1 card building strategy
The process of making the first visit card
Conditions for card establishment: The pregnancy age before card establishment must be 12 weeks.
Preparation materials: First, go to the neighborhood committee of the place of residence for consultation, and then go to the community health center to handle the "Shanghai Maternal Health Handbook". After you build a small card, you can use your maternity ID card to build a big card; If you are a patient transferred from another hospital, you need to use the "key pregnant woman referral form" to build a big card in Renji.
Note: Registration can be started at 6:45 am from Monday to Friday, with a daily limit of 12.
Registration window: register at the third floor window of the clinic 10.
Tip: Please see a doctor on an empty stomach for the first time, and bring your own fountain pen.
Specific process:
After arriving at the hospital, you need to measure your weight and blood pressure and record it.
(1) Listen to the nurse and wait until the 8th.
(2) Fill in the personal data in the big card with fountain pen and wait for processing in room 12.
③ Ask the medical history in 12 clinic, and then return to No.8 clinic.
(4) Complete the inspection:
After payment
B-ultrasound of liver, gallbladder and spleen on the fourth floor (fasting)
Obstetric B-ultrasound on the third floor (no need for fasting)
Blood test and urine test on the fifth floor (fasting)
Make an appointment for ECG and color Doppler ultrasound on the fourth floor.
⑤ Take the report of the day and return to the No.8 consulting room.
Especially need to build a card.
After the gestational age 1 1 week, you can make an appointment for registration by the following methods:
(1) Call 1 14 (turn) to open a member (you can buy a member for one month) and make an appointment for the special clinic number for next week. (2) Open the website of "Famous Doctors Navigation", open a member, and make an online reservation for next week's special number.
③ Download the "1 14 Medical Navigation" APP and grab the reservation number in the APP.
After the big card is specially built, a priority card for pregnant women will be issued, and it will not be replenished if it is lost.
The special clinic takes medicine, tests, prints leucorrhea labels, reports, etc. in Building 9 and Building 8.
Most of the inspection items can be completed in the special needs building, and some (fetal monitoring, B-ultrasound, echocardiography) need to go to the outpatient building.
B-ultrasound: The special need is to do it on demand, not to take the number. You need to get a B-ultrasound application form and a priority stamp to go to the nurse's desk.
Trendy: You need to make an appointment.
2, production inspection strategy
The purpose of regular prenatal examination is to monitor the growth and development of the fetus, the health status of the pregnant fetus, find all kinds of high-risk factors during pregnancy at an early stage, give early protection intervention opinions and even early drug treatment, so as to obtain a good maternal and infant outcome. Note: Important inspections should not be missed!
Neonatal tetanus examination in early pregnancy
This is a prenatal screening program in early pregnancy, which aims to find out whether there is the possibility of fetal malformation or chromosome abnormality.
Inspection time: 1 1 week-13 weeks +6 days.
-Abnormal B-ultrasound screening in the second trimester.
That is what we commonly call "big exclusion". This is a systematic investigation, mainly to investigate whether the fetus is structurally abnormal.
Inspection time: 20 -24 weeks.
Diabetes screening
Namely glucose tolerance test. If you can't come to the hospital for glucose tolerance screening in time, it is recommended to control your diet according to your gestational diabetes diet at home.
Inspection time: 24 -28 weeks.
Precautions in the third trimester
1. (once every two weeks before 28-34 weeks of pregnancy, once every week after 34-35 weeks of pregnancy: increase or decrease as appropriate.
2. Routine urine test every time (2nd floor, Building 8)
3. Review related blood indexes: blood routine, bleeding and coagulation series, blood sugar, TSH, liver and kidney function, dichotomy and half, etc. : Take blood on an empty stomach at the outpatient clinic 2-3 days in advance (on the fifth floor or the second floor of the eighth floor). Patients with diseases should supplement the examination contents according to their condition.
4. Fetal heart monitoring every week after 33-34 weeks of pregnancy to understand the intrauterine situation. The application form can be stamped at the nurse's desk of special needs clinic to reduce the queuing time for special needs stamping; Buy the "fetal monitoring belt" in the supermarket on the B 1 floor in advance, and do it in the fetal heart monitoring unit on the third floor of the obstetric clinic on the day of the follow-up visit.
5. Check ECG (2nd floor, Building 8) and obstetric ultrasound (13rd floor, Building 3) and do it on the day of follow-up.
6. Check GBS of vaginal secretion (sampled by obstetrician) at 35~37 weeks of pregnancy.
7. Discuss delivery mode and ward selection;
8. Pay attention to fetal movement every day to see if there is any contraction: whether there is abdominal pain (every time/interval 10 minute), abnormal fetal movement, redness, water breakthrough, etc. , go directly to the inpatient department (delivery room on the fourth floor of Building 3) (you need to bring your ID card, contact manual for pregnant women, birth check card and other related materials).
9. The baby has the ability to survive in the third trimester, so the frequency of prenatal examination increases. Pregnant women without pregnancy complications should have fetal monitoring (NST) after 34 weeks, check once a week after 37 weeks, and see a doctor at any time if fetal movement is abnormal.
10. If the expectant mother had no complications or complications at the previous prenatal examination, combined with her gestational age and risk warning, under the guidance of obstetricians, the number of trips to and from the hospital should be appropriately reduced, but self-monitoring should be strengthened.
1 1. If possible, you can monitor your body temperature, weight, blood pressure, fetal movement and remote fetal heart monitoring at home, and go to the hospital immediately if you find any abnormality.
12. If the gestational age is more than 37 weeks, you need to come to the hospital to evaluate the intrauterine situation of the fetus, and discuss the delivery mode and the time of the next birth check-up.