Preconception health in England: a proposal for annual reporting with core metrics
Preconception health in England: a proposal for annual reporting with core metrics
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DOI：
10.1016/s0140-6736(19)30954-7
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发表时间：
2019-06-01
期刊：
影响因子：
168.9
通讯作者：
Colbourn, Tim
中科院分区：
文献类型：
--
作者：
Stephenson, Judith;Vogel, Christina;Colbourn, Tim
人们越来越关注孕前健康，因为这是一个关键时期，不仅影响怀孕结果，而且影响未来的孕产妇和儿童健康，并预防长期疾病。连续的国家和国际政策文件强调需要改善孕前健康，但资源和行动并没有贯彻这些目标。我们主张在公共卫生层面（例如，通过改善食品环境）和个人层面（例如，通过更好地识别那些计划怀孕的人，他们将受益于支持，以优化受孕前的健康）采取双重干预策略，以提高对孕前健康的认识，并使计划和准备怀孕的概念正常化。针对常见风险因素（如肥胖和吸烟）的现有策略应认识到孕前时期是一个提供特殊干预机会的时期，其依据是来自生命过程流行病学、受孕前后的发育（胚胎）规划和母亲动机的证据。为了描述和监测英国的孕前健康状况，我们提出了一个年度报告卡，使用多个常规数据源的指标。这样的报告卡应该有助于让政府和其他相关机构负责提供干预措施，以改善孕前健康。
There is growing interest in preconception health as a crucial period for influencing not only pregnancy outcomes, but also future maternal and child health, and prevention of long-term medical conditions. Successive national and international policy documents emphasise the need to improve preconception health, but resources and action have not followed through with these goals. We argue for a dual intervention strategy at both the public health level (eg, by improving the food environment) and at the individual level (eg, by better identification of those planning a pregnancy who would benefit from support to optimise health before conception) in order to raise awareness of preconception health and to normalise the notion of planning and preparing for pregnancy. Existing strategies that target common risks factors, such as obesity and smoking, should recognise the preconception period as one that offers special opportunity for intervention, based on evidence from life-course epidemiology, developmental (embryo) programming around the time of conception, and maternal motivation. To describe and monitor preconception health in England, we propose an annual report card using metrics from multiple routine data sources. Such a report card should serve to hold governments and other relevant agencies to account for delivering interventions to improve preconception health.