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四川：孕妇做产检 艾滋梅毒乙肝病毒将免费检测
2010年11月17日 06:04四川新闻网
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| 图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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孕妇到医院做产检，艾滋病、梅毒、乙肝病毒检测将免费。昨日，成都商报记者获悉，省卫生厅已正式启动四川预防艾滋病、梅毒以及乙肝母婴传播项目，针对全省181个市县的孕妇做关于艾滋病病毒等三项的免费检测。
启动项目
孕妇免费做三项病毒检测
四川省卫生厅妇幼处处长王天贵介绍，艾滋病、梅毒、乙肝这三种传染性疾病，其中一个主要传播途径就是通过母婴传播。启动这个项目，就是要最大程度减少母婴传播造成的儿童感染艾滋病梅毒以及乙肝。项目启动后，全省181个市县的医疗机构，在接诊来检查的孕妇时，都必须要求每位孕妇做免费的艾滋病、梅毒以及乙肝的病毒检测。如果孕妇拒绝检测，本人需要签署书面放弃检测的同意书，并要自行承担可能因此带来的后果。
HIV呈阳性
母亲生子将获奶粉补助费
如果孕妇在医院被检测出HIV(艾滋病病毒)呈阳性咋办？王天贵介绍说，通常做法会首先建议孕妇为下一代着想终止妊娠。如果孕妇坚持要生下孩子，那么该孕妇将被纳入随访范围，工作人员将随时掌握该名孕妇的动态，并将为该孕妇做免费的抗病毒治疗。孕妇必须在医院住院分娩，以防发生意外感染。孕妇顺利分娩后，孕妇及新生儿都将纳入18个月的观察期。期间，孕妇不能使用母乳喂养婴儿。为此，省卫生厅将按每人3000元的标准补助其购买奶粉。在18个月的观察期结束后，孕妇及孩子将会由艾滋病防治办公室负责观察和治疗。
如果是孕妇被检测出患有乙肝或梅毒该咋办？王天贵介绍说，相比艾滋病，乙肝和梅毒的婴儿防治要简单些。如果是患有乙肝的孕妇分娩，新生儿出生24小时内就将进行预防接种，还将注射免疫球蛋白，这些都是免费的。而如果是患有梅毒的孕妇分娩，新生儿将会采取抗病毒免费治疗。
调查医院
三项检测已开始 暂未免费
昨日，成都商报记者走访了成都数家医院。其实，各家医院在孕妇产检时都有艾滋病、梅毒以及乙肝病毒检测项目。不过，这些一直都是自费项目。
成都市第九人民医院产科的护士长李蕴告诉成都商报记者，孕妇到该医院第一次检查、建立档案时，检查项目就包含有HIV病毒、HCV乙肝以及RPR梅毒抗体。这三个项目只在孕妇孕早期(即怀孕1至3个月期间)检查一次，后期则定期进行血常规、尿常规等项目的检查，费用由孕妇个人承担。
成都市妇幼保健医院的做法也基本类似。锦江区妇幼保健院产科副主任医师屈莉介绍，在医院建卡的孕妇都需检测这几项。以前也曾发现在检测中呈阳性的孕妇。如果是艾滋病或梅毒，会从医院转到传染病医院治疗。如果是乙肝中的感染性不强的小三阳，会留院治疗，住院时会进行隔离。
很多孕妇对于预防艾滋病、梅毒、乙肝母婴传播项目还不清楚，但大多表示支持。怀孕4个月的张小姐表示，为了孩子的健康着想，应强制检查以上项目。
成都商报记者 赵倩 实习记者 祝迅
Sichuan: check-pregnant women will be free HIV testing syphilis, hepatitis B virus
At 06:04 on November 17, 2010 Sichuan News
Pregnant women to hospital for check-ups, AIDS, syphilis, hepatitis B virus detection will be free. Yesterday, the Chengdu Business Daily reporter was informed that the provincial health department has been officially launched in Sichuan to prevent AIDS, syphilis and hepatitis B mother to child transmission program for pregnant women in the province's 181 cities and counties to do so on three of the free HIV testing.
Start Project
Pregnant women free to do the three virus
Sichuan Provincial Health Department Director Wang Tiangui introduction of women and children, AIDS, syphilis, hepatitis B three infectious diseases, one of the main route of transmission is through mother to child transmission. Start this project is to minimize the result of mother to child transmission of syphilis and hepatitis B of children infected with HIV. The project started, the province's 181 cities and counties of the medical institutions to check the admissions of pregnant women, they all have to ask every pregnant women free of HIV, syphilis and hepatitis B virus detection. If pregnant women decline the test, I need to sign a written consent to give up testing, and may therefore have to bear the consequences.
HIV-positive
Mother of twins will be given subsidies for milk powder
If the woman has been detected in the hospital HIV (AIDS virus) positive supposed to? Wang Tiangui said that pregnant women often approach would first suggest termination of pregnancy for future generations. If the woman insists on having children, then the follow-up of pregnant women will be included in the scope of the staff will keep abreast of the dynamics of the pregnant women and for pregnant women free anti-retroviral treatment. Pregnant women must be in the hospital delivery, to prevent accidents infection. After the successful delivery of pregnant women, pregnant women and newborns will be included in the 18-month observation period. During breastfeeding women can not be used. To this end, the provincial Health Department standards will be 3,000 yuan per person subsidize the purchase of powdered milk. In the 18 months after the end of observation period, pregnant women and children will be observed by the Office of AIDS prevention and treatment.
If pregnant women were detected with hepatitis B or syphilis in the country? Wang Tiangui said, compared to AIDS, hepatitis B and syphilis prevention and treatment of infants is simpler. If pregnant women with hepatitis B, within 24 hours of birth will be vaccinated, will be injected with immune globulin, which are free of charge. If a pregnant women with syphilis and neonatal antiretroviral free treatment will be taken.
Hospital Survey
Free testing has started yet the three
Yesterday, Chengdu Chinese Commercial News reporters Zou Fangliao and Cheng Dushu hospital. In fact, each time the hospital for check-in pregnant women have HIV, syphilis and hepatitis B virus detection project. However, these have always been self-financed items.
Ninth People's Hospital of Chengdu obstetric nurse told the Chengdu Business Daily reporter Li Yun, pregnant women to the hospital for the first time check, create a file, check the project to contain HIV virus, HCV hepatitis B and syphilis RPR. The three projects only in the first trimester pregnant women (ie, 1 to 3 months pregnant during the period) to check again, the later regular blood, urine and other items check the cost of the pregnant individual.
Maternal and Child Health Hospital of Chengdu, the practice has been largely similar. MCH Jinjiang Qu Li, MD, deputy director of obstetrics introduced the cards in the hospital are required to test pregnant women to these. Previously have found that pregnant women tested positive. If it is AIDS or syphilis, from hospital to hospital for treatment of infectious diseases. Hepatitis B infection if it is not strong in the three positive, will be admitted to hospital, length of stay will be isolated.
Many pregnant women for the prevention of AIDS, syphilis, hepatitis B mother to child transmission project is unclear, but most support. Miss Chang 4 months pregnant, said the children's health sake, should be forced to check the above items.
Chengdu Chinese Commercial News reporters Zhao Qianshi and Xi Jizhe Zhu Xun
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