Smith Andrew, Barr Wendy B, Bassett-Novoa Erin, LeFevre Nicholas
Lawrence Family Medicine Residency, 34 Haverhill St, Lawrence, MA 01841.
John Peter Smith Hospital Family Medicine Residency, 1500 South Main St 4th Floor OPC, Fort Worth, TX 76104.
FP Essent. 2018 Apr;467:33-36.
Family physicians are uniquely situated to play a major role in postpartum care. Postpartum issues that should be monitored and addressed include reproductive and contraceptive planning, breastfeeding counseling and support, and maternal mental health. All women should be screened for postpartum depression using a validated tool at the postpartum visit and/or at well-child visits. Patients with positive screening results should be offered support and treatment. Women are more likely to breastfeed if they are provided with breastfeeding support and counseling routinely during the prenatal and postpartum periods. All women should be asked about their reproductive life plans, counseled about potential risks associated with short and prolonged interpregnancy intervals, and offered contraception.
家庭医生在产后护理中具有独特的地位，能够发挥重要作用。产后需要监测和处理的问题包括生殖与避孕规划、母乳喂养咨询与支持以及产妇心理健康。所有女性在产后访视和/或儿童健康检查时，都应使用经过验证的工具进行产后抑郁症筛查。筛查结果呈阳性的患者应获得支持和治疗。如果在产前和产后期间常规提供母乳喂养支持和咨询，女性进行母乳喂养的可能性会更高。所有女性都应被问及她们的生育生活计划，接受关于妊娠间隔过短和过长相关潜在风险的咨询，并获得避孕服务。
