Measures For The Implementation Of The Law Of The People's Republic Of China On Mother And Infant Healthcare

(promulgated by Decree No. 308th of the State Council on June 20, 2001) from the date of promulgation

general provisions

Article 1. These measures are formulated according to the law of the People's Republic of China on maternal and infant health care (hereinafter referred to as the law of maternal and infant health care).

Second institutions and their personnel engaged in maternal and infant health care activities in People's Republic of China shall abide by the law on maternal and infant health care and these measures.

The family planning technical service institutions shall carry out family planning technical service activities in accordance with the provisions of the regulations on family planning technical service management.

The third maternal and child health care technology services mainly include the following:

(1) publicity, education and consultation on maternal and infant health care;

(two) premarital medical examination;

(three) prenatal diagnosis and genetic diagnosis;

(four) midwifery technology;

(five) carrying out the contraceptive operation needed in medicine;

(six) neonatal screening;

(seven) other reproductive health services related to fertility, birth control and infertility.

Fourth citizens have the right to know and choose maternal and infant health care.

The state guarantees the right of citizens to obtain suitable maternal and child health care services.

The fifth maternal and infant health care work centers on health care, with the aim of ensuring reproductive health.

Sixth People's governments at all levels should incorporate maternal and child health care into the national economic and social development plan at the national level, provide necessary economic, technological and material conditions for the development of maternal and infant health care, and give special support to the maternal and infant health care undertakings in minority areas and poverty-stricken areas.

Local people's governments at or above the county level may set up special funds for the development of maternal and infant health care according to their actual conditions and needs.

Seventh the health administrative department under the State Council shall be responsible for the work of maternal and infant health care in the whole country and perform the following duties:

(1) formulate laws and regulations and technical specifications for maternal and infant health care and the present measures;

(two) in accordance with the principle of grading guidance, we should work out the national development plan and implementation steps for maternal and infant health care.

(three) organizing appropriate technologies to promote maternal and child health care and other reproductive health;

(four) supervise the work of maternal and infant health care.

Eighth departments of finance, public security, civil affairs, education, labor security, family planning and other departments of people's governments at or above the county level shall, within their respective responsibilities, cooperate with the health administrative departments at the same level in doing maternal and infant health care work.

The second chapter is pre marital health care.

Ninth pre marital health guidance, as mentioned in the seventh section of maternal and infant health care law, includes the following items:

(1) health care and education related to sexual hygiene;

(two) contraceptive knowledge and family planning guidance;

(three) pre pregnancy health care knowledge such as pre conception preparation, environment and disease effects on offspring;

(four) basic knowledge of genetic diseases;

(five) basic knowledge of diseases related to marriage and childbirth;

(six) other reproductive health knowledge.

When conducting pre marital health consultation, doctors should provide scientific information for the clients, guide the possible consequences and make appropriate suggestions.

Tenth, in areas where premarital medical examination is conducted, both men and women who are prepared to marry should go to the medical and health care institutions for pre marital medical examination before they register for marriage.

The eleventh medical and health care institutions engaged in premarital medical examination shall be examined by the health administrative departments of the Municipal People's governments at the locality where they are located.

Twelfth medical and health care institutions applying for premarital medical examination shall meet the following requirements:

(1) set up special male and female pre marital medical examination room, equipped with routine examination and specialist examination equipment.

(two) set up pre marital reproductive health education and Education Office;

(three) eligible doctors who conduct premarital medical examinations for men and women.

The thirteenth premarital medical examination includes asking for medical history, physical examination and related examinations.

Premarital medical examination should abide by the standard of pre marital health care and follow the premarital medical examination items.

Pre marital health care norms and pre marital medical examination items shall be prescribed by the health administration department under the State Council.

Fourteenth, through premarital medical examination, medical institutions and health care institutions should issue pre marital medical examination certificates to those receiving premarital medical examination.

Premarital medical examination should confirm whether the following diseases have been identified:

(1) designated infectious diseases in the infectious period;

(two) related mental illness during the onset period;

(three) serious hereditary diseases unsuitable for bearing;

(four) other diseases considered unsuitable for marriage in medicine.

If a disease is found in Item (1), item (two) or (three) of the preceding paragraph, the physician shall state the situation to the parties concerned, and put forward suggestions for prevention, treatment and corresponding medical measures.

Depending on the doctor's medical advice, the parties may postpone their marriage, or voluntarily adopt long-term contraceptive measures or ligation operations. Medical and health care institutions should provide medical advice and medical services for their treatment.

If fifteenth medical and health care institutions fail to make a definite diagnosis before marriage, they shall be pferred to the medical and health institutions designated by the health administrative department of the people's government at or above the district level.

Sixteenth in the areas where premarital medical examination is carried out, the marriage registration authorities shall examine the medical certificate certificates stipulated in the eleventh articles of the premarital medical examination certificate or the maternal and infant health care law when handling marriage registration.

The third chapter is maternal health care.

The seventeenth medical and health care institutions should provide contraceptive, birth control, fertility, infertility and reproductive health consultation and health care services for women of childbearing age.

If a doctor discovers or suspects that a married couple has serious genetic diseases, he shall bring forward medical advice. If it is difficult to diagnose at the level of the existing medical technology, it shall state the situation to the parties concerned.

Couples of childbearing age can choose contraceptive, birth control, infertility and other corresponding medical measures.

The eighteenth medical and health care institutions should provide the following health care services for pregnant women:

(1) establishing health care manuals (cards) for pregnant and lying in women and conducting prenatal examination regularly.

(two) provide medical guidance and consultation for pregnant and lying in women in such aspects as hygiene, nutrition and psychology.

(three) intensive care, follow-up and health care services for high-risk pregnant women.

(four) provide safe delivery technology services for pregnant and lying in women;

(five) regular postpartum visits to guide the scientific feeding of infants;

(six) providing contraceptive advice and technical services;

(seven) carry out reproductive health education and scientific child care knowledge education for parturients and their families.

(eight) other pregnancy and childbirth health care services.

Nineteenth medical and health institutions find that pregnant women suffer from the following serious diseases or are exposed to toxic, harmful factors such as physical, chemical and biological factors, which may endanger the life safety of pregnant women or may seriously affect the health of the pregnant women and the normal development of the fetus.

(1) serious complications or complications of pregnancy;

(two) severe mental illness;

(three) other diseases that seriously affect fertility in the health administration department under the State Council.

Twentieth of the following cases should be diagnosed by prenatal diagnosis:

(1) excessive or too much amniotic fluid;

(two) abnormal fetal development or suspected fetal malformation;

(three) exposure to substances that may cause fetal defects in early pregnancy;

(four) having a family history of hereditary disease or a child with severe congenital defects.

(five) primipara is over 35 years old.

Twenty-first maternity and infant health care laws, eighteenth of the serious genetic diseases of the fetus, serious defects of the fetus, and serious diseases that may endanger the health and safety of the pregnant women may be prescribed by the health administration department under the State Council.

Twenty-second children who have severe hereditary diseases or serious defects, before pregnancy, the husband and wife shall go to the medical and health care institutions for medical examination according to the relevant provisions of the state.

The medical and health care institutions shall introduce the knowledge about genetic diseases to the parties concerned, and give advice and guidance.

In diagnosing a serious hereditary disease that is considered unsuitable for childbirth in medicine, the physician shall state the situation to the client and make medical opinions.

The twenty-third is strictly prohibit the use of technical means of fetal sex identification.

For suspected fetus may be accompanied by sexual genetic disease, sex identification is required. The medical and health care institutions designated by the health administrative department of the people's Government of the province, autonomous region or municipality directly under the central government shall be appraise according to the provisions of the health administrative department under the State Council.

The twenty-fourth country advocates delivery in hospital.

Medical and health care institutions should carry out disinfection and delivery and neonatal resuscitation, prevent obstetric complications such as birth injuries and postpartum hemorrhage, and reduce the morbidity and mortality of pregnant women and perinatal infants in accordance with the technical operation norms formulated by the health administrative department under the State Council.

Those who do not have conditions for childbirth shall be delivered by persons who have been permitted by the Department of health administration of the local people's government at the county level and obtained the technical certificate of family members.

High risk pregnant women should be hospitalized in medical and health care institutions.

The fourth chapter is infant health care.

The twenty-fifth medical institutions and health care institutions should carry out screening, diagnosis, treatment and monitoring of congenital and inherited metabolic diseases in neonates in accordance with the relevant provisions of the state.

Twenty-sixth medical and health care institutions should conduct neonatal visits in accordance with the regulations, establish child health care manuals (cards), conduct regular health checks on them, provide scientific knowledge about disease prevention, rational diet, and promote intellectual development, and do well in medical and health services such as prevention and treatment of multiple diseases and common diseases.

The twenty-seventh medical institutions and health care institutions shall carry out vaccination against infants according to the prescribed procedures and items.

The baby's guardian should ensure that the baby is vaccinated in time.

Twenty-eighth countries are breastfeeding.

Medical and health care institutions should provide technical guidance for breastfeeding and provide the necessary breastfeeding conditions for those lying in hospital.

Medical and health institutions should not publicize and recommend breastmilk substitutes to pregnant women and infants' families.

The twenty-ninth labels for breast milk substitutes should indicate the superiority of breastfeeding in a prominent position.

The producers and sellers of the milk substitute shall not give samples to the medical treatment or health care institutions, or provide equipment, funds and data conditionally for the purpose of promoting sales.

Thirtieth women enjoy maternity leave prescribed by the state.

For women who are under 1 years of age, their units should arrange certain lactation time within the working hours.

The fifth chapter is technical appraisal.

Thirty-first maternal and infant health care technology accreditation committees are divided into three levels: Province, city and county.

Members of the medical and technical appraisal committee of maternal and infant health care shall meet the following requirements:

(1) members of the Committee for medical and technical appraisal of maternal and infant health care at the county level shall have professional and technical posts above doctors.

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