Obstetrics and Gynecology, The Permanente Medical Group, North Valley, 3rd Floor, 501 J Street, Sacramento, CA 95814, USA.
The George Washington University, 2511 I Street Northwest, Washington, DC 20037, USA.
Obstet Gynecol Clin North Am. 2019 Sep;46(3):455-468. doi: 10.1016/j.ogc.2019.04.005. Epub 2019 Jul 2.
Our genetic makeup and environment interact. Evidence has emerged demonstrating preconception and prenatal exposure to toxic agents have a profound effect on reproductive health. We cannot change our genetics, but we can change our environment. Health providers can protect pregnancies from harmful exposures. Pregnancy is the most critical time-window for human development, when any toxic exposure can cause lasting damage to brain development. Reproductive care professionals can provide useful information to patients and refer patients to appropriate specialists when hazardous exposure is identified. Clinical experience and expertise in communicating risks of treatment are transferable to environmental health.
我们的遗传构成和环境相互作用。有证据表明，在受孕前和胎儿期接触有毒物质会对生殖健康产生深远影响。我们无法改变我们的基因，但我们可以改变我们的环境。医疗保健提供者可以保护怀孕免受有害暴露。怀孕是人类发育的最关键窗口期，任何有毒物质的暴露都可能对大脑发育造成持久的损害。生殖保健专业人员可以向患者提供有用的信息，并在发现危险暴露时将患者转介给适当的专家。在沟通治疗风险方面的临床经验和专业知识可以转移到环境卫生中。
