Society for Maternal-Fetal Medicine, 409 12 St. SW, Washington, DC 20024, USA.
Am J Obstet Gynecol. 2019 Jan;220(1):B2-B18. doi: 10.1016/j.ajog.2018.11.1098. Epub 2018 Dec 20.
Interpregnancy care aims to maximize a woman's level of wellness not just in between pregnancies and during subsequent pregnancies, but also along her life course. Because the interpregnancy period is a continuum for overall health and wellness, all women of reproductive age who have been pregnant regardless of the outcome of their pregnancies (ie, miscarriage, abortion, preterm, full-term delivery), should receive interpregnancy care as a continuum from postpartum care. The initial components of interpregnancy care should include the components of postpartum care, such as reproductive life planning, screening for depression, vaccination, managing diabetes or hypertension if needed, education about future health, assisting the patient to develop a postpartum care team, and making plans for long-term medical care. In women with chronic medical conditions, interpregnancy care provides an opportunity to optimize health before a subsequent pregnancy. For women who will not have any future pregnancies, the period after pregnancy also affords an opportunity for secondary prevention and improvement of future health.
孕期保健旨在最大限度地提高女性的健康水平，不仅在两次妊娠之间和随后的妊娠期间，而且在整个生命过程中。由于妊娠间隔期是整体健康和健康的连续体，所有有生育能力的、曾经怀孕的女性，无论其妊娠结局如何（即流产、堕胎、早产、足月分娩），都应将妊娠间隔期保健作为产后保健的连续体来接受。妊娠间隔期保健的初始内容应包括产后保健的内容，如生殖生活规划、抑郁筛查、疫苗接种、必要时管理糖尿病或高血压、未来健康教育、协助患者组建产后保健团队以及制定长期医疗保健计划。对于患有慢性疾病的女性，妊娠间隔期保健为下次妊娠前优化健康提供了机会。对于那些不会再有未来妊娠的女性，妊娠后阶段也为二级预防和改善未来健康提供了机会。
