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目的:了解瓯海区出生缺陷发生情况,探讨出生缺陷预防有效途径,提高出生人口素质。方法:对瓯海区户籍常住新婚、待孕、在孕夫妇进行“出生缺陷预防指导跟踪服务与出生缺陷调查”工作,共建《出生缺陷干预情况记录卡》7 486张,已结卡3 299张。结果:发现出生婴儿3 227张(其中正常新生儿3 220例、出生缺陷儿15例、双胞胎8例)、治疗性引产25张、自然流产47张。发现出生缺陷总发生率达12.12‰;而出生缺陷儿发病率为4.64‰(25例治疗性引产使出生缺陷儿发生率下降62.5%),明显低于浙江省2008年的23.9‰、温州市2008年的15.7‰。结论:加强出生缺陷预防指导跟踪服务,大力宣传普及优生与出生缺陷预防知识,指导和督促计划育夫妇做好孕前-围孕期保健与产前筛查工作,是预防和减少出生缺陷发生的直接有效途径。
Objective: To understand the occurrence of birth defects Ouhai District, to explore effective ways to prevent birth defects and improve the quality of the birth population. Methods: The Ouhai district domicile permanent new marriage, pregnancy, couples in pregnancy “birth defects prevention and follow-up services and birth defects survey ” work, build a “birth defects intervention record card” 7 486 cards 3 299 sheets. RESULTS: A total of 3 227 newborn babies (of which 3 220 were normal newborns, 15 were newborn babies and 8 were twins), 25 were treated for induced abortion and 47 for spontaneous abortion. Found that the total incidence of birth defects reached 12.12 ‰; and the incidence of birth defects was 4.64 ‰ (25 cases of induced abortion so that the incidence of birth defects decreased 62.5%), significantly lower than in Zhejiang Province in 2008 23.9 ‰, Wenzhou 2008 15.7 ‰ of the year. Conclusion: To strengthen the follow-up service of prevention and control of birth defects, vigorously promote the popularization of prenatal and birth defects prevention knowledge, guide and supervise family planning couples to do pre-pregnancy and perinatal care and prenatal screening work, which is to prevent and reduce direct and effective birth defects way.