Gennaro Susan, Melnyk Bernadette Mazurek, OʼConnor Caitlin, Gibeau Anne M, Nadel Ellen
Susan Gennaro is the Dean and Professor, Connell School of Nursing, Boston College, Chestnut Hill, MA. Bernadette Mazurek Melnyk is the Dean and Professor, School of Nursing, The Ohio State University, Columbus, OH. Caitlin O'Connor is a Research Assistant, Connell School of Nursing, Boston College, Chestnut Hill, MA. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2016 May-Jun;41(3):147-53. doi: 10.1097/NMC.0000000000000227.
Since the inception of prenatal care in the early 1900s, the focus of care has been on risk reduction rather than on health promotion. Prenatal care began as individualized care, but more recently group prenatal care has been shown to be very successful in improving birth outcomes. For all women, an emphasis on improving health behaviors is important at this critical time while women are engaging regularly with the healthcare system. An emphasis on mental health promotion may decrease some of the disparities in birth outcomes that are well documented between minority and majority women, as minority women are known to experience increased levels of stress, anxiety, and depression. Providing support for pregnant women and incorporating knowledge and skills through prenatal care may promote both physical and mental health in minority women.
自20世纪初开展产前护理以来,护理的重点一直是降低风险而非促进健康。产前护理最初是个体化护理,但最近研究表明,群体产前护理在改善分娩结局方面非常成功。对于所有女性而言,在她们定期与医疗保健系统接触的这个关键时期,强调改善健康行为非常重要。强调促进心理健康可能会减少少数族裔和多数族裔女性之间有充分记录的分娩结局差异,因为众所周知,少数族裔女性经历的压力、焦虑和抑郁水平更高。为孕妇提供支持并通过产前护理传授知识和技能,可能会促进少数族裔女性的身心健康。