免费孕前优生健康检查工作

免费孕前优生健康检查工作 领导小组 组 长:张志会 三十里铺镇党委委员、副镇长 副组长:陈万英 三十里铺镇计生办主任 赵凤红 三十里铺镇计生服务站站长 张延秋 三十里铺镇卫生院院长 成 员:张 健 三十里铺镇计生办副主任 田 静 三十里铺镇计生服务站副站长 张 荣 三十里铺镇妇联主任 薛金彬 三十里铺镇药监所所长 王洪敏 三十里铺宣传干事 领导小组下设办公室，办公室设在计生办，陈万英同志兼任办公 室主任。 center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring, 免费孕前优生健康检查职责分工 免费孕检专管员:李秀华、冉丽慧 免费孕检职责分工: 健康教育:李秀华 档案建立及签署同意书:李秀华 带队到县站优生检查:冉丽慧 宣传发动:陈万英、赵凤红 组织人员:陈万英 结果送达:冉丽慧 随访服务:赵凤红、李秀华、张爱景、刘景丽、冉丽慧 center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring, 宣传培训制度 1、采取入户走访的形式，宣传免费孕检的好处，讲解注意事项，发放免费孕检宣传折页，为参加免费孕检的夫妇开具《介绍信》。 2、定期组织免费孕检对象(一般为到县站检查前一天)进行孕前健康检查培训，重点是免费孕检的有关常识(包括检查前的准备、孕前、孕期、分娩后的注意事项等)，优生优育知识知晓率达90%以上。 3、签署同意书。在对象充分知情自愿的前提下，由镇(街)免费孕检专管员召集签订《国家孕前优生健康检查知情同意书》，填写《免费孕前优生健康检查家族档案》基础信息，由专管员统一保存并带到县服务站，填写登记。 随访服务制度 1、免费孕检对象怀孕12周内，进村入户开展早孕随访，填写《早孕随访记录表》，其他妊娠结局结束后2周内的随访，填写《妊娠结局记录表》。 2、已生育病残儿再生充优生服务指导率100%。随访结束后的1周内把随访记录表报县计生服务站，与健康档案一并保存。 center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring, 3块宣传牌 一、目标人群 享受国家免费孕前优生健康检查的目标人群应同时具备下列条件: 1、符合生育政策并怀孕的夫妇。 2、夫妇至少一方为农业人口或界定为农村居民户口。 3、夫妇一方具有本地户籍或夫妇双方非本地户籍但在本地居住半年以上。 二、孕前检查各项目目的及意义: 1、病史询问(了解孕育史、疾病史、家族史、用药情况、生活习惯、饮食营养、环境危险因素等)——评估是否存在相关风险，降低不良生育结局风险。 2、体格检查(常规体格检查及男、女性生殖系统检查)——评估健康状况，发现影响优生的相关因素;检查双方有无生殖系统疾病，减少影响受孕及导致不良妊娠结局的发生风险。 3、阴道分泌物(白带常规、淋球菌、沙眼衣原体)——筛查有无阴道炎症及淋病、非淋感染;减少宫内感染，减少流产、早产、死胎、胎儿宫内发育迟缓等发生。 4、血常规检验——筛查贫血、血小板减少等，减少因重症贫血造成的胎儿宫内发育迟缓;减少因血小板减少造成的新生儿出血性疾病发生。 5、尿常规检验——筛查泌尿系统及代谢性疾病;减少生殖道感center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring, 染、宫内感染、胎儿死亡和胎儿宫内发育迟缓发生。 6、血型(包括ABO血型和Rh阳/阴性)——预防血型不合溶血;减少胎儿溶血导致的流产、死胎死产、新生儿黄疸等发生。 7、血糖测定——糖尿病筛查;减少流产、早产、胎儿畸形等风险。 8、肝功能(谷丙转氨酶)、乙肝五项检测——评估是否感染及肝脏损伤情况;指导生育时机选择;减少乙肝母婴传播。 9、肾功能检测(肌酐)——评价肾脏功能;指导生育时机选择;减少胎儿宫内发育迟缓发生。 10、甲状腺功能检测(TSH)——评价甲状腺功能;指导生育时机选择;减少流产、早产、胎儿宫内发育迟缓、死胎死产、子代内分泌及神经系统发良不全、智力低下等发生。 11、梅毒筛查——筛查有无梅毒感染;减少流产、死胎死产和梅毒母婴传播。 12、风疹病毒1gG抗体测定——发现风疹病毒易感人体;减少子代先天性风疹综合征、先天性心脏病、耳聋、白内障、先天性脑积水等发生。 13、巨细胞病毒1gM抗体和1gG抗体测定——筛查巨细胞病毒感染状况;减少新生儿耳聋、智力低下、视力损害、小头畸形等发生。 14、弓形体1gM抗体和1gG抗体测定——筛查弓形体感染状况;减少流产、死胎、胎儿宫内发育迟缓等发生。 center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring, 15、妇科超声常规检查——筛查子宫、卵巢异常;减少不孕、流产及早产等不良妊娠结局。 16、风险评估和咨询指导——评估风险因素，健康促进，指导落实预防，降低风险;减少出生缺陷发生，提高出生人口素质。 17、早孕和妊娠结局追踪随访——了解早孕及妊娠结局相关信息，做好相关指导和服务;降低出生缺陷发生风险。 18、优生健康教育——建立健康生活方式，提高风险防范意识和参与自觉性;规避风险因素。 三、免费孕前优生健康检查服务流程 计划怀孕夫妇到村开具《介绍信》 持身份证结婚证户口本、介绍信 镇街服务站提供健康教育签定《知情同意书》填写档案基本信息 高唐县计划生育服务站 病史询问 女方体格检查妇科检查 男方体格检查男科检查 采集标本完成血、尿、白带常规检测～血型、血糖、肝肾功能、甲状腺功能等检查～完成乙型肝炎病毒、梅毒、风疹病毒、巨细胞病毒、弓形体、淋球菌、沙眼衣原体等感染的实验室检查及妇科B超检查 采集标本完成尿常规、血型、肝肾功能、乙型肝炎病毒、梅毒检测,必要时进行精液常规检测 综合分析问诊及孕前医学检查结果～识别和评估计划怀孕夫妇存在的可能导致出生缺陷等不良妊娠结局的风险因素 高风险人群:经评估存在一项或多项异常 一般人群:经评估未发现异常 告知评估结果～提出进一步检查、治疗、转诊等医学建议和干预措施～提供个性化咨询指导 复诊,10天后复诊, 告知评估结果、给予普遍性优生咨询和健康指导 妇女怀孕主动联系村、镇,街,计生服务机构 镇街服务站进行早孕随访并填写随访记录表 早孕随访,停经2周后, center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring, 镇街计生服务站记录妊娠结局 妊娠结局随访,分娩后6周内或其他妊娠结局结束后2周内, 项目信息定期汇总上报县计生服务站 四、检前注意事项: 1、空腹，检前切勿进食和饮水，以免影响检查结果。 2、所要证件:双方户口本、身份证、结婚证、村居介绍信。 center pin checks and anchoring the inner cylinder. According to While coupling alignment should keep oil out of cavity and locate the rotor axis neck raised are within the prescribed limits, there should be no gaps, Horn, Horn and Horn 0.05mm feeler gauges fit into. Center coupling, condenser water filling and water-filled according to factory requirement. For coupling three supported rotor Center, the mouth under the coupling between the value should be as stipulated in the manufacturer, usually 0.15~0.25mm. In the case of coupling connection, if possible, lifting only one bearing end of the support bearing of the rotor, remove the bearing, fitted with special tiles and special lifting tools, disc rotors, check the journal flutter tile, should generally be less than 0.10MM. When the couplings and rotor comes when there is a conflict, the coupling Centre shall prevail. 6.4.5.2.2 shaft looking for: ... 6.4.5.3. Provisional bolt confirmed the positioning of the rotor size, as well as the coupling between the adjustment shim thickness accuracy, drawings to meet the technical requirements. Plane, cylindrical and clean the coupling bolt holes should be clean and without burrs, scrap iron and grease-free, relative position of the coupling according to the drawing requirements are. Coupling top screws, round distance apart, indicators to monitor movement of the aircraft, its value is allowed to pass the value axis moving, mounted adjustment pads, note pads installation direction guide pin coupling with process end closed. The back wheels slowly tightened, when 2mm or so, with standard white bars where two back wheel bolt hole measurement above and below, confirm two back wheel bolt hole concentricity. Then, the symmetrical horizontal mount two temporary bolts tightened, attention to monitor dial indicator, then install the symmetrical temporary bolts, this time sites slowly moving rotor, in the measured circumference of 8 equal parts back wheel rim rock, each measuring relative changes in value should be less than 0.02mm. 6.4.5.4 coupling reamed and paired bolt reaming die reamer, adjustable reamers, boring mill, in several ways. 6.4.5.4.1 General requirements before reaming or boring,