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1980年7月～1981年7月,我们在新乡市郊牧村公社半乐里大队(儿保试点)搞围产期保健23例.保健对象均是计划内怀孕者(即第一胎孕妇).此大队有4个接生员,一般产妇都在家里分娩,由接生员接生,特殊情况送医院分娩.保健方法及观察一、孕期保健:怀孕3个月左右,开始询问病史,检查孕妇有无全身疾病.如有妊娠禁忌症,就动员作人工流产;月份较大者,动员引产.孕6个半月开始产前检查,建立围产期保健卡,推算预产期,作骨盆外测量及内测量,测血压、查胎位、听胎心、测量腹围、检查子宫底高度等,并向孕妇宣传和指导孕期卫生及保健知识.以后于孕第7个月、8个月、8个半月、9个月、9个月零7天,分别各访视检查一次(特殊情况增加检查次数),详细记录,以观察胎儿发育情况,并检查孕妇有无妊娠合并症,以便及时处理.
From July 1980 to July 1981, we conducted 23 cases of perinatal care in the Bailelei Brigade (child care pilot) in the village commune of Xinxiang, and all the health care targets were planned pregnant (ie, the first pregnant women). The brigade has 4 midwives, the general maternal delivery at home, the midwife was born, special circumstances sent to the hospital for delivery .Health care methods and observation First, pregnancy health: About 3 months pregnant, began to ask history, check pregnant women with or without systemic disease If pregnancy contraindications, mobilization for abortion; the greater the month, mobilize induction of labor .Pregnant six and a half months to start prenatal care, the establishment of perinatal health card, calculate the expected date, for pelvic and internal measurements, blood pressure , Check the fetal position, listen to fetal heart rate, abdominal circumference measurement, check the height of the uterus and so on, and to pregnant women to promote and guide pregnancy health and health knowledge later in the first 7 months, 8 months, 8 and a half months, 9 months, 9 months and 7 days, respectively, visits for inspection (special circumstances increase the number of inspections), detailed records to observe fetal development, and check the pregnant women with or without pregnancy complications for timely treatment.