Director of National Clinical Research Center for Obstetrics and Gynecology, President of Peking University Third Hospital, Academician of Chinese Academy of Engineering Qiao Jie China Network Dong Ning
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China Network Live, May 30th. The National Health and Health Commission held a press conference at 10 am today. The heads of the National Health and Health Commission’s Department of Women and Children, the Third Hospital of Peking University, and the Beijing Children’s Hospital affiliated to Capital Medical University and Experts in the field of maternal and child health will attend to introduce the progress and effectiveness of maternal and child health work since the 18th National Congress of the Communist Party of China, and answer questions from the media. The following is a record of the relevant content:
Reporter from Southern Metropolis Daily:
A question about the prevention and control of birth defects. After the adjustment of the fertility policy, the risk of birth defects has increased. What measures has my country taken to strengthen the prevention and control in this regard? In addition, especially for poverty-stricken areas, the awareness of premarital examination and prenatal screening is relatively weak. How is the prevention and control of birth defects in these areas? thanks.
Qiao Jie:
This issue is particularly critical, because two birth policy adjustments in recent years have increased births at older ages, while age and birth defects The relationship that occurs is a clear positive correlation, so society is also paying special attention. The prevention and control of birth defects should start from many aspects.
The first aspect is to continue to strengthen the prevention and control strategies of the three-level prevention and the four-line of defense for birth defects. Because this is a summary of years of practical experience, it is generally effective. The primary prevention is to grasp the two barriers before marriage and pregnancy, and coordinate the promotion of pre-marital health care, pre-pregnancy eugenic health examination, and services such as folic acid supplementation, and strive to prevent birth defects from occurring. The key to secondary prevention is to strengthen prenatal screening and diagnosis during pregnancy. Prenatal screening is very important, so that we strive to reduce the number of serious birth defects as much as possible. The tertiary prevention is the screening of postpartum newborns. Congenital diseases and suspicious cases found during the screening process should be recalled in time, diagnosed and treated as soon as possible, and follow-up and tracking should be strengthened. In this process, we strive to achieve early detection, early intervention, and early rehabilitation, so as to reduce the occurrence of disability as much as possible.
The second aspect is to strengthen the improvement of overall prevention and control capabilities. Last year, the country has issued the “Healthy Children Action Improvement Plan (2021-2025)”, and this year will also formulate a birth defect ability improvement plan (2022-2025). Through the promulgation and implementation of such plans, we hope to achieve the key It is an overall goal that diseases can be screened at the county level, diagnosed at the prefecture level, guided at the provincial level, and radiated at the regional level. Actively improve the prevention and control network, improve the prevention and control chain, and strengthen the training of talent teams, and ultimately achieve the goal of improving the overall service capacity of birth defects.
The third aspect is to strengthen scientific and technological research. From the “Eleventh Five-Year Plan” to the “Thirteenth Five-Year Plan”, the state has laid out a series of special projects, from the genetic diagnosis of embryo implantation, to prenatal and postnatal, there are a series of breakthroughs in research and the generation of new technologies, making the overall prevention and treatment of The level has improved a little. The exploration of new methods of preimplantation genetic diagnosis, like my own, has made preimplantation genetic diagnosis more precise in method, and at the same time, it has improved efficiency, and also reduced costs, which is beneficial to families suffering from genetic diseases. Real benefits. The “14th Five-Year Plan” national scientific and technological research project has also made a targeted layout for the weak links of birth defects. It is hoped that on the basis of increasing investment in scientific research as a whole, the whole chain of pre-pregnancy, early pregnancy, prenatal and postnatal can be passed. The innovation of scientific and technological research projects has further improved the level of birth defect prevention and control.
I just asked that for remote mountainous areas and poverty alleviation areas, what we need to do as a whole is to strengthen the release of popular science information, such as the birth defect prevention day on September 12. Form to strengthen the dissemination of health science knowledge, these are very important. Of course, it is also very, very important to strengthen the local people’s ability to prevent and control birth defects while strengthening their awareness of birth defect prevention and control. Therefore, I also emphasize here that after the age of 35, there is a high incidence of birth defects, which is determined by physiological reasons. Therefore, all couples of childbearing age should start from themselves, pay attention to childbearing at the appropriate age, and take the initiative to carry out pre-marital pregnancy tests. These measures can effectively prevent Occurrence of birth defects. thanks.