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更健康的女性,更健康的生殖结局:针对所有育龄女性常规护理的建议。

Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age.

作者信息

Moos Merry-K, Dunlop Anne L, Jack Brian W, Nelson Lauren, Coonrod Dean V, Long Richard, Boggess Kim, Gardiner Paula M

机构信息

Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, NC 27599-7516, USA.

出版信息

Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S280-9. doi: 10.1016/j.ajog.2008.08.060.

DOI:10.1016/j.ajog.2008.08.060
PMID:19081422
Abstract

By addressing the reproductive intentions and contraceptive practices and needs of every patient, providers may be able to decrease women's chances of experiencing unintended pregnancies and support women in achieving planned and well-timed pregnancies. By addressing the health promotion needs of every patient and examining and addressing her health profile for reproductive risks, irrespective of her desires for pregnancy, it is likely that more women will enter pregnancy with high levels of preconception wellness and that healthier women and healthier pregnancies and infants will result. The importance of the integration of reproductive planning and health promotion into women's routine healthcare is further emphasized when the potentially far-reaching effects of reproductive outcomes (such as unintended pregnancies, adverse pregnancy outcomes, pregnancy complications, and sexually transmitted infections) on women's health, well-being, and life circumstances are considered.

摘要

通过关注每位患者的生育意愿、避孕措施及需求,医疗服务提供者或许能够降低女性意外怀孕的几率,并支持女性实现计划内且时机适宜的怀孕。通过关注每位患者的健康促进需求,检查并处理其生殖风险的健康状况,无论其怀孕意愿如何,很可能会有更多女性在孕前处于高度健康状态下怀孕,进而孕育出更健康的女性、更健康的怀孕过程及更健康的婴儿。当考虑到生殖结果(如意外怀孕、不良妊娠结局、妊娠并发症和性传播感染)对女性健康、幸福及生活状况可能产生的深远影响时,将生殖规划与健康促进纳入女性常规医疗保健的重要性就更加凸显了。

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