Moos Merry-K
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
J Perinat Neonatal Nurs. 2004 Jan-Mar;18(1):2-13. doi: 10.1097/00005237-200401000-00002.
Preconceptional health promotion is a proven strategy to impact reproductive outcomes. Despite energy to incorporate this prevention strategy into the care of women in this country, little evidence exists that the paradigm shift necessary to reframe the clinical care of women has occurred or that public awareness about critical opportunities for preventing reproductive casualties is high. This article reviews the rationale for preconceptional counseling, discusses progress in moving the agenda of prepregnancy wellness forward, and reveals some of the lessons learned from efforts to redesign prevention emphases for reproductive healthcare.
孕前健康促进是一种已被证实的影响生殖结局的策略。尽管有精力将这种预防策略纳入该国女性的护理中，但几乎没有证据表明，重新构建女性临床护理所需的范式转变已经发生，或者公众对预防生殖损害的关键机会的认识很高。本文回顾了孕前咨询的基本原理，讨论了推进孕前健康议程方面的进展，并揭示了在重新设计生殖健康预防重点的努力中吸取的一些经验教训。
