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Salud antes de la concepción en Inglaterra: una propuesta de informes anuales con métricas básicas

Judith Stephenson¹, Christina Vogel², Jennifer Hall¹

¹Elizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.

Lancet (London, England)

|June 5, 2019

Resumen

Mejorar la salud antes de la concepción es vital para el bienestar de la madre y el niño. Se recomienda un enfoque dual, que combine iniciativas de salud pública y apoyo individual, para optimizar la salud antes del embarazo.

Área de la Ciencia:

Salud pública
Salud Reproductiva
Epidemiología del curso de la vida

Sus antecedentes:

Creciente interés en el impacto de la salud previa a la concepción en los resultados del embarazo y la salud materna/infantil a largo plazo.
Los documentos de política resaltan la necesidad de mejorar la salud antes de la concepción, pero los recursos y las acciones se quedan atrás.
El período de preconcepción ofrece una oportunidad única para la intervención debido a la epidemiología del curso de la vida, la programación del desarrollo y la motivación materna.

Objetivo del estudio:

Abogar por una estrategia de intervención dual para mejorar la salud antes de la concepción.
Para crear conciencia y normalizar la planificación del embarazo.
Proponer un sistema de seguimiento de la salud antes de la concepción en Inglaterra.

Principales métodos:

Proponer una doble estrategia de intervención: a nivel de la salud pública (por ejemplo, el entorno alimentario) y a nivel individual (por ejemplo, la identificación de los que necesitan apoyo).
Aprovechando la evidencia de la epidemiología del curso de la vida y la programación del desarrollo.
Sugerir una ficha anual que utilice fuentes de datos de rutina para el seguimiento.

Principales resultados:

El estudio aboga por una estrategia combinada de intervención pública e individual.
Hace hincapié en la ventana crítica de oportunidad durante el período de preconcepción.
Se propone un informe anual para rastrear y garantizar la rendición de cuentas para mejorar la salud previa a la concepción.

Conclusiones:

Una estrategia de intervención dual es esencial para mejorar la salud antes de la concepción.
El monitoreo de la salud previa a la concepción a través de un informe anual puede impulsar la rendición de cuentas.
La normalización de la planificación y preparación del embarazo es crucial para obtener mejores resultados de salud materna e infantil.

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