2003年取消强制婚检后，北京婚检率从近乎100%下降至7%，婴儿缺陷率却增加一倍。昨天，北京市卫生局公布19家可以进行婚检的医疗机构名单，鼓励二级及以上医疗机构开展此项服务。

2003 years after the cancellation compulsory check-ups，Beijing check-ups rate from nearly 100% to 7%，Baby defect rate has doubled。yesterday，The municipal bureau of health announced 19 can undertake check-ups of the medical institutions list，Encourage secondary and above medical institutions to carry out the service。

　　市卫生局坦言，2003年婚前保健服务由强制改为自愿，北京市婚检率开始大幅下降，由2003年的100%降至2005年的5%以下。尽管近几年推动全市婚前保健服务免费，加强专业人员技术培训等举措使北京市婚检率略有回升，但婚检率终处低于10%。

City health bureau said，2003 premarital care services by mandatory to voluntary，Beijing check-ups rate began to drop dramatically，From 2003 years of 100% to below 5% in 2005。Although in recent years to promote the premarital health care service free，Strengthen professional technical training measures such as make Beijing check-ups rate slightly rebounded，But check-ups rate final place less than 10%。

　　由于婚前医学检查关口的缺失，使得新婚夫妇孕前接受生殖健康教育、服用叶酸增补剂、检出并治疗影响孕妇和胎儿疾病的机会丧失，致使出生缺陷发生的危险性增加。

Due to the lack of pre-marital medical examination pass，Make the couple pregnant accept reproductive health education、Taking folic acid supplements increased、Detection and treatment effect of pregnant women and fetal disease opportunity loss，The increased risk of birth defects occur。

　　北京市卫生局妇幼与精神处表示，目前，北京市各区县妇幼保健院(所)、北京华信医院等共19家医疗机构均有资质开展婚前保健技术服务，包括16区县妇幼保健院、原崇文妇幼保健院、原宣武妇幼保健院。

The municipal bureau of health maternity and child and mental department said，At present，Maternal and children health care centers of each district and county of Beijing(have)、Huaxin Beijing hospital and so on, 19 medical institutions have the qualifications to carry out pre-marital health technical service，Including 16 area county maternity and child care centers、The original chongwen maternal and child care service centre、The original xuanwu maternal and child care service centre。

　　“因此项服务不盈利且负担重，好多医院不愿意揽这活”，市卫生局表示，除以上19家医疗机构外，其他有意愿开展此项服务的二级以上医院都可以到卫生部门进行申报，审批合格后即可开展。

“So item services do not profit and a heavy burden，A lot of the hospital is not willing to embrace this live”，City health bureau said，In addition to the above 19 medical institutions outside，Other intend to carry out the service level 2 above hospital can to health departments to declare，The examination and approval after passing can carry out。

　　□现状一 - a situation

　　孕期性传播疾病发病上升 Pregnancy sexually transmitted disease rise

　　市卫生局表示，与人群中性传播性疾病发生率不断上升的趋势相反，近几年北京市婚检人群中梅毒、尖锐湿疣等性传播疾病的检出率明显下降了约1/3左右，这主要缘于取消强制婚检后，部分患病人群回避婚前医学检查以隐瞒病情。

City health bureau said，And the crowd neutral disseminated disease incidence rate rising trend instead，In recent years the Beijing check-ups crowd syphilis、Condyloma acuminatum sexually transmitted diseases such as detection rate declined obviously about 1/3，This is mainly due to cancel after compulsory check-ups，Part of a population of avoidance of pre-marital medical examination to conceal the illness。

　　与此同时，由于丧失了婚检的第一道防线，北京市孕期性传播疾病发病率明显上升，如孕期梅毒的发病率上升了60%以上。孕期梅毒不仅影响母亲健康，更可垂直传播给胎儿，造成胎儿多脏器损害，严重影响出生人口素质。市卫生局称，通过婚前医学检查，近几年先后检出7例艾滋病患者，婚检在阻断艾滋病母婴传播方面也具有重要意义。

meanwhile，Due to lost check-ups to be the first line of defence，Beijing pregnancy sexually transmitted disease incidence increased obviously，As the incidence of pregnancy syphilis rose by more than 60%。Pregnancy syphilis affect not only the mother of health，More to be vertical transmission to the fetus，Cause fetal multiple organ damage，The serious influence birth population quality。City health bureau said，Through the pre-marital medical examination，In recent years, detection and AIDS patients，In check-ups of AIDS mother-to-child transmission aspect also has important significance。

　　□现状二 Situation - two

　　先天智力下降发病率上升 Congenital intelligence incidence rates decline

　　市卫生局表示，在婚检中及时检出遗传性及先天性疾病是胎儿出生缺陷防控的重要措施。

City health bureau said，In the check-ups timely detection hereditary and congenital diseases is fetal birth defects prevention and control of the important measures。

　　近几年婚检率虽然持续下降，但在婚检中遗传性疾病及先天性疾病的检出率却有所增加，尤其是先天性智力低下、唇/腭裂、先天性心脏病的发病率上升。相关负责人表示，出生缺陷预防目标的关键，就是如何能在婚检环节，即婚育前，就及时对此类疾病给予指导和干预，保证不宜结婚人群的及时发现，以及建议暂缓结婚和采取医学措施人群及时获得医学意见。

Although in recent years check-ups rate continued to decline，But in check-ups of hereditary disease and congenital disease detection rate was increased，Especially congenital intelligence is low、Lip/cleft palate、The incidence of congenital heart disease rise。The relevant person in charge said，Birth defects prevention target key，How can is in check-ups link，Namely before examination，Is this kind of disease in time to provide guidance and intervention，Ensure that should not be married people found in time，And suggest postpone marriage and adopt medical measures timely getting the medical opinion。

　　□建议 / Suggestions

　　婚检率应纳入区县绩效考核 Check-ups rate shall be included in area county performance evaluation

　　市卫生局称，2011年度本市婚前保健技术服务问卷调查结果显示，加强宣传教育工作，能极大地促进当事人参与婚检的依从性。建议充分利用多种媒体资源，通过各种渠道开展形式多样的婚前保健宣传教育活动，鼓励有结婚意愿的青年男女都能在建立幸福新家庭之前，将接受婚前保健服务预防出生缺陷，作为一份社会责任来认真对待。

City health bureau said，2011 year the city premarital care technical service questionnaire survey，Strengthen the propaganda education work，Can greatly promote the parties involved in check-ups compliance。Suggest make full use of a variety of media resources，Through various channels to carry out various forms of premarital health propaganda education activities，Are encouraged to get married the young men and women can in establishing the new family happiness before，Will accept premarital care services to prevent birth defects，As a social responsibility to seriously。

　　市卫生局表示，兄弟省市经验表明，政府主导推动，部门分工合作，是提高婚检率的关键，才能使婚前保健这一重要的出生缺陷预防措施落到实处。因此，建议将婚检率纳入区县政府考核标准，民政、卫生部门密切合作，积极推广婚检、婚登一站式服务模式。

City health bureau said，Experience shows that brother provinces and cities，The government leading to promote，Department cooperate，The key is to improve the rate of check-ups，To make premarital care this important birth defects prevention measures into effect。therefore，Proposal would check-ups rate into the area county government assessment standard，Civil administration、Department of health close cooperation，Actively promote check-ups、The wedding's one-stop service mode。

　　□马上就访 -'ll visit

　　已婚夫妇打算“补检” Married couples plan to“Complement inspection”

　　记者在朝阳区妇幼保健院了解到，免费婚检时间为每周二至周六上午八点至十点半。据体检室医生介绍，夫妻双方中有一方是朝阳区户口，即可持两人身份证免费婚检。除常规体检项目外，婚检主要检测艾滋病、梅毒等三项内容。一次婚检大概需要一上午的时间。

Reporter in the chaoyang district maternal and child care service centre to know，Free check-ups time for every Tuesday to Saturday at eight o 'clock in the morning until half past ten。According to the medical room doctor introduction，Both sides of husband and wife have a party is chaoyang district registered permanent residence，Can the two person id free check-ups。In addition to conventional medical project outside，Check-ups main detection AIDS、Syphilis etc three contents。A check-ups probably need morning time。

　　家住通州的周小姐今年五一结婚，如今已计划怀孕的她仍不知有婚检一事，也不知如果双方有遗传病的话对下一代的影响可以通过婚检避免，“结了婚还能检么？”一脸茫然的周小姐听说上千种遗传病都有隐性传播的风险，她决定即使不能“补检”，也要在怀孕之前自掏腰包去做个全面检查，为了生个健康的宝宝。

Live in the tongzhou miss zhou may get married this year，Now already plan pregnant she still does not know that the check-ups，I don't know if the parties have an effect on the words to the next generation of influence can through the check-ups to avoid，“Married can also check it？”A face of vacant miss zhou heard thousands of recessive genetic disease has spread risk，She decided not to“Complement inspection”，Also want to own after pregnancy to do a thorough examination，In order to give birth to a healthy baby。

　　□他山之石 - stones from other hills

　　1广西百色右江区婚检率由2005年的3.68%提高到了2011年的95%，高于全国平均婚检率54个百分点。同时，区妇幼保健院婚检中心派医务人员驻点区民政局婚姻登记处。

1 guangxi baise youjiang area check-ups rate from 3.68% in 2005 to improve to 95% in 2011，Above the national average check-ups rate 54%。At the same time，Area maternal and child care service centre check-ups center send medical personnel stagnation district civil affairs bureau marriage registration office。

　　2成都市锦江区在全市范围内率先推行免费婚检服务，小夫妻在锦江区婚姻登记处领取结婚证时，可以同时领取一张“免费婚检卡”。

2 chengdu jinjiangqu throughout the city takes the lead in pushing free check-ups service，The young couple in jinjiang district, the marriage registration when a marriage certificate，Can also get a“Free check-ups card”。

　　3大连市顺口区民政局在婚姻登记处的服务大厅设置了婚检宣传片播放设备；与区妇幼保健站合作，在婚姻登记处设立免费婚检采血室，由妇幼保健站安排专业人员，常驻采血室为新人进行初检，并发放免费婚检卡、指南等。实行婚姻登记、婚检一站式服务，改变了以往登记和婚检“各自为政”的状况，极大地方便了新婚夫妻。

3 so good in dalian area bureau of civil affairs in the marriage registration office service hall set up check-ups promotional material broadcast equipment；And the area maternity and child health centre cooperation，In the marriage registration office set up free check-ups draw blood chamber，The maternal and child health centre arrange professional personnel，Resident draw blood room for the couple to initial check，And the release of the free check-ups card、Guide, etc。Implement the marriage registration、Check-ups one-stop service，Change the previous registration and check-ups“Each does things in his own way”condition，Great place! Married couple。

　　★东城区妇幼保健院

Stem on maternal and children health care centers of dongcheng district

　　★西城区妇幼保健院

Stem on maternal and children health care centers of xicheng district

　　★原宣武区妇幼保健院

Stem on original maternity and child care centers in xuanwu district

　　★原崇文区妇幼保健院

The original chong wen painted maternity and child care centers

　　★朝阳区妇幼保健院

Chaoyang district 16 maternity and child care centers

　　★海淀区妇幼保健院

Stem on maternal and children health care centers of haidian district

　　★丰台区妇幼保健院

16 fengtai maternal and child care service centre

　　★石景山区妇幼保健院

Stem on maternal and children health care centers of city

　　★门头沟区妇幼保健院

16 mentougou district maternity and child care centers

　　★通州区妇幼保健院

Stem on maternal and children health care centers of tongzhou zone

　　★平谷区妇幼保健院

Pinggu district 16 maternity and child care centers

　　★房山区妇幼保健院

Stem on maternal and children health care centers of fangshan district

　　★顺义区妇幼保健院

Stem on maternal and children health care centers of shunyi districts

　　★昌平区妇幼保健院

Changping district 16 maternity and child care centers

　　★大兴区妇幼保健院

Daxing district 16 maternity and child care centers

　　★平谷区妇幼保健院

Pinggu district 16 maternity and child care centers

　　★密云县妇幼保健院

Stem on maternal and children health care centers of miyun county

　　★延庆县妇幼保健医院

16 yanqing county maternity and child care hospital

　　★北京华信医院

16 huaxin hospital in Beijing