Preconception Care

L. Bookman, T. Mupombwa
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Abstract

The goal of preconception care is to optimize the health and knowledge of every woman prior to pregnancy. Inquiring about plans for pregnancy can occur at any patient encounter, not just at a scheduled preconception care visit, because many women do not present for care until they are already pregnant. Identifying medical, social, environmental, and psychological risks prior to pregnancy can lead to interventions that may enhance the health of both mother and baby. Relevant preconception issues discussed in this review include medications; medical, surgical, mental health, and social history, including substance use and intimate partner violence; immunization recommendations; nutrition; genetic screening; and infectious disease. This review contains 2 figures, 3 tables and 51 references Key words: depression, diabetes, exercise, hypertension, immunizations, intimate partner violence, nutrition, preconception care, reproductive life plan, thyroid disease
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孕前保健
孕前护理的目标是优化每个妇女在怀孕前的健康和知识。询问怀孕计划可以在任何病人就诊时进行,而不仅仅是在预定的孕前保健就诊时,因为许多妇女直到怀孕后才来就诊。在怀孕前确定医疗、社会、环境和心理风险,可采取干预措施,增进母婴健康。本综述中讨论的相关孕前问题包括药物治疗;医疗、外科、精神健康和社会历史,包括药物使用和亲密伴侣暴力;免疫接种的建议;营养;遗传筛查;还有传染病。关键词:抑郁症、糖尿病、运动、高血压、免疫、亲密伴侣暴力、营养、孕前保健、生殖生活计划、甲状腺疾病
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