Perry L E
Nurse Pract. 1996 Nov;21(11):24-6, 32, 34 passim.
Prenatal care is recognized as a valuable intervention to improve pregnancy outcomes. Preconception care can further enhance pregnancy outcomes by optimizing health during the most critical period of organogenesis, the 17 to 56 days after conception. The goal of preconception care is to reduce perinatal mortality and morbidity. The research data supporting preconception care is limited, but it has been proven to reduce perinatal mortality and morbidity in certain populations. Preconception care is most cost-effectively provided as an integral part of primary care services during routine health promotion. It may be introduced during routine health screening, through patient education literature, and in group health promotion classes. Preconception care includes a comprehensive health history and physical exam with initiation of health promotion interventions prior to conception. Outlined in this paper are guidelines for preconception care with a table summarizing assessment, interventions, and patient education. A preconception assessment tool and patient handout are also included.
产前护理被认为是改善妊娠结局的一项重要干预措施。孕前护理可通过在器官形成的最关键时期（即受孕后17至56天）优化健康状况，进一步提高妊娠结局。孕前护理的目标是降低围产期死亡率和发病率。支持孕前护理的研究数据有限，但已证明在某些人群中可降低围产期死亡率和发病率。孕前护理作为常规健康促进期间初级保健服务的一个组成部分，提供起来最具成本效益。它可在常规健康筛查期间、通过患者教育资料以及在团体健康促进课程中引入。孕前护理包括全面的健康史和体格检查，并在受孕前开始实施健康促进干预措施。本文概述了孕前护理指南，并附有一张总结评估、干预措施和患者教育的表格。还包括一个孕前评估工具和患者手册。
