产前保健指南解读教程教案.ppt

支持文献 18-22周 Obstetric Evidence Based Guidelines. London:Informa; 2007 18-21周 Antenatal care routine care for the healthy pregnant woman. NICE clinical guideline 62. 2008. 18-20周 Clinical Practice Guideline for Pregnancy Management. Version 2.0. Washington, DC: Pregnancy Management Working Group; 2009 Obstetric Evidence Based Guidelines. London:Informa; 2007 18-23周 陈敏. 胎儿结构异常的中孕期超声筛查.中国实用妇科与产科杂志, 2008, 24(2): 106-110 严英榴. 先天性心脏病的产前筛查及诊断.中华临床医师杂志, 2010, 4(6):706-710 Stansard views for examination of the fetus//Pilu G Nicolaides KH, Ximenes R, et al. The 18-23 weeks scan.London:ISUOG＆Fetal Medicine Foundation，2002. 18-24周 段涛. 产前检查.中华全科医师杂志, 2007, 6(6):334-336 16-24周 卫生部.《产前诊断技术管理办法》(2003年) 备查项目 宫颈评估（超声测量宫颈长度和内口宽度） 中华医学会妇产科分会产科学组. 早产的临床诊断与治疗推荐指南(草案). 中华妇产科杂志, 2007, 42(7):498-500 Health Care Guideline: Routine Prenatal Care. 13th Edition. Minnesota: ICSI;2009 Clinical Practice Guideline for Pregnancy Management. Version 2.0. Washington, DC: Pregnancy Management Working Group;2009 妊娠 24-28周 产前检查 健康教育及指导 1. 早产的认识和预防 2. GDM筛查的意义 必查项目 1. GDM筛查 50g GCT：≥7.2mmol/L, ≤11.1 mmol/L, 则进行75g OGTT ≥11.1mmol/L, 即测空腹血糖 直接行75g OGTT (空腹5.1mmol/L,1小时10.0mmol/L, 2小时8.5mmol/L) International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy． Diabetes Care, 2010, 33: 676-682. 2. 尿常规 备查项目 1. 抗 D 滴度复查( Rh 阴性者) 2. 宫颈阴道分泌物 fFN 检测(早产高危者) Clinical Practice Guideline for Pregnancy Management. Version 2.0. Washington, DC: Pregnancy Management Working Group;2009 中华医学会妇产科分会产科学组. 早产的临床诊断与治疗推荐指南(草案). 中华妇产科杂志, 2007, 42(7): 498-500 时春艳. 胎儿纤维连接蛋白对先兆早产孕妇发生早产的预测价值．中华围产医学杂志, 2006,9(1) : 2-5 妊娠 30-32周 产前检查 健康教育及指导 1. 分娩方式指导 2. 注意胎动 Health Care Guideline: Routine Prenatal Care. 13th Edition. Minnesota: ICSI; 2009 Antenatal care routine care for the healthy pregnant woman. NICE clin