REPRODUCTIVE IMMUNOLOGY SCREENING PACKAGE    

                      

                                                                

Department: OB/GYN                                              Date Initiated: 11/2012

Approved by: CEO/CMO                                          Date for Renewal: 11/2013

Policy Owner: MEDICAL                                          Date Revised:

 

Purpose

 

Ÿ To provide IVF failure & Recurrent Miscarriages (RM=2X or more) patients with Reproductive Immunology Screening Service in GHC Shanghai.

 

Ÿ To refer eligible patients to HK for Reproductive Immunology evaluation / treatment.

 

Ÿ To provide Pre-natal and Post-natal Care if necessary.

 

Ÿ GHC will serve as RI Screening Center in Shanghai.

 

Reproductive Immunology Screening Package

 

OB/GYN Doctor

妇产科医生

Detailed Medical / Reproductive History & Comprehensive OB/GYN examination and consultation

详细的生殖病史咨询和妇产科检查及咨询

Diagnostic Imaging

诊断影像

Pelvis Ultrasound

盆腔B

 

 

 

 

 

 

 

Laboratory

化验

 

 

 

 

 

 

 

 

 

 

 

 

Laboratory

化验

 

 

 

 

Hematology

血液

Complete Blood Count 血常规

Blood  Type  RH 血型

Renal Function

肾功能

Urinalysis尿液分析

Creatinine肌酐

BUN尿素

 

 

Liver Function

肝功能

Total Bilirubin总胆红素

Direct Bilirubin直接胆红素

SGOT谷草转氨酶

SGPT谷丙转氨酶

Alkaline Phosphatase碱性磷酸酶

GGT 谷氨酰转肽酶

Total Protein总蛋白

 

Thyroid

甲状腺功能

 

TSH促甲状腺激素

FT3 游离T3

FT4游离T4

Anti-thyroglobulin antibody 抗甲状腺球蛋白抗体

Thyroid peroxidase antibody甲状腺过氧化物酶

 

Hepatitis

肝炎

Hepatitis A IgG甲肝抗体IgG

Hepatitis C Antibody丙肝抗体

Hepatitis B Antigen (HBsAg) 乙肝表面抗原

Hepatitis B Antibody (Anti-HBs) 乙肝表面抗体

Immunology

免疫

ANA 抗核抗体

Rubella Antibody IgG/M (Germen Measles)德国麻疹抗体

 

 

STD 性疾病

Chlamydia 衣原体

Gonorrhea淋球菌

VDRL梅毒

HIIV艾滋

HSV疱疹病毒

OB/GYN

妇产科

High vaginal swab 分泌物检查

Pap Smear 宫颈涂片

TB Screening结核筛查

PPD 结核筛查

Male Partner

男伴

Mycoplasma Culture支原体培养

Semen Analysis, sperm morphology, number and motility

精液分析

Couples

双方

Chromosome Exam and others if specially request (Additional Charge)

染色体检查以及其他需要的特殊检查 (額外費用)

OB/GYN Doctor

妇产科医生

Explanation of Report and Referral

报告解说和转介

Package price  (RMB)

12,000

 

REFERAL

 

Ÿ Eligible patients will be referral to Hospital in Hong Kong for further evaluation and treatment.

 

Ÿ Pregnant patient with history of RM should be referred to HongKong as an Emergency.

 

Ÿ