防出生缺陷的重要关卡,要层层重视,加强健康教育,做好医患沟通,保障产前筛查和产前诊断的顺利实施,控制出生缺陷。
Objective To investigate the status of prenatal screening and prenatal diagnosis in Wuzhou and its countermeasures. Methods A total of 2413 pregnant women with regular prenatal care were enrolled in our hospital in 2015. Their antenatal care, prenatal screening and prenatal diagnosis of high-risk pregnant women were analyzed. Results In 2015, 2413 pregnant women were enrolled in card, 1570 were prenatal screening, screening rate was 65.06%, 845 were not prenatal screening, 119 were high screening risk pregnant women, of which 40 were prenatal diagnosis , Accounting for 33.61, 36 cases of noninvasive DNA prenatal testing, accounting for 30.25%, recheck prenatal screening for low risk in 5 cases, abortion in 2 cases, without any intervention in 36 cases, accounting for 30.25%. Conclusion Prenatal screening rate, prenatal diagnosis rate is not high, prenatal screening and prenatal diagnosis is an important barrier to prevent birth defects, attention should be given to layers to strengthen health education, good communication between doctors and patients to ensure prenatal screening Prenatal diagnosis and the smooth implementation of birth defects control.