Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Obstet Gynecol Clin North Am. 2019 Sep;46(3):399-408. doi: 10.1016/j.ogc.2019.04.001.
An investment in assuring the health of women, before pregnancy, can reap improved health for women, children, and their families. A paradigm shift of health must occur if perinatal outcomes are to improve, moving beyond reactive care to preventive or preconception care. Preconception health is centered on an assumption a woman is planning on becoming pregnant. But for many women, pregnancy is unplanned and medical conditions may have a negative impact on the trajectory of pregnancy and health. A new paradigm focusing on prevention and wellness can prepare women for lifelong health and healthy perinatal outcomes.
对女性怀孕前的健康进行投资，可以改善妇女、儿童及其家庭的健康。如果要改善围产期结局，就必须进行健康模式的转变，从被动的治疗模式转变为主动的预防或孕前保健模式。孕前保健以假设女性计划怀孕为中心。但对许多女性来说，怀孕是意外的，医疗条件可能会对怀孕和健康轨迹产生负面影响。一个新的重点是预防和健康的模式可以让女性为终身健康和健康的围产期结局做好准备。
