黑龙江省母婴保健条例（Regulations of maternal and child health care in Heilongjiang）

黑龙江省母婴保健条例（Regulations of maternal and child health care in Heilongjiang） 黑龙江省母婴保健条例(Regulations of maternal and child health care in Heilongjiang) Standing Committee of Heilongjiang Provincial People's Congress (promulgated unit) 20001020 (time of promulgation) 20001201 (implementation time) Regulations of maternal and child health care in Heilongjiang (adopted at the nineteenth session of the Standing Committee of the Ninth People's Congress of Heilongjiang Province in October 20, 2000) Chapter 1 General Provisions The second chapter premarital health care The third chapter maternal health care The fourth chapter, infant health care The fifth chapter is medical technical appraisal The sixth chapter management and supervision The seventh chapter is legal responsibility The eighth chapter supplementary provisions Chapter 1 General Provisions Article 1 in order to improve the quality of the population and protect the health of the mother and infant, the regulations are formulated in accordance with the provisions of the maternal and child health care law of the People's Republic of China and the relevant laws and regulations, and in light of the actual situation of the province. The second refers to the provisions of maternal and child health care refers to maternal and infant health in order to ensure maternal health care, maternal health care, infant care and other health care services. Third any organization and individual within the administrative region of this province shall abide by these regulations. Fourth to implement the work of maternal and infant health care center for health care, health care and clinical combination oriented groups, grassroots oriented and prevention work; adhere to the medical care service and the principle of combining self health care; the promotion of advanced and practical technology, and actively carry out scientific research on maternal and infant health care; to strengthen publicity and education, maternal and child health knowledge popularization. Implementation and improvement of maternal and child health care responsibility system in our province. Fifth People's governments at all levels should strengthen the leadership of maternal and child health care work, bring maternal and child health care into the national economic and social development plan, organize and coordinate the relevant departments to do maternal and child health care work. The people's governments at all levels should give support to maternal and child health care in remote and poverty-stricken areas. The financial departments at all levels should spend their time in arranging the health care, and according to the financial resources, a certain amount of funds should be used for the maternal and infant health care. The health administrative departments of the people's governments at or above the county level are the competent departments for the work of maternal and child health care, and are responsible for organizing and implementing the regulations of the sixth. The state farms and forest industry departments are responsible for the maternal and child health care in the reclamation areas and the forest areas, and they are under the supervision and guidance of the provincial health administrative departments. The administrative departments at all levels of finance, prices, civil affairs, public security, education, labor and family planning, trade unions, women's federations and other organizations should do a good job in maternal and child health care within their respective duties. Seventh units and individuals who have made outstanding achievements in maternal and child health care should be commended and rewarded. The second chapter premarital health care Eighth pre marital medical examination system is carried out in the province (including foreign policy, the same below). The administrative departments of health of the people's governments at or above the county level shall be permitted within the administrative region of the people's governments at or above the municipal administrative department of health of the premarital care work of maternal and child health care institutions or medical institutions (hereinafter referred to as the medical and health institutions) list, send the people's government at the same level of civil affairs departments for the record. The marriage registration authority shall inform the couple who are preparing to marry to the medical and health institution permitted by the health administrative department for pre marital medical examination. Both men and women who are ready to marry should receive premarital medical examination and premarital health education. Ninth apply to carry out medical and health institutions of premarital care work, should comply with the basic standards of relevant standards issued by the Ministry of health of premarital care work norms, maternal and infant health care special technical services and the provincial health administrative departments to develop and requirements. The health administrative departments at or above the county level should regularly supervise and check the work of premarital health care. Tenth health care institutions to carry out the work of premarital care, should provide pre marital health guidance, premarital health consultation and premarital medical examination service for both men and women, and on the basis of examination results issued by the pre marital medical examination certificate. The items and related requirements for pre marital medical examination shall be implemented according to the provisions of the state and provincial health administrative departments, and no unit or individual shall be allowed to change it. When registering for marriage, the eleventh marriage registration authorities should examine and retain the premarital medical examination certificate of both sexes. In case of any of the following circumstances, the marriage registration shall not be dealt with: (1) there is no proof of medical examination before marriage; (two) suffering from AIDS, gonorrhea, syphilis, leprosy and other infectious diseases medicine that affect marriage and childbearing untreated and schizophrenia, manic depressive psychosis and other severe mental illness in the ictal period should stay married; (three) it should not be carried out or performed without ligation or other long-acting contraceptive measures; (four) lineal and collateral relatives within three generations and suffering from other medical diseases that should not be married the prohibition of marriage. Twelfth serious hereditary diseases that are not suitable for reproduction should be diagnosed and issued by the medical and health institution designated by the provincial health administrative department. Thirteenth standards for medical examination before marriage are carried out according to the regulations of the provincial people's government. Those who have difficulties in paying fees in outlying poverty-stricken areas should be given relief. The third chapter maternal health care Fourteenth pregnant women within 3 months, in the city, should be to the local maternal and child health care institutions; in rural areas, should be to township hospital or village MCH staff to register, and signed the maternal health care insurance for the contract, for the maternal health care Handbook (card), the acceptance of maternal health care services. Fifteenth health care institutions should provide reproductive health care services for women of childbearing age and pregnant women as the main content of maternal health care: (1) to provide medical guidance and consultation for healthy offspring; (two) provide systematic health care services for pregnant women, and focus on the management of high-risk pregnant women; (three) provide the necessary conditions for the delivery and treatment of pregnant women, improve the intrapartum monitoring system, and implement the neonatal resuscitation technology; (four) provide health care services such as breastfeeding and neonatal care for the pregnant women; (five) regular postpartum visits for mothers; (six) other services stipulated by the administrative department of health at or above the provincial level. Sixteenth medical institutions at all levels found that one of the following circumstances should inform the pregnant women to the medical institutions approved by the provincial health administrative department for prenatal diagnosis, and receive medical guidance: (1) excessive or excessive amniotic fluid; (two) fetal abnormalities or fetal abnormalities; (three) early pregnancy may lead to fetal congenital defects; (four) babies who had been born with congenital defects; (five) over 35 years of age; (six) unexplained recurrent miscarriage, stillbirth and stillbirth; (seven) the chromosome abnormality of the husband and wife; (eight) family history of hemophilia; (nine) other circumstances stipulated by the administrative department of health at or above the provincial level. Seventeenth prenatal diagnosis, one of the following circumstances, it shall terminate the pregnancy: (1) the fetus should not be born with hereditary diseases; (two) the fetus has serious defects and abnormal development; (three) with severe diseases or exposure to toxic and harmful substances, continuing pregnancy may endanger the safety of pregnant women or seriously affect the health of pregnant women and normal development of the fetus. Before the eighteenth pregnant women who had seriously disabled children, the couple should go to the medical and health institutions approved by the provincial health administrative department for medical examination. The medical and health care institutions shall issue medical examination diagnosis certificates and notify the family planning departments where the woman's registered permanent residence is written. The nineteenth prohibits the use of technical means for sex identification of the fetus. In medical science, it is believed that the fetus sex identification should be carried out by the medical and technical appraisal committee of the maternal and infant health care Commission, and the medical and health institutions approved by the provincial health administrative department should be identified. Twentieth pregnant women living in towns should be hospitalized for childbirth. No living conditions of normal pregnant women hospitalized delivery in remote rural areas, should be qualified certificate awarded by the health technology administrative department of health family midwife. High risk pregnant women should be hospitalized in a medical care unit with guardianship. Twenty-first medical institutions engaged in midwifery work and medical personnel engaged in family delivery, The birth medical record should be issued for the newborn according to law. In legal guardian, should hold the birth records of newborn day after birth in 3-15 to the health administrative departments designated units for medical certificate of birth. Public security organs were given birth certificates to settle down. Twenty-second health care institutions and persons engaged in family midwifery should report to the health administrative department according to the provisions of the birth, maternal death, infant death, birth defects and so on. Maternal and child health care institutions at or above the county level should establish the evaluation system of maternal death and perinatal death. Twenty-third. No unit shall arrange pregnant or lactating women to engage in the labor of the third grade physical labor intensity or other labor which is prohibited by the state. The fourth chapter, infant health care Twenty-fourth breastfeeding is the mother's bounden duty, the whole society should protect and support breast feeding. Medical and health institutions shall gradually become a baby friendly hospital, to provide services for breastfeeding and maternal and child health. Twenty-fifth provinces to implement the neonatal disease screening system. Obstetrical health care institutions and family midwives are responsible for the sampling and submission of neonatal disease screening. Neonatal screening center is responsible for laboratory testing, diagnosis, treatment and follow-up of neonatal screening, and is responsible for technical guidance and quality control of medical and health care institutions and midwives. Twenty-sixth infants in the guardian shall receive birth certificate, registration to the local maternal and child health care institutions, signed a contract to receive health insurance, Child Health Handbook (card), lead the infants receive regular health examination and health guidance. Twenty-seventh health care institutions should provide the following services for infants and young children: (1) publicity, education, consultation and guidance on breastfeeding, reasonable diet and scientific child rearing; (two) home visit to the newborn; (three) regular physical examination, growth monitoring and child care guidance for infants and young children, and management of frail children; (four) preventive vaccination for children in accordance with the schedule of immunization procedures; (five) oral, eye, hearing and mental health services for infants and young children; (six) prevention and treatment of common diseases, frequently occurring diseases and infectious diseases in infants; (seven) scientific research on early childhood education and intellectual development; (eight) other services stipulated by the administrative department of health at or above the provincial level. Twenty-eighth nurseries and kindergartens shall according to the provisions of this Ordinance issued by the State Education Commission and the Ministry of health and "health care nursery work management approach" and "health care nursery system", good health care. Twenty-ninth educational administrative departments at all levels should assist the health administrative departments to check and guide the health care work in kindergartens. Thirtieth towns and villages with conditional conditions should go to the local maternal and child health care institutions or township (town) hospitals for health examination before entering kindergartens and kindergartens. In order to recruit infants and young children in nurseries and kindergartens, the health check list and child health care manual (card) should be checked and accepted, and the health check list and health care manual (card) should be kept. Thirty-first nursery, nursery staff and family nursing infant nanny, every year should be to maternal and child health care institutions for health examination according to the provisions of the project, to obtain the health department issued a health certificate, be engaged in nursery, kindergarten and family nursing infants nanny. With the state designated infectious disease, trichomonas vaginitis, purulent skin disease, mental illness and other diseases, shall not be engaged in teaching, cooking and infant care work. The fifth chapter is medical technical appraisal Thirty-second people's governments at or above the county level set up the medical technical appraisal committee for maternal and infant health care, which is responsible for the identification of objections to pre marital medical examination, diagnosis of genetic diseases and prenatal diagnosis results. Other medical disputes appeared in accordance with the relevant provisions of the national medical malpractice treatment. The thirty-third issue of medical and health institutions of pre marital medical examination, genetic disease diagnosis and prenatal diagnosis of the dissenting parties shall, after receiving the written application, check the diagnosis results within 15 days of local maternal and child health medical technical appraisement committee of medical identification, and provide relevant information, and pay appraisal fees according to regulations. Thirty-fourth medical technical appraisal committee for maternal and infant health care should make the conclusion of medical technical appraisal within 30 days after receiving the application for identification. If the parties still have objections to the appraisal conclusion, they may apply for re appraisal to the medical and technical appraisal committee of the upper maternal and child health care within 15 days after receiving the conclusion of the appraisal. The identification conclusion of Provincial Maternal and child health medical technical appraisal committee is final identification. The sixth chapter management and supervision Thirty-fifth health administrative departments at or above the county level shall supervise and manage the maternal and child health care in their administrative areas. The thirty-sixth institutions who carry out special maternal and infant health care services, medical institutions shall be issued by the administrative department of health license, according to the examination and approval procedures to obtain maternal and child health services licensed, can be employed: (1) carrying out ligation, midwifery and termination of pregnancy should be examined and approved by the health administrative department at or above the county level; (two) to carry out pre marital medical examination, shall be approved by the municipal public health administrative department at or above the level of administrative office; (three) to carry out diagnosis, prenatal diagnosis, neonatal disease screening and foreign-related premarital medical examination should be examined and approved by the provincial health administrative department. Thirty-sixth after pre marital medical examination or prenatal diagnosis, in accordance with the "People's Republic of China maternal and infant health care law" and the provisions of these regulations require ligation surgery or surgical termination of pregnancy, the doctor give medical advice, the parties shall go to the medical care institutions designated by the administrative department of public health, who underwent ligation surgery or surgical termination of pregnancy, and enjoy the vacation according to the provisions of the state according to the cost of surgery, medical insurance or medical expenses reimbursement; do not enjoy medical insurance or medical expenses, by the local people's government; implementation of the medical insurance system, in accordance with the relevant provisions. Medical institutions should implement the operation of ligation or termination of pregnancy, which should be signed by the parties; if the parties do not have the capacity to act, they should sign the consent of the guardian. Thirty-eighth administrative departments of health shall, according to the following procedures, train and assess the personnel engaged in maternal and infant health care, and issue the qualification certificate of maternal and child health care technology: (1) personnel engaged in pre marital medical examination, diagnosis of genetic diseases and prenatal diagnosis technology shall be trained, assessed and issued by provincial health administrative departments; (two) personnel who are engaged in midwifery, termination of pregnancy surgery, ligation, and those who are responsible for the birth of medical certificate, shall be trained, assessed and issued by the municipal health administrative department. Thirty-ninth villages should be responsible for maternal and child health care personnel, villages far away from the township, you can set up a family midwife. The family midwife should by the health administrative department at or above the county level shall organize training, examination, certificate of birth attendants to the family. The villagers' committee should reasonably solve the subsidy, reward and treatment of the maternal and child health care workers in the village, and the villagers committee shall solve the problem of reward and treatment, which is coordinated by the Township People's government. Fortieth health administrative departments at all levels are responsible for the management of health care in nurseries, and guide the management of health care in kindergartens (including preschool and the same below): (1) health care guidance and inspection shall be carried out in accordance with the relevant provisions of the state in respect of housing construction, basic facilities and environmental conditions in urban nurseries and kindergartens, and qualified health care certificates shall be issued; (two) regular inspection and guidance on the establishment and implementation of the health care system in nurseries and kindergartens; (three) the training and assessment of health care knowledge for health care personnel in nurseries and kindergartens shall be issued to the health care technical certificate of nurseries and kindergartens. Forty-first health care institutions to manage and issue birth certificates, And the birth certificate issued by the staff dedicated seal and seal impression was reported to the local public security organ for the record of medicine. The forty-second public security organs should examine and keep the birth medical certificate in accordance with the law when they register the new household registration. For those who have not obtained medical certificates for effective birth, they shall not register for the registration of new births. Forty-third health administrative departments at or above the county level set up maternal and child health care supervisors. Maternal and child health supervisors shall carry out supervision and inspection tasks delivered by the administrative department of public health, to health care, marriage registration, household registration, nurseries and kindergartens and other departments to understand the situation, to obtain the necessary information for the supervision and inspection of the work of maternal and infant health care. When carrying out the tasks, the mother and child health supervisors should show the certificates of supervision and inspection, and have the obligation to keep confidential the technical data provided by the medical and health care institutions. Forty-fourth levels of maternal and child health care institutions within the jurisdiction of maternal and child health care monitoring, assessment and business guidance. The seventh chapter is legal responsibility Forty-fifth without obtaining the maternal and child health services licensed, to carry out maternal and child health services, issued by the relevant medical certificate is invalid by the health administrative department at or above the county level shall be ordered to stop the illegal activities, confiscate the illegal income and medical equipment; in addition to 5000 yuan to 20 thousand yuan fine; the unit primarily responsible for the person sentenced to 1000 yuan more than 5000 yuan fine. Forty-sixth without obtaining the maternal and child health technology assessment certificate of birth attendants or family technical qualification certificates, engaging in the work of maternal and infant health care technology or engaged in home delivery, issued by the relevant medical certificate is invalid by the health administrative department at or above the county level shall be ordered to stop the illegal activities, confiscate the illegal income and drugs, sentenced to 1000 yuan more than 5000 fine. The forty-seventh is engaged in premarital medical examination, examination, inspection, not less, not missing health education, without increasing the inspection items and issued false certificates, the administrative department of health at or above the county level shall impose 500 yuan fine of 3000 yuan; if the circumstances are serious, revoke the maternal and infant health care technical qualification certificate and certificate of practicing doctor; the unit is mainly responsible for the people, by the health administrative department at or above the county level shall impose a 500 yuan fine of 2000 yuan. Forty-eighth make sex identification of the fetus, medical and health institutions and the person directly responsible shall be given administrative sanctions; if the circumstances are serious, maternal and child health examination certificate and doctor practicing certificate shall be revoked by the administrative department of health at or above the county level. Forty-ninth carry out midwifery units and family midwives, on the birth, maternal mortality, infant mortality and birth defects in a few meters for timely and accurate reporting, corrections by the health administrative department at or above the county level shall, in addition to a 200 yuan fine of 500 yuan. Fiftieth marriage registration office staff, in the marriage registration, did not examine the pre marital medical examination certificate of the parties to the registration, given administrative sanction by the unit or the competent department concerned. Fifty-first staff members of the public security organs who have not examined and retained the birth medical certificate for registration during the registration of the new household registration shall be given administrative sanctions by their units or relevant competent departments. If the staff of the fifty-second educational departments do not check the certificate of health care and approve the establishment of the kindergarten, they shall be given administrative sanctions by the unit or the competent department concerned. Fifty-third without obtaining qualified health certificate for nurseries and kindergartens, by the health administrative department at or above the county level shall order the deadline for completing the health certificate, in addition to a 2000 yuan fine of 10 thousand yuan. Fifty-fourth nurseries and kindergartens in one of the following acts, the administrative department of health at or above the county level shall order rectification; overdue correction, a fine of 500 yuan more than 3000 fine; if the circumstances are serious, revoke the health certificate: (1) the establishment of a sound health care system has not been established in nurseries and kindergartens; (two) enroll infants and young children into kindergartens and kindergartens, Failing to examine the health care manual (card) and the health check list according to the relevant provisions; (three) the staff of nurseries and kindergartens do not receive health certificates. Fifty-fifth families who do not receive health certificates and take care of infants and young children shall be ordered by the health administrative departments at or above the county level to stop their care and impose a fine of more than 100 yuan and less than 500 yuan. Article fifty-sixth the administrative department of health staff and maternal and child health supervisors in the work of maternal and infant health care, do not fulfil their responsibilities or breach of privilege, dereliction of duty, given administrative sanctions by the unit or the competent authorities; constitute a crime. Investigating criminal responsibility according to law. If the fifty-seventh party refuses to accept the decision on administrative penalty, he or she may apply for administrative reconsideration or bring an administrative lawsuit according to law. If the party does not apply for administrative reconsideration within the prescribed time limit, nor does it bring an administrative lawsuit, nor does it perform the decision on administrative punishment, the administrative department of public health which makes the decision of administrative penalty shall apply to the people's court for compulsory enforcement. The eighth chapter supplementary provisions The fifty-eighth regulations shall be interpreted by the provincial health administrative department. The fifty-ninth regulations shall come into force on December 1, 2000. In June 9, 1992, the twenty-seventh Heilongjiang Provincial People's Congress Standing Committee of the seventh session of the "Heilongjiang province eugenics health regulations" abolished. Black standing [2000]5 number (source) Local regulations (categories) Y (using logo) 1 (level)