Department of Counseling, University of Nebraska Omaha, Omaha, NE 68182, USA.
Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Int J Environ Res Public Health. 2021 Aug 3;18(15):8206. doi: 10.3390/ijerph18158206.
Women face risks to their wellbeing during the perinatal period of pregnancy. However, there is a dearth of information on perinatal risk factors within the biopsychosocial paradigm. Emphasis is often placed on biological components associated with pregnancy and women's health. However, psychological and social determinants of health are integral during the perinatal period, and mental wellness is often a determinant for positive maternal and neonatal health outcomes. This article reviews risk factors of perinatal wellness (e.g., physical and nutritional concerns, trauma, discrimination, adverse childhood events) and highlights protective factors for women in their perinatal period. Healthcare professionals can support perinatal health by focusing on culturally and contextually appropriate research and prevention, providing equal access to sexual and reproductive healthcare information and services, providing quality education and training for helping professionals, and supporting policies for positive sexual and reproductive women's healthcare.
女性在妊娠围产期面临着健康风险。然而,在心理社会范式内,有关围产期风险因素的信息却十分匮乏。人们往往强调与妊娠和妇女健康相关的生物学因素。然而,在围产期,心理和社会健康决定因素是不可或缺的,心理健康通常是母婴健康积极结果的决定因素。本文回顾了围产期健康的风险因素(例如,身体和营养问题、创伤、歧视、不良童年经历),并强调了围产期妇女的保护因素。医疗保健专业人员可以通过关注文化和背景适当的研究和预防、为获得性和生殖健康信息和服务提供平等机会、为专业帮助人员提供优质教育和培训以及支持积极的性和生殖妇女保健政策,来支持围产期健康。