Chương II Thông tư 34/2017/TT-BYT: Tư vấn, sàng lọc, chẩn đoán điều trị trước sinh và sơ sinh

Chapter II

PRENATAL AND NEONATAL CONSULTATION, SCREENING, DIAGNOSIS, AND TREATMENT

Article 4. Prenatal and neonatal screening tests

1. Pre-screening consultation:

A health worker will give a consultation about prenatal screening tests to a pregnant woman or give a consultation of neonatal screening tests to a newborn's parents or guardian as follows:

a) Provide purposes, meaning, benefits and possible risks during performance of screening procedures;

b) Instruct steps of screening procedures to be performed on a case-by-case basis.

2. Screening:

Health facilities shall perform screening procedures in accordance with guidelines promulgated by the Minister of Health.

3. Prenatal and post-screening consultation:

A health worker will give a consultation of prenatal screening tests to a pregnant woman as follows:

a) Inform and explain screening tests’ results;

b) Instruct the pregnant woman to choose methods of monitoring and caring the unborn baby or further specific diagnosis procedures;

c) Instruct and refer the pregnant woman to another proper health facility for monitoring and performing diagnosis procedures as deemed appropriate.

4. Neonatal and post-screening consultation:

The health worker will give a consultation of neonatal screening tests to the newborn’s parents or guardian as follows:

a) Inform and explain screening tests’ results;

b) Instruct the parents or guardian to refer the newborn to other proper health facilities so as to perform diagnosis procedures if the screening tests show that the baby is likely to have birth defects or pathological signs relating to endocrine-metabolic-genetic disorder.

Article 5. Prenatal and neonatal diagnosis

1. Pre-diagnosis consultation:

A health worker will give a consultation about prenatal screening tests to a pregnant woman or give a consultation of neonatal screening tests to a newborn's parents or guardian as follows:

a) Provide purposes, meaning, benefits and possible risks during performance of diagnosis procedures;

b) Instruct steps of diagnosis procedures to be performed on a case-by-case basis.

2. Diagnosis:

Health facilities shall perform diagnosis procedures in accordance with guidelines promulgated by the Minister of Health.

3. Prenatal and diagnosis consultation:

A health worker will give a consultation of prenatal diagnosis tests to a pregnant woman as follows:

a) Provide information about birth defects that have been found through prenatal diagnosis; risks and possible consequences of the continuation of pregnancy or abortion on a case-by-case basis;

b) Consult the pregnant woman to choose proper caring and treatment, including abortion due to birth defects as deemed appropriate.

4. Neonatal and post-diagnosis consultation:

The health worker will give a consultation of neonatal screening tests to the newborn’s parents or guardian as follows:

a) Provide information about the newborn’s pathological signs or defects found in the diagnosis; possible consequences if no timely treatment is performed on a case-by-case basis;

b) Give consultation of newborn monitoring, caring, and treatment on a case-by-case basis;

c) Instruct the parents or legal guardian to refer the newborn to another proper health facility for further management, monitoring, caring and treatment.

Article 6. Prenatal treatment

1. Pre-treatment consultation:

A health worker will give a consultation a pregnant woman and her husband (if any) as follows:

a) If the fetus is diagnosed normal or the pregnant woman decides to continue the pregnancy despite indication for abortion: Measures for monitoring and caring of pregnancy will be consulted;

b) If the fetus is diagnosed to have defects (with indication for abortion) and the pregnant woman decides the abortion: possible risks upon performance of abortion will be consulted;

c) Steps of abortion procedures to be performed on a case-by-case basis.

2. Treatment:

Health facilities shall perform prenatal treatment procedures in accordance with guidelines promulgated by the Minister of Health.

3. Regulations on abortion due to birth defects:

a) The abortion will only be considered upon serious abnormality of form and structure of the fetus; abnormality of chromosomes, fetus with molecular genetic disorders due to genetic mutations that no specific therapeutic method is found resulting in high risk of disability after birth.

b) The abortion due to birth defects will be considered upon the written consent of the pregnant woman who has received sufficient consultation from a health worker.

c) A health facility obtaining a property operating license within its specialities approved by the competent authority must hold a medical consultation with related specialities to consider whether to abort the pregnancy.

Medical consultation is composed of specialists with at least 5 years' experience in the following areas of specialization: obstetrics, paediatrics, cardiovascular, medical imaging, testing and pathological anatomy. The medical consultation members may work for departments in the health facility or are invited from other health facilities.

d) The specialized head of the health facility shall consider whether to abort the pregnancy due to the birth defects according the medical consultation determinations.

Article 7. Neonatal treatment

1. Pre-treatment consultation:

A health worker will give a consultation of necessity and options of appropriate treatment to the newborn’s parents or guardian.

2. Treatment:

The health facility shall perform neonatal monitoring and treatment in accordance with guidelines promulgated by the Minister of Health on a case-by-case basis.