孕前保健。

Preconception care.

机构信息

MBBS (Hons), BAPPSc MPH, Lecturer, Central Clinical School, Faculty of Medicine and Health, University of Sydney.

MBBS, MPH@TM, FRANZCOG, PhD, DDU, Professor of Sexual and Reproductive Health, Speciality of Obstetrics, Gynaecology and Neonatology, Sydney School of Medicine, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW; Chief Investigator, NHMRC CRE SPHERE, Melbourne, Vic.

出版信息

Aust J Gen Pract. 2024 Nov;53(11):805-812. doi: 10.31128/AJGP-08-23-6927.

DOI:10.31128/AJGP-08-23-6927

PMID:39499834

Abstract

BACKGROUND

Preconception care (PCC) entails a comprehensive suite of interventions to improve the health of potential parents, their babies and future generations. PCC is not limited to a first pregnancy, and addressing health and wellbeing is equally important in the interconception period.

OBJECTIVE

The aims of this paper are to discuss the evidence for and components of PCC, as well as the role of the general practitioner in the delivery of PCC.

DISCUSSION

It is estimated that 90% of women and over 50% of men have preconception health issues to address. Although all people stand to benefit from PCC, certain population groups experience increased risk of adverse outcomes and require more targeted attention. Although most do not present for a dedicated PCC consultation, asking about pregnancy intention can start the conversation. Evidence shows that interventions delivered in primary care can improve preconception health knowledge and reduce preconception risk factors.

摘要

背景

孕前保健（PCC）需要一整套干预措施，以改善准父母、他们的婴儿和后代的健康。PCC 不仅限于首次怀孕，在备孕期间，关注健康和幸福同样重要。

目的

本文旨在讨论 PCC 的证据和组成部分，以及全科医生在提供 PCC 方面的作用。

讨论

据估计，90%的女性和超过 50%的男性有需要解决的孕前健康问题。尽管所有人都可以从 PCC 中受益，但某些人群面临更高的不良结局风险，需要更有针对性的关注。尽管大多数人不会专门进行 PCC 咨询，但询问怀孕意向可以开启对话。证据表明，在初级保健中提供的干预措施可以提高孕前健康知识，减少孕前风险因素。