Steel Amie, Lucke Jayne, Reid Rebecca, Adams Jon
Endeavour College of Natural Health, Level 2, 269 Wickham Street, Fortitude Valley, Brisbane, Queensland 4006, Australia,
Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, Sydney, New South Wales 2007, Australia and.
Fam Pract. 2016 Dec;33(6):588-595. doi: 10.1093/fampra/cmw094. Epub 2016 Sep 20.
The value and importance of preconception care (PCC) have been acknowledged by leading health organizations as a vital element within preventive medicine and health promotion for the wider population. The translation of PCC from position statement to relevant service and programme delivery is essential for the benefits of PCC to be realized and relies on insights from health services research. This article aims to review contemporary health services research literature examining women's and health professionals' perceptions and experiences of PCC services.
A systematic review of original research published between 2003 and 2015 was conducted in November 2015. Multiple databases (PubMed, CINAHL, AMED and Maternity and Infant Care) were searched through two distinct searches to capture research literature reporting the perspective of health professionals and women towards PCC service delivery.
The search identified 13 papers (4 reported the perceptions of women, 11 described the views of health professionals [2 papers reported findings from both groups]). The analyses of the contemporary literature revealed five broad areas of focus: women's service needs regarding PCC, PCC training and education requirements, role delineation around PCC, priority and value of PCC and barriers and obstacles to PCC.
Despite the mounting evidence supporting the value and importance of PCC, there is insufficient research attention given to the clinical reality of PCC service and programme delivery. The transfer of PCC guidelines from broad policy to grass roots practice requires a more detailed consideration of the practicalities of implementing PCC within contemporary women's health care.
孕前保健（PCC）的价值和重要性已得到主要卫生组织的认可，被视为预防医学和更广泛人群健康促进的重要组成部分。将孕前保健从立场声明转化为相关服务和项目实施，对于实现孕前保健的益处至关重要，且依赖于卫生服务研究的见解。本文旨在综述当代卫生服务研究文献，探讨女性和卫生专业人员对孕前保健服务的认知与体验。
2015年11月对2003年至2015年间发表的原创研究进行了系统综述。通过两次不同的检索，对多个数据库（PubMed、CINAHL、AMED以及母婴护理数据库）进行搜索，以获取报告卫生专业人员和女性对孕前保健服务提供情况看法的研究文献。
检索共识别出13篇论文（4篇报告了女性的认知，11篇描述了卫生专业人员的观点[2篇论文报告了两组研究结果]）。对当代文献的分析揭示了五个广泛的关注领域：女性对孕前保健的服务需求、孕前保健培训与教育要求、孕前保健的角色界定、孕前保健的优先事项和价值以及孕前保健的障碍。
尽管有越来越多的证据支持孕前保健的价值和重要性，但对孕前保健服务和项目实施的临床实际情况的研究关注不足。将孕前保健指南从宽泛政策转化为基层实践，需要更详细地考虑在当代女性医疗保健中实施孕前保健的实际情况。
