妊娠毒血症篩查和監察
Preeclampsia Screening and Monitoring
妊娠毒血症是什麼?
妊娠毒血症是一種嚴重的妊娠併發症，影響全球約2至8%的孕婦，傳統的診斷是基於妊娠20週後出現的高血壓和蛋白尿。醫學界普遍認為妊娠毒血症主要是胎盤功能較差所致，令胎盤無法提供足夠的血液給胎兒，導致子宮動脈血管舒張不良，繼而引致妊娠毒血症的常見症狀，例如頭痛、視力模糊、噁心、嘔吐和腿部腫脹。
What is Preeclampsia?
Preeclampsia is a serious pregnancy complication affecting 2-8% of pregnant women worldwide. Preeclampsia is traditionally diagnosed based on high blood pressure and presence of protein in urine after the 20th week of gestation. Symptoms include headache, blurred vision, nausea, vomiting and leg swelling.
This disorder is thought to be caused by poor function of the placenta, which leads to its inability to support the adequate blood supply required by the fetus, and poor uterine arterial vasodilatation, attributing to the common symptoms of preeclampsia.
Video – 2020.06.01 無線電視 最強生命線 妊娠毒血 Prof Liona Poon O&G CUHK 香港中文大學婦產科
篩查
Screening
為什麼要接受篩查？
妊娠毒血症是孕婦和胎兒產生併發症和死亡的主要原因。研究證實通過篩查和早期風險評估，可以採取預防措施來降低妊娠毒血症風險。
本篩查嚴格符合國際婦產科聯合（FIGO）在2019年推薦的最新指引，並且證實達至早孕期妊娠毒血症篩查的國際標準。
Why Screening?
Preeclampsia is a major cause of morbidity and mortality for both the mother and fetus. Currently, research suggested that through screening and early risk assessment, preventive measures could be instigated to reduce the risk of preeclampsia development.
Our screening follows the newest guidelines set by the International Federation of Gynecology and Obstetrics (FIGO) in 2019 and is evidenced to be in line with the global standards for first-trimester preeclampsia screening.
Video – 2020.02.08 無綫新聞 – 醫療系列 妊娠毒血 Prof Liona Poon O&G CUHK 香港中文大學婦產科
誰適合參與此篩查？
所有懷孕第11+0 至13+6 週的單胎孕婦
Who is Eligible?
All women with a singleton pregnancy between their 11+0-13+6 weeks of gestation.
篩查步驟
篩查分為四個部分：
- 記錄孕史及病史
- 抽取血液樣本
- 雙手測量血壓兩次
- 進行超聲波掃描評估子宮動脈流量
Screening Process
- Record obstetric and medical history
- Take blood sample
- Measure blood pressure twice in both arms
- Ultrasound scan to measure uterine artery blood flow
完成篩查後
大約3個工作天便可得知早產妊娠毒血症的風險評估結果。
若篩查結果顯示為高風險，我們會為你安排覆診作進一步跟進。
After Screening
The result of estimated risk of preterm preeclampsia will be available in approximately 3 working days.
If you are screened high risk for preeclampsia, you will be invited to attend a follow up visit for further counselling.
篩查費用
| 計劃項目 | 計劃包括 | 費用(港幣) |
|---|---|---|
| 1. 早孕期妊娠毒血症篩查 + NIPT | 1. 記錄孕史及病史 2. 抽取血液樣本 3. 雙手測量血壓兩次 4. 進行超聲波掃描評估子宮動脈流量 5. 早孕期妊娠毒血症諮詢 6. 量度胎兒頸皮 7. 監測胎兒生長 8. 無創性胎兒染色體篩查 (NIPT) | 6700 |
| 2. 早孕期妊娠毒血症篩查 | 1. 記錄孕史及病史 2. 抽取血液樣本 3. 雙手測量血壓兩次 4. 進行超聲波掃描評估子宮動脈流量 5. 早孕期妊娠毒血症諮詢 | 2800 |
Charge
| Plan | Items | Fee (HKD) |
|---|---|---|
| 1. Preeclampsia screening + NIPT | 1. Record obstetric and medical history 2. Take blood sample 3. Measure blood pressure twice in both arms 4. Ultrasound scan to measure uterine artery blood flow 5. Consultation 6. NIPT 7. NT scan 8. Monitoring fetal growth | 6700 |
| 2. Preeclampsia screening | 1. Record obstetric and medical history 2. Take blood sample 3. Measure blood pressure twice in both arms 4. Ultrasound scan to measure uterine artery blood flow 5. Consultation | 2800 |
監察
Monitoring
妊娠毒血症高危孕婦
對於高風險孕婦，我們會提供一系列服務, 在中孕期和晚孕期使用超聲波和血液檢測, 監測著胎兒的生長和胎盤的健康狀況。
Women with High Risk of Preeclampsia
For high risk women, we provide a package of monitoring of fetal growth and placental health using ultrasound and blood test during the second and third trimester of pregnancy.
檢查費用 (中孕期和晚孕期)
| 懷孕週數 | 計劃包括 | 費用(港幣) |
|---|---|---|
| 20-22週 | 1. 監測胎兒生長 2. 評估子宮動脈血流量 3. 測量血壓 4. 檢測胎盤蛋白標記物 | 2500 |
| 24週 | 1. 監測胎兒生長 2. 評估子宮動脈血流量 3. 測量血壓 | 1200 |
| 28週 | 1. 監測胎兒生長 2. 評估子宮動脈血流量 3. 測量血壓 | 1200 |
| 32週 | 1. 監測胎兒生長 2. 評估子宮動脈血流量 3. 測量血壓 4. 檢測胎盤蛋白標記物 | 2500 |
| 36週 | 1. 監測胎兒生長 2. 評估子宮動脈血流量 3. 測量血壓 4. 檢測胎盤蛋白標記物 | 2500 |
全套監察服務檢查費用
現參與20至36週的全套檢查服務計劃只需港幣8000元。
Charge for second and third trimester
| Weeks of gestation | Items | Fee (HKD) |
|---|---|---|
| 20-22 weeks | 1. monitoring fetal growth 2. uterine artery blood flow 3. blood pressure 4. placental protein marker | 2500 |
| 24 weeks | 1. monitoring fetal growth 2. uterine artery blood flow 3. blood pressure | 1200 |
| 28 weeks | 1. monitoring fetal growth 2. uterine artery blood flow 3. blood pressure | 1200 |
| 32 weeks | 1. monitoring fetal growth 2. uterine artery blood flow 3. blood pressure 4. placental protein marker | 2500 |
| 36 weeks | 1. monitoring fetal growth 2. uterine artery blood flow 3. blood pressure 4. placental protein marker | 2500 |
Monitoring Package Price
Participating in a full set of monitoring services_ from 20 to 36 weeks only costs HK$8,000
如何預約?
How to make an appointment
親臨預約 In person
親臨威爾斯親王醫院李嘉誠專科門診南翼二樓三十號房香港中文大學胎兒醫學組辦公室
Go to The Chinese University of Hong Kong Fetal Medicine Unit Office, Room 30, 2/F, Li Ka Shing Specialist Out-patient Clinic South Wing, Prince of Wales Hospital.
致電預約 By phone
致電香港中文大學胎兒醫學組 (852) 3505 4219電話留言 （請留下姓名、電話及有興趣參加的服務）
Call Fetal Medicine Unit Office at (852) 3505 4219 (Please leave your name, telephone number and specify your request).