Frey Keith A, Navarro Shannon M, Kotelchuck Milton, Lu Michael C
Department of Family Medicine, Mayo Clinic Arizona, Scottsdale, AZ 85260, USA.
Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S389-95. doi: 10.1016/j.ajog.2008.10.024.
Little attention has been given to men's preconception health and health care. This paper reviews the key elements of an approach to optimizing the preconception health status of men. Preconception care for men is important for improving family planning and pregnancy outcomes, enhancing the reproductive health and health behaviors of their female partners, and preparing men for fatherhood. Most importantly, preconception care offers an opportunity, similar to the opportunity it presents for women, for disease prevention and health promotion in men. Currently, no consensus exists on service delivery of preconception care for men--who should provide preconception care to whom, where, when, and how, and there are significant barriers to this care including the organization, financing, training, and demand. Finally, much more research on the content and how to effectively market and implement preconception care for men is needed.
男性孕前健康及保健很少受到关注。本文回顾了优化男性孕前健康状况方法的关键要素。男性孕前保健对于改善计划生育和妊娠结局、提高其女性伴侣的生殖健康及健康行为以及让男性做好为人父的准备都很重要。最重要的是，孕前保健为男性提供了一个与女性类似的疾病预防和健康促进的机会。目前，关于男性孕前保健的服务提供尚无共识——应由谁、在何处、何时以及如何为谁提供孕前保健，并且这种保健存在重大障碍，包括组织、资金、培训和需求等方面。最后，对于男性孕前保健的内容以及如何有效地推广和实施该保健，还需要进行更多研究。
