Hemminki E
Department of Public Health, University of Helsinki, Finland.
Med Care. 1988 Feb;26(2):199-210. doi: 10.1097/00005650-198802000-00010.
The purpose of this study was to describe the content of prenatal care in the United States over time. Secondary data sources were reviewed and selected data were analyzed, mainly in the last two decades. Data reviewed included special surveys from the National Center for Health Statistics, advice given by professional organizations, obstetric textbooks, commercial advertisements in obstetric journals, and occasional surveys. The data suggest that American prenatal care has emphasized screening for biomedical problems, while health education and support functions have been less central. It appears that some prenatal practices from earlier years, such as strict weight-gain restriction, wide use of diuretics and some other drugs, use of x-ray, have been harmful.
本研究的目的是描述美国不同时期产前护理的内容。回顾了二手数据源并分析了选定的数据，主要是过去二十年的数据。所审查的数据包括国家卫生统计中心的专项调查、专业组织提供的建议、产科教科书、产科期刊上的商业广告以及不定期调查。数据表明，美国的产前护理一直强调对生物医学问题的筛查，而健康教育和支持功能则不太核心。早年的一些产前做法，如严格限制体重增加、广泛使用利尿剂和其他一些药物、使用x光，似乎是有害的。
