Maternity health management
1、 Service object
Pregnant and lying-in women living in the area.
2、 Service content
（1） Early pregnancy health management
The Maternal and Child Health Manual shall be established for pregnant women before 13 weeks of pregnancy, and the first prenatal examination shall be carried out.
1. Conduct early pregnancy health education and guidance.
2. Before the 13th week of pregnancy, the township health center and community health service center where the pregnant woman lives shall establish the Maternal and Child Health Manual. 3. Evaluation of pregnant women's health status: ask about their past history, family history, personal history, etc., observe their body and spirit, and conduct general physical examination, gynecological examination, blood routine, urine routine, blood type, liver function, kidney function, hepatitis B. If conditions permit, it is recommended to conduct laboratory tests such as blood glucose, vaginal secretions, syphilis serological test, HIV antibody test, etc.
4. Conduct guidance on lifestyle, psychological and nutritional health care in early pregnancy, with special emphasis on avoiding the adverse effects of teratogenic factors and diseases on the embryo, and inform and urge pregnant women to conduct prenatal screening and prenatal diagnosis.
5. Fill in the first prenatal examination service record form according to the examination results. For pregnant women who have pregnancy risk factors and may have pregnancy contraindications or serious complications, timely refer to the superior medical and health institutions, and follow up the referral results within 2 weeks.
（2） Health management in the second trimester
1. Carry out health education and guidance in the second trimester (every 16-20 weeks and 21-24 weeks).
2. Evaluation of pregnant women's health status: through inquiry, observation, general physical examination, obstetric examination and laboratory examination, evaluate the health of pregnant women and the growth and development of the fetus, and identify high-risk key pregnant women who need prenatal diagnosis and referral.
3. For pregnant women who have not found any abnormality, in addition to the guidance on lifestyle, psychology, sports and nutrition during pregnancy, they should also be informed and urged to carry out prenatal screening and prenatal diagnosis to prevent birth defects.
4. Pregnant women found abnormal should be transferred to the higher medical and health institutions in time. Pregnant women with critical signs should be immediately transferred to the higher medical and health institutions, and the results of the referral should be followed up within 2 weeks.
（3） Health management in late pregnancy
1. Carry out health education and guidance in the third trimester of pregnancy (once every 28-36 weeks and 37-40 weeks respectively).
2. Carry out self-monitoring methods for pregnant and lying-in women, promote natural delivery, breastfeeding and prevention and treatment of pregnancy complications and complications.
3. The high-risk pregnant women found in the follow-up should be urged to increase the number of follow-up as appropriate according to the recommendations of the medical and health institutions. In case of any high-risk situation during follow-up, it is recommended that the patient be referred in time.
（4） Postnatal visit
Township health centers, village clinics and community health service centers (stations), after receiving the delivery information from the delivery hospital, should go to the maternal home for post-natal visit within 1 week after the discharge of the maternal, carry out health management in the puerperal period, strengthen breastfeeding and newborn care guidance, and carry out neonatal visit.
1. Through observation, inquiry and examination, understand the general situation of the puerpera, breast, uterus, lochia, perineal or abdominal wound recovery, etc.
2. Give puerperal health care guidance to puerperal women, and deal with problems such as breastfeeding difficulties, postpartum constipation, hemorrhoids, perineal or abdominal wounds.
3. In case of puerperal infection, postpartum hemorrhage, poor uterine involution, unrecovered pregnancy complications, postpartum depression and other problems, the puerpera should be transferred to the superior medical and health institution for further examination, diagnosis and treatment.
4. Understand the basic situation of newborns through observation, inquiry and examination.
（5） 42-day postpartum health examination
1. The township health center and community health service center shall conduct post-natal health examination for normal pregnant women, and the abnormal pregnant women shall go to the original delivery medical and health institution for examination.
2. Assess the recovery of the puerpera through inquiry, observation, general physical examination, gynaecological examination and auxiliary examination if necessary.
3. Maternity should be guided in such aspects as psychological health care, sexual health care and contraception, prevention of reproductive tract infection, exclusive breastfeeding for 6 months, and maternal and infant nutrition.
