National President, Federation of Obstetrics and Gynecological Societies of India (FOGSI), Mumbai, India.
Blooms Hospital, Mumbai, India.
Indian J Pediatr. 2023 Dec;90(Suppl 1):10-19. doi: 10.1007/s12098-023-04841-0. Epub 2023 Sep 13.
There is sufficient scientific evidence that quality pre-conceptional care and antenatal care can improve newborn survival. This review was conducted to understand the concept of pre-conceptional care and its implementation status in India. The review documents the specific interventions that have been proven to effectively improve pregnancy outcome when provided as pre-conception care. Healthcare providers, particularly obstetricians/gynecologists and general physicians, should prioritize pre-conception care as an essential component of healthcare for women. However, the lack of continuum of care and program linkages are some of the key barriers in ensuring pre-conceptional and ante-natal care in India. Culturally and linguistically appropriate care should be provided to ensure that all women can access and understand the information and services needed to optimize their reproductive health and improve pregnancy outcomes. Prioritizing pre-conception and prenatal care, healthcare providers can improve maternal and fetal outcomes, reduce healthcare costs, and promote lifelong health for women and their families. The primary healthcare reforms being done in India can be and should be used to strengthen pre-conceptional and ante-natal care services and quality.
有充分的科学证据表明，优质的孕前保健和产前保健可以提高新生儿的存活率。本综述旨在了解孕前保健的概念及其在印度的实施现状。该综述记录了已被证明可有效改善妊娠结局的具体干预措施，这些干预措施可作为孕前保健提供。医疗保健提供者，特别是妇产科医生和普通内科医生，应将孕前保健作为妇女保健的重要组成部分。然而，缺乏连续护理和项目联系是确保印度提供孕前和产前保健的一些关键障碍。应提供文化和语言适宜的护理，以确保所有妇女都能获得和理解优化生殖健康和改善妊娠结局所需的信息和服务。优先考虑孕前和产前保健，医疗保健提供者可以改善母婴结局，降低医疗保健成本，并促进妇女及其家庭的终身健康。印度正在进行的初级卫生保健改革可以而且应该用于加强孕前和产前保健服务和质量。
