妊娠前のケアに関する婦人科産婦人科連合の良い実践の勧告:早産を防ぐための戦略
Leticia Irma Ojeda1,2, Catalina M Valencia G3,4, Natalia Cardozo Buitrago3
1Obstetrics Area-Department of Women's, Children's and Adolescent Health, University of Cuyo, Mendoza, Argentina.
まとめ
妊娠前の予防には 女性中心の妊娠前のケアが必要です 赤ちゃんを中心とした評価を統合することで 健康な妊娠と新生児死亡率の減少の 危険因子を管理できます
科学分野:
- 生殖 健康
- 母親と子供の健康
- 公衆衛生政策
背景:
- 産前出産 (PTB) は,新生児の死亡と発症の主な原因です.
- 現存する予防策は 計画外妊娠率が高いため 限られています
- 現在のケアモデルは 女性の健康よりも 妊娠に焦点を当てています
研究 の 目的:
- 妊娠前のケアにおいて 女性中心のアプローチを提唱する
- 妊娠前のケアに赤ちゃんを中心とした評価の統合を促進する.
- 早期出産のリスク要因を特定し管理する.
主な方法:
- 妊娠前のケアに関する現在の実践と勧告のレビュー
- 医療,産科,栄養,感染症,心理,社会環境の評価を統合することに重点を置く.
- 証拠に基づいた介入と政策変更の提唱
主要な成果:
- 女性を中心に赤ちゃんを中心に評価するモデルは PTBの危険因子を早期に特定するのに役立ちます
- PTBの予防には 複数の領域で 修正可能な危険因子に対処することが不可欠です
- 妊娠前のサービスへの 平等なアクセスには 政策とアドボカシーが不可欠です
結論:
- 効果的なPTB予防には 女性中心のケアと 統合された赤ちゃん中心の評価への移行が不可欠です
- 妊娠前の期間のリスク要因の総合的な管理は,PTBの割合を大幅に減らすことができます.
- 妊娠前のケアを広く提供するために 政策の取組みが必要である.
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