การป้องกันและควบคุมโรคธาลัสซีเมียในหญิงตั้งครรภ์ของโรงพยาบาลนครปฐม

บทคัดย่อ

This retrospective descriptive study was performed to review and analyze the outcome of screening and prenatal diagnosis program of thalassemia at Nakhonpathom hospital during October 1999 and September The first screening method was MCV plus Hb typing and changed to MCV plus DCIP in April 2005.

In early years, we screened in pregnant women that GA < 14 weeks. In April 2004, we screened in pregnant women that GA < 16 weeks. And in January 2006, we screened in all women that ANC at Nakhonpathom hospital. Screening in higher GA can increase numbers of risked couples, but cannot increase numbers of PND sample sizes. Becaused of had many steps that taked time so many risked couples were too late for termination of pregnancy. Changing screening method from MCV plus Hb typing to MCV plus DCIP can decrease so much budget.