Landeen Laurie B, Bogue Rebecka, Schuneman Margaret
S D Med. 2015;Spec No:36-43.
Health care providers have a unique opportunity to change the behaviors of their patients. Preconception and prenatal care allow for interventions to abate risky behaviors that can affect not only the woman but also her developing fetus. If we can assist the reproductive age woman in modifying her high-risk activities, there will be improved birth outcomes and healthier mothers to care for their offspring. Alcohol and tobacco use, sexually transmitted infections and obesity are the top four modifiable risk factors. This article will address the impact that these behaviors have on women and tools to assist the health care provider in changing these bad habits and promoting healthy pregnancies. The theory of "fetal origins of disease" is emerging as one of the most powerful and compelling reasons to engage our patients before and during their pregnancy. Preventive medicine needs to start in the womb if we want to have the highest impact on healthy adulthood.
医疗保健提供者有一个独特的机会来改变患者的行为。孕前和产前护理允许进行干预，以减少不仅会影响女性自身，还会影响其发育中的胎儿的危险行为。如果我们能够帮助育龄女性改变其高危行为，将会改善分娩结局，并使母亲更健康，从而能够照顾她们的后代。饮酒、吸烟、性传播感染和肥胖是四大可改变的风险因素。本文将探讨这些行为对女性的影响，以及帮助医疗保健提供者改变这些不良习惯并促进健康怀孕的工具。“疾病的胎儿起源”理论正成为在患者怀孕前和怀孕期间让他们参与进来的最有力和最有说服力的理由之一。如果我们想对健康成年产生最大影响，预防医学需要从子宫内就开始。
