China premarital examination new norms prohibited complete description hymen
Beijing : July 29 : The Chinese Ministry of Health in 1997 right before the “pre-marriage health norms” for the amendment. After amendments were “pre-marital health norms (Amendment)” was formally announced recently implemented, the original “pre-marital health norms” abolished at the same time.
The new “pre-marital health norms” of premarital medical examination, pre-marital health guidance, premarital health counseling many other content clear.
“Premarital health norms”, in the female premarital medical examination, in addition hymen dysplasia, no description of its integrity. Right suspicious abnormality, should be careful diagnosis.
“Norm” : pre-marital medical examination, is ready to marry men and women may be suffering from the effects of marriage and reproductive diseases in the medical examination. Check the major diseases including : a serious genetic disease, a designated infectious disease, the neurological disease, and other diseases related to marriage and child rearing.
“Norms”, pre-marital medical examination results to the personal privacy of confidentiality. Pre-marital medical examination units should accept premarital medical examination of the parties provide a “premarital medical examination to prove” that the two sides immediate blood relations, collateral blood within three generations, as well as medical considered unsuitable marriage, annotated “proposal should not be married.” Medicine found that the birth should not serious genetic disease, or other vital organ diseases, and medicine that is not appropriate reproductive diseases, annotated “proposal should not be reproductive.” Found specified period of transmission of infectious diseases in the pathogenesis of mental illness in the period, or other medical view that marriage should be suspended diseases, annotated “proposed suspension of marriage.”
Attachment : “pre-marital health norms (Amendment)” :
For citizens to provide quality health services, improving the quality of life and quality of the population, according to the “People’s Republic of Maternal and Child Health Care Act” (hereinafter referred to as the “Mother and Child Health Law”), “People’s Republic of maternal and child health approach to the implementation of the Law” and the relevant laws, regulations, enacted marriage former health norms.
One, pre-marital health services content
Premarital health services is ready to marry the men and women in marriage registration before the pre-marital medical check-up, pre-marital health guidance and pre-marital health counseling services.
(1) pre-marital medical check
Pre-marital medical check is ready to marry men and women may be suffering from marriage and childbearing affect the disease in the medical examination.
One, pre-marital medical examinations include asked history, physical examination, routine laboratory investigations and other special inspections.
Checks should be made female genital-anal abdominal examination, need to do vaginal examinations, or the need to seek the consent of their families after. In addition hymen dysplasia, no description of its integrity. Right suspicious abnormality, should be careful diagnosis.
Conventional auxiliary examination should be conducted on chest, blood, urine routine, syphilis screening, blood transaminase and hepatitis B surface antigen detection, trichomonas female vaginal secretions, mold inspection.
Other special tests, such as hepatitis B serologic markers in, gonorrhea, AIDS, chlamydia and mycoplasma screening, semen conventional B-mode ultrasound, breast, chromosome examination, in accordance with the principle of voluntary or needs identified.
2, pre-marital medical examination of major diseases
(1), a serious genetic diseases : congenital form of genetic factors, patients lose all or part of independent living, high-risk offspring reproduction, the medical considers it inappropriate to reproductive diseases.
(2) the designated infectious disease : “The PRC Infectious Disease Control Act,” which provides AIDS, gonorrhea, syphilis and that the medical impact of marriage and childbirth other infectious diseases.
(3) mental illness : schizophrenia, manic depressive psychosis and other heavy mental.
(4), marriage and child rearing and other related diseases, such as diseases of vital organs and reproductive system diseases.
3, pre-marital medical check-referral
Pre-marital medical check-referral system implemented gradually. Right not diagnosed illnesses, should be pre-marital medical examination original units to fill in a unified single referral, the district transferred to the city government health departments designated health care institutions diagnosed. The agency should be diagnosed and testing results feedback to the original report premarital medical examination units. The original pre-marital medical examination should be based unit confirmed the results to fill in “pre-marital medical examination to prove”, and to retain the original information.
Right premarital medical examination results are disputed, maternal and child health can apply for technical appraisal.
4, the medical advice
Pre-marital medical examination units should accept premarital medical examination of the parties provide a “premarital medical examination to prove” and the “medical advice” column states :
(1) the parties to an immediate blood relations, collateral blood within three generations, as well as medical considered unsuitable marriage, if one or both suffer from severe, very severe mental retardation, not marriage consciousness; Severe mental illness, the illness of an offensive attack against the acts, annotated “proposal should not be married.”
(2) found that the medicine is not appropriate reproductive serious genetic diseases or other vital organs diseases, and medicine that is not appropriate reproductive diseases, annotated “proposal should not be reproductive.”
(3) found that the transmission of infectious diseases specified period, the incidence period in psychiatric or other medical should stay married disease, annotated “proposed suspension of marriage”; For checkups may be found in life not in the incidence of infectious diseases period pathogens carriers or patients in out check with premarital medical advice, should explain the situation were examined, including prevention, treatment and other medical measures. If unmonitored insist marriage should fully respect the wish of both subjects, with “recommended medical measures to respect those wishes examined.”
(4) is not aware of the preceding paragraph (1), (2), (3) category for checkups at the statutory marriage allows the case with “found no medical marriage is not appropriate circumstances.”
In issuing a medical opinion, checkups doctors should explain the situation to the client and guidance.
(2) pre-marital health guidance
Premarital health guidance on the preparation of marriage for both men and women in the reproductive health of the core, marriage and childbirth-related health knowledge of the publicity and education.
1, premarital health guidance content
(1) relating to sexual health and sex education
(2) wedding contraception and family planning guidance
(3) preparation before the pregnancy, disease and environmental impact on future generations of pre-pregnancy health knowledge
(4) basic genetic disease knowledge
(5) the impact of the disease on marriage and child rearing to the basic knowledge
(6) other reproductive health knowledge
2, pre-marital health guidance methods
By MCH organizations under the guidance of premarital health, education materials developed. Premarital health institutions through a variety of methods for the system to serve premarital reproductive health education, to provide customers with pre-marital checkups health promotion information. Dawa period of not less than 40 minutes, and impact assessment.
(3) Either health counseling
Checkups doctors should address a medical examination found that the abnormal situation, and the client’s specific question answered, to exchange views, to provide information to help the objects examined on the basis of knowledge to make appropriate decisions. The doctor, “not married”, “no growth” and “stay married” medical advice, should fully respect the wishes of clients, patiently and carefully explain the scientific justification for the consequences that may arise give priority to explain, and perhaps in checkup signed informed views.
2, pre-marital health services, and personnel management
(1) pre-marital medical examination with the approval
An engaged in pre-marital medical examination body, must be made “medical license to practice” medical and health care institutions, and its seat by the prefectural (city) level, the health sector review, the achievement of “maternal and child health services license to practice.” In its “medical license to practice” copies to be annotated. The establishment of premarital medical examination, should be convenient for citizens.
Engaged foreigners, and Hong Kong, Macao and Taiwan residents living in the Chinese citizens abroad premarital medical examination of the medical, health-care institutions, where the conditions for the provincial medical and health organizations. Have special needs, the need for provinces, autonomous regions and municipalities, health administrative departments, the agreement to set up the prefectural (city) level, and county health agencies.
Two engaged in pre-marital medical check, we must obtain “certificates practitioners” and “maternal and child health technology assessment certificate.” Dr. Frederick owners must obtain a physician at the above titles.
(2) pre-marital health services basic standards
One should be above the county level medical and health organizations.
2, the Housing Requirements : placed dedicated men and women in pre-marital medical examination room, conditional region to set up exclusive comprehensive examination room, premarital health education rooms and consulting rooms, testing rooms and other ancillary departments.
3, equipment requirements :
(1) female checkups Room : checkups bed, a stethoscope, sphygmomanometer, weight, eyesight scale chromatography, mallet percussion (Comprehensive examination room, more equipment should be placed in the comprehensive inspection room), gynecological examination beds, tables instruments, gynecological examination equipment, gloves, hip pad , laboratory supplies, screens, wash tanks, slop pail, disinfection materials.
(2) Male checkups Room : stethoscope, sphygmomanometer, weight, eyesight scale chromatography, mallet percussion (Comprehensive examination room, more equipment should be placed in the comprehensive inspection room), checkups beds, equipment tables, testicles and penis measuring equipment, gloves, laboratory supplies, Screen, wash tanks, slop pail, disinfection materials.
(3) announced the classroom : the reproductive health knowledge of wall charts, models and equipment as release missionary facilities.
(4) consulting room : a woman genital models, photographs and other aids used as contraceptives.
(5) has conducted regular and special inspections of laboratories and other auxiliary equipment. Engaged foreigners, and Hong Kong, Macao and Taiwan residents living in the Chinese citizens abroad premarital health services to the medical, health-care institutions should have detected AIDS virus (HIV) and the equipment and other conditions.
4, environmental requirements
Premarital health services environment to be serious, clean, quiet, warm, rational layout and convenience for the masses, it would help to protect the privacy of clients, to prevent cross-infection. The obvious place to fly the “maternal and child health services license to practice” to check items and charges.
(3) Either health care staffing
Premarital health services should be based on actual needs, with the number of appropriate, to meet the requirements of male and female doctor checkups, and Dr. Frederick owners registered nurse, qualified examiner and trained health education personnel. Engaged foreigners, and Hong Kong, Macao and Taiwan residents living in the Chinese citizens abroad premarital health services personnel should have a certain level of foreign language. (Premarital health doctors duties, premarital health doctors seized the main functions illustrated in Annex)
3, pre-marital health services management
Premarital health management system implemented gradually.
Provincial and municipal maternal and child health institutions to assist the health sector management area premarital health, health administration departments assume tasks of the training, and technical guidance to daily work and other work.
Premarital health agencies and the competent leadership of the main Frederick doctors, the agency responsible for pre-marital health services in the technical management work.
(1) quality of service management
Establish and improve various systems and personnel training, business learning and difficult case discussion and information on activities such as statistical analysis; To strengthen quality control, improve disease diagnosis and medical guidance to the accuracy, clients are satisfied with the services and so on.
(2) Laboratory Quality Management
Pre-marital medical examination of conventional testing, should be standardized laboratory test methods and quality control standards. The examiner should strictly observe rules to produce a standardized inspection reports.
(3) information management
1, premarital health information by the person responsible for the management, regular statistics, tabulated by the Ministry of Health conventional statistical reporting requirements, on time to higher-level, and make the information feedback.
2, pre-marital health agencies should establish a “pre-marital medical check registers,” “pre-marital medical examination and Disease Registry records of the counseling,” “pre-marital health services to study, discuss the record” of the original list, and according to records, summed up experiences, identify problems.
3, pre-marital medical check lists should be properly preserved, and personal privacy.
(4) “pre-marital medical check lists” and “pre-marital medical examination proved” management
1, “pre-marital medical check lists” and “pre-marital medical examination proved” and “domestic” and “foreign, Hong Kong, Macao and Taiwan residents living abroad and Chinese citizens” two. Unified format by the Ministry of Health, the provinces, autonomous regions and municipalities health administrative departments to produce their own (see Annex form patterns).
2, “pre-marital medical examination” is the pre-marital medical examination protocol is issued “pre-marital medical examination proved” the author should be itemized integrity, carefully fill, and managed properly.
“Premarital medical examination to prove” provisions of the law of medical proof, one unified format provided by the Ministry of Health, the provinces, autonomous regions and municipalities health administrative departments produced. By completing the doctor checkups, Dr. Frederick main audit Signed checkups units premarital medical check-decked Special Seal (seal-like pattern printed see annex).
“Premarital medical examination to prove” two together, in conjunction stubs from premarital health services archiving preservation, the other Patients pay. Both men and women in marriage registration, should be “pre-marital medical examination to prove” or “proof of Medical Examiners” pay the marriage registration department.
3, “pre-marital medical examination table” with the preservation of medical inpatients, the general retention period should not be less than 30 years. “Premarital medical examination to prove” with the preservation of medical outpatient cases, the general retention period of not less than 15 years. Checkups should gradually cases in electronic form in the “pre-marital medical check lists” and “pre-marital medical examination proved.”
