Wallerstedt Cheryl, Lilley Margaret, Baldwin Kathleen
University of New Mexico, School of Medicine, Department of OB/GYN, Maternal Fetal Medicine Division, Albuquerque 87131-5256, USA.
J Obstet Gynecol Neonatal Nurs. 2003 Jul-Aug;32(4):533-42. doi: 10.1177/0884217503255264.
Historically, preconceptional health promotion has been recommended for all prospective parents to improve perinatal outcomes. Preconceptional health promotion and interconceptional counseling may be even more beneficial for parents who have had previous perinatal losses. Perinatal loss can be devastating, with long-term effects on subsequent pregnancies and children. A theoretical framework for interconceptional counseling after perinatal loss needs to be developed. Interconceptional counseling can give couples important information to improve outcomes, acknowledge fears and anxieties, evaluate genetic risks, facilitate grieving, and explore attachment and parenting issues.
从历史上看,一直建议所有准父母进行孕前健康促进,以改善围产期结局。孕前健康促进和孕后咨询对于有过围产期损失经历的父母可能更有益。围产期损失可能是毁灭性的,会对随后的妊娠和孩子产生长期影响。需要建立一个围产期损失后孕后咨询的理论框架。孕后咨询可以为夫妇提供重要信息,以改善结局、承认恐惧和焦虑、评估遗传风险、促进悲伤情绪的缓解,并探讨依恋和育儿问题。