Waggoner Miranda R, Pentecost Michelle
Associate Professor, Department of Sociology, Rice University, Houston, TX, USA.
Senior Lecturer in Anthropology and Global Health, Department of Global Health and Social Medicine, King's College London, London, UK.
Sex Reprod Health Matters. 2025 Dec;33(1):2499329. doi: 10.1080/26410397.2025.2499329. Epub 2025 May 23.
Global health programmes aimed at reducing maternal and childhood mortality and morbidity are increasingly employing the concept of "preconception care" - an approach that the World Health Organization defines as interventions that occur before women (or couples) conceive and that address factors that could lead to poor birth outcomes. While the goal of improving maternal and child health outcomes is a vital one that is most assuredly shared by all in the global health community, the concept of preconception care is not without its limits and has significant drawbacks. From a gender rights and equity perspective, the preconception care framework has the potential to introduce harms and risks to women and people capable of getting pregnant. In this article, we summarise the key concerns about preconception care for global health in the twenty-first century. We recommend alternative frameworks that do not revolve around conception and have the potential to benefit all, including women, men, people who can get pregnant, people who do not want to get pregnant, pregnant individuals, and children.
旨在降低孕产妇和儿童死亡率及发病率的全球卫生项目越来越多地采用“孕前保健”这一概念——世界卫生组织将其定义为在女性（或夫妻）怀孕前进行的干预措施，旨在解决可能导致不良分娩结局的因素。虽然改善孕产妇和儿童健康结局这一目标至关重要，全球卫生界所有人无疑都认同这一点，但孕前保健概念并非没有局限性，且存在重大缺陷。从性别权利和平等的角度来看，孕前保健框架有可能给女性及有怀孕能力的人带来伤害和风险。在本文中，我们总结了21世纪全球卫生领域对孕前保健的主要担忧。我们推荐一些不围绕受孕展开、有可能使所有人受益的替代框架，这些人包括女性、男性、有怀孕能力的人、不想怀孕的人、孕妇和儿童。
