Genuis Stephen J
Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada.
Hum Reprod. 2006 Sep;21(9):2201-8. doi: 10.1093/humrep/del181. Epub 2006 Jun 14.
Although ongoing study is required to winnow environmental ideology from scientific fact, existing evidence from recent research demonstrates a definitive link between chemical toxicants and potential health sequelae, including congenital affliction and gynaecological disorders. Amid media clamour of health risk and biological peril associated with various environmental toxicants, a spectrum of responses has emerged: some have embraced the environmental cause, some have summarily dismissed it as piffle and perhaps the majority has remained disinterested. Although journals devoted to toxicological and environmental health concerns have become prominent in academia with voluminous numbers of scientific reports being published, there has been limited exploration of the relationship between contemporary chemical exposure and reproductive medical issues in mainstream obstetrics and gynaecology literature. Providers of obstetrical and gynaecological health care need to acquire knowledge of taking an exposure history, instruction in details of precautionary avoidance, skills to provide preconception care and necessary tools to investigate and manage patients with toxicant exposure.
虽然需要持续的研究来区分环境观念与科学事实，但近期研究的现有证据表明，化学毒物与潜在的健康后果之间存在明确的联系，包括先天性疾病和妇科疾病。在媒体对各种环境毒物相关的健康风险和生物危害的喧嚣声中，出现了一系列反应：一些人支持环保事业，一些人则将其斥为无稽之谈，而大多数人可能仍不感兴趣。尽管致力于毒理学和环境卫生问题的期刊在学术界已崭露头角，大量科学报告得以发表，但主流妇产科文献中对当代化学暴露与生殖医学问题之间关系的探索却很有限。妇产科医疗服务提供者需要掌握获取暴露史的知识、预防性避免细节的指导、提供孕前保健的技能以及调查和管理毒物暴露患者的必要工具。
