Frazier L M, Jones T L
Department of Preventive Medicine, University of Kansas School of Medicine, Wichita 67214, USA.
J Am Med Womens Assoc (1972). 2000 Spring;55(2):80-3, 105.
To find out who uses an occupational reproductive consultation service, what proportion of patients have different types of workplace exposures, and what hypotheses can be generated about barriers to implementing medically necessary job modifications to promote reproductive health.
A case series study was conducted by reviewing medical records at two occupational health clinics.
51 patients (1 man and 50 women) were seen, 10 of whom wished to discuss a future pregnancy and 41 of whom were pregnant. Pregnant women worked with a mean of 15.5 different chemicals, and patients were also concerned about ionizing radiation, biological hazards, electromagnetic fields, and ultraviolet light. Pregnant women made clinic visits at a mean gestational age of 10.9 weeks.
Only one man used the service, suggesting a lack of knowledge about possible paternal contributions to adverse reproductive outcomes. Many pregnant women visited the clinic too late to prevent harm from exposure to some teratogens, so preconception counseling may be of benefit. Cases are presented that illustrate ways in which the primary care provider can assist the patient who may be exposed to reproductive hazards.
了解哪些人使用职业生殖咨询服务，不同类型工作场所暴露的患者比例是多少，以及对于实施促进生殖健康的必要医学工作调整存在哪些障碍可以提出哪些假设。
通过查阅两家职业健康诊所的病历进行病例系列研究。
共诊治51例患者（1名男性和50名女性），其中10人希望讨论未来怀孕事宜，41人已怀孕。孕妇平均接触15.5种不同化学物质，患者还关注电离辐射、生物危害、电磁场和紫外线。孕妇就诊时的平均孕周为10.9周。
只有一名男性使用了该服务，这表明对父亲可能对不良生殖结局产生的影响缺乏了解。许多孕妇就诊时间过晚，无法预防某些致畸物暴露造成的伤害，因此孕前咨询可能有益。文中列举了一些案例，说明初级保健提供者可以如何帮助可能接触生殖危害的患者。
