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ORDIN Nr

ORDIN   Nr. 1982 din 5 decembrie 2008

privind modificarea Ordinului ministrului sanatatii nr. 12/2004 pentru adoptarea Protocolului privind Metodologia efectuarii consultatiei prenatale si a consultatiei postnatale, Carnetului gravidei si Anexei pentru supravegherea medicala a gravidei si lauzei

ACT EMIS DE: MINISTERUL SANATATII

ACT PUBLICAT IN: MONITORUL OFICIAL  NR. 838 din 12 decembrie 2008



Văzând Referatul de aprobare nr. E.N. 12.537/2008 al Agenţiei Naţionale de Programe,

având în vedere prevederile Ordinului ministrului sănătăţii publice şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 574/269/2008 pentru aprobarea Normelor tehnice de realizare a programelor naţionale de sănătate în anul 2008, cu modificările şi completările ulterioare,

în temeiul Hotărârii Guvernului nr. 862/2006 privind organizarea şi funcţionarea Ministerului Sănătăţii Publice, cu modificările şi completările ulterioare,

ministrul sănătăţii publice emite prezentul ordin.

Art. I. - Anexa nr. 3 la Ordinul ministrului sănătăţii nr. 12/2004 pentru adoptarea Protocolului privind Metodologia efectuării consultaţiei prenatale şi a consultaţiei postnatale, Carnetului gravidei şi Anexei pentru supravegherea medicală a gravidei şi lăuzei, publicat în Monitorul Oficial al României, Partea I, nr. 53 din 22 ianuarie 2004, se modifică şi se înlocuieşte cu anexa care face parte integrantă din prezentul ordin.

Art. II. - Direcţiile de specialitate din Ministerul Sănătăţii Publice, Casa Naţională de Asigurări de Sănătate, autorităţile judeţene de sănătate publică, casele România, unităţile sanitare cu paturi şi de asistenţă primară, precum şi alte unităţi din subordinea Ministerului Sănătăţii Publice vor duce la îndeplinire prevederile prezentului ordin.

Art. III. - Prezentul ordin se publică în Monitorul Oficial judeţene de asigurări de sănătate, Colegiul Medicilor din    al României, Partea I.

Ministrul sănătăţii publice,

Gheorghe Eugen Nicolăescu

ANEXĂ*)

FIŞA GRAVIDEI...............................................Vârsta..............

STATUT MARITAL

CNP

|__|__|__|__|__|__|__|__|__|__|__|__|__|

C

N

D

V

Cb

Adresa: Loc.................. Str.......................... Nr.................... Jud...................

Telefon...............................................e-mail....................................................

Studii.................................................................................................................

Date despre tatăl biologic:

Vârsta

Grup sanguin

rh

Starea de sănătate

Istoric obstetrical

naşteri

cezariana

<2500 g

>4000g

Născuţi morţi

Născuţi

malformaţi

Copii in viaţă

avorturi

Sapi 1-3

Săpt. 4-6

cerere

provocat

complicat

Sarcini EU

Factori de risc

UM

PMF

DPN

DCP

Graficul greutăţii (fiecare linie= 1 Kg)

Sapt. 6-12

Săpt. 16

Săpt. 24

Sâpt. 32

Săpt. 36

Săpt, 38

Săpt. 40

+11

+10

+9

+8

+7

+6

+5

+4

+3

+2

+1

*) Anexa este reprodusă în facsimil.

Reprezentarea grafică a creşterii înălţimii fundului uterin:

VIZITA 1 (luare în evidenţă)

data

VG

Anamneză:

AHC.........................................

APF menarha.........ciclu menstr.......... zile.........

APP............................................................

...................................................................

APP ginecologice........................................

Examen obstetrical.

Sani.............................................................

Ex. V...........................................................

Pelvimetrie externă: BS......BC.....BT......AP.....

T(cm).........G(kg)............TA...........Puis...........

Examen clic general........................................

.........................................................................

..........................................................................

..........................................................................

..........................................................................

..........................................................................

..........................................................................

..........................................................................

..........................................................................

..........................................................................

..........................................................................

...........................................................................

Investioaţii la prima vizită

Grup sang.........Rh..........VDRL/RPR...........HIV...........AgHBs....................Test sarcină.........

Hb ........Ht...............Leuc...........Tromb..............Sumar urină............Urocultura(AB)...............

Ex. secr. vaginala.......................................................citologie BP.............................................

T Anti D..............................Anti A/B...................................Altele............................................

Ecografie (11-14 sept.) data..............VG. sâpt..............zile..........CRL.........Pliu nucal..............

Profilaxie: acid folic 5-10 mg/zi.........................vaccinare antigripala (sez.)............................... recom. triplu test (sapt 15-16)........................................alte recomandari.................................

Educatie pentru sanatate..................................................................................................

..........................................................................................................................

Diagnostic

Data 

următoarei

vizite:

vizita

15-19 săpt.

20-25 săpt.

25-26 săpt.

29-32 săpt.

Data consultaţiei

VG (cronologic)

VG (biometrie)

Acuze

Greutate

Câştig ponderal

Puls

Tensiune arterială

Inălţime fund uterin

Circumferinţa abdominală

Mişcări active fetale

BCF

Tonus uterin (N,>)

CUD

Sângerări vaginale(Da/Nu]

Leucoree patol.(Da/Nu)

Prezentaţie (CIP/T)

Poziţie (Stgt./Dr.)

Raport fatâ de s,s.( mobilă, aplicată)

Starea colului: lung, scurtat, închis, deschis

Cantitate LA (N.>,<)

Edeme (Da/Nu)

Varice (Da/Nu)

Investigaţii

Triplu test (12-16 săpt.)

Morfoligie făt (18-22 săpt.) glicemie

T. anticorpi

VDRL II Hb.

Ht.

Tratament

Ac. Folic 5-10 mg/zi

Fier 30-60 mg/zi Ac. Folie 5-10 mg/zi

Fier 30-60 mg/zi Ac, Folie 5-10 mgtei

Fier 30-60 mgtei Ac. Folio 5-10 mg/zi D2 500-1000 ui/zi Ca1gx10zile

Concediu (med./prenatal)

Data următoarei vizite

Semnătura şi parafa medic

vizita

33-35 săpt.

36-38 săpt.

39-40 săpt.

Data consultaţiei

VG (cronologic)

VG (biometrie)

Acuze

Greutate

Câştig ponderal

Puls

Tensiune arterială

Inălţime fund uterin

Circumferinţa abdominală

Mişcări active fetale

BCF

Tonus uterin (N,>)

CUD

Sângerări vaginale (Da/Nu;

Leucoree patol.(Da/Nu)

Prezentaţie (C/P/T)

Poziţie (Stg /Dr.)

Raport faţă de s.s.(mobilă, aplicată)

Starea colului: lung. scurtat, închis, deschis

Cantitate H (N.>.<)

Edeme (Da/Nu)

Varice (Da/Nu)

Investigaţii

Sumar urină Urocultura (AB) Ex. secreţie vaginală Culturi col T. anticorpi

Tratament

Vaccinare I Fier 30-60 mg/zi Ac. Folie 5-10 mg/zi D2 500-1000 ui/zi Ca 1gx10zile

Vaccinare II Fier 30-60 mg/zi Ac. Folie 5-10 mg/zi D2 500-1000 ui/zi Ca 1gx10zile

Fier 30-60 mg/zi Ac. Folie 5-10 mg/zi D2 500-1000 ui/zi Ca 1gx10zile

Concediu (med./prenatal)

Data următoarei vizite

Semnătura şi parafa medic


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ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
ANONIM a comentat Ordin 696 2016
    WELCOME to PERGO CORPORATE FINANCE LOAN SERVICE. WE OFFER ALL KIND OF LOANS - APPLY FOR AFFORDABLE LOANS. Please contact us for your secure and unsecured Loan at an Interest rate of 1.00%, Interested applicants should Contact us via email: pergocf@fastservice.com Are you a business man or woman? Are you in any financial mess or do you need funds to start up your own business? Do you need a loan to start a nice Small Scale and medium business? Do you have a low credit score and you are finding it hard to obtain capital loan from local banks and other financial institutes?. * Are you financially squeezed? * Do you seek funds to pay off credits and debts? * Do you seek finance to set up your own business? * Are you in need of private or business loans for various purposes? * Do you seek loans to carry out large projects? We offer loan at low interest rate of 1.00%, we offer personal loans, debt consolidation loans, venture capital Capital, business loan, education loan, mortgage or Loans for any reason". However, our method of offers the possibility to specify the amount of the loan needed and also the duration you can afford it, gives you a real Chance get the funds you need! If you are interested to get a loan then kindly write us with the loan requirement. Please, contact us for more information: pergocf@fastservice.com Yours Sincerely, Mrs. Ceren Kelly pergocf@fastservice.com We look forward to hear from you ASAP Interested applicants should Contact us via email: pergocf@fastservice.com We promise YOU 100% GUARANTEE that you will receive your loan......
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