diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
index 1c636fd..ffdc377 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
@@ -481,10 +481,13 @@ public class ReportServiceImpl extends BaseServiceImpl implements IReportService
                 .append("COUNT(B.EXAMINE_ID) AS EXAMINE_CNT ")
                 .append("FROM ODS_F_GRAVIDA_RECORD A, ")
                 .append("ODS_F_EXAMINE_HISTORY_ASC B, ")
-                .append("ODS_D_HOSPITAL C ")
+                .append("ODS_D_HOSPITAL C, ")
+                .append("ODS_F_EXAMINE_HISTORY D ")
                 .append("WHERE A.RECORD_ID=B.RECORD_ID ")
                 .append("AND A.HOSPITAL_NO=C.HOSPITAL_NO ")
-                .append("AND A.HOSPITAL_NO=B.HOSPITAL_NO ");
+                .append("AND A.HOSPITAL_NO=B.HOSPITAL_NO ")
+                .append("AND B.EXAMINE_ID=D.EXAMINE_ID ")
+                .append("AND D.EXAMINE_HISTORY_NUM=1 ");
 
         if(childBirth != null) {
             sql.append("AND A.IS_CHILDBIRTH = ? ");