一名26岁、居住于美国奥勒冈州的婚礼摄影师在「尚未真正尝试受孕」前，花了约3年进行高度制度化的备孕优化：提早就寝、增加饮水、减少酒精、强化体能、提高蛋白质、每日补充多种营养品（约6至8种），并以「降低生殖毒物」为目标更换生活用品（例如不沾锅、含香精个人用品、部分合成衣物），增购空气清净机，甚至采取关闭无线网路等做法；她也进行额外荷尔蒙检测与具争议的矿物质与重金属扫描，并以饮食法在接下来约1年尝试降低检测到的汞含量。叙事核心是把备孕视为可被工程化管理的「前置期」，将健康妊娠描述为可透过个人选择与消费组合来保证的结果。
社群媒体将此前置期商品化并加速扩散：有影响者以「像训练马拉松一样训练怀孕」作为口号，面向「尝试受孕」族群输出6至12个月的清单式方案；相关主题标签在照片平台约有10.6万则与3.6万则贴文，短影音单支「备孕」内容常达数万、甚至数百万次互动。内容常把零碎建议包装成超常效益（例如以看日出类比为等同大量抗氧化摄取），并导向付费课程与产品：某孕前营养组合每月约58.77美元；7日重置方案约97美元；线上课程曾以1,770美元定价；再叠加「无毒」锅具与容器全面替换等，整体成本可迅速上升到数百美元以上。
医疗与研究视角承认孕前照护的重要性，但强调其内容长期相对稳定且应以证据为本：至少在受孕前1个月开始含叶酸的孕前维生素、避免酒精与烟毒、确认疫苗与既有慢性病管理、盘点处方药与补充品风险。文中引用的量化研究指出，对社群媒体孕前营养宣称的审视中，仅约5％可在现行国际孕前指引中找到对应，约54％被判定对健康结局「缺乏证据」，且短影音与照片平台的「缺乏证据」比例更高；同时也指出具体危害与反效果：生乳可能带来致病菌并增加流产或胎儿伤害风险；极端饮食与高强度训练可能干扰受孕所需荷尔蒙；部分内脏类补充品可能含激素相关成分，且维生素甲在孕期过量可致毒。宏观背景包含：女性平均生育年龄较母辈晚约3年；统计上约每5名女性就有1名可能经历不孕；有报告称近4分之3的乙世代具有生育焦虑；2022年后美国生殖权利倒退，约17州施行全面或近乎全面限制（例如约6周即受限），使风险管理叙事更易滋长。专家警告此趋势会把不孕、流产与胎儿结局的责任道德化地压在女性身上，尽管男性因素可占约30％至40％不孕案例；而个体层面的「努力」并不能保证结果。
A 26-year-old wedding photographer in Oregon spent about three years on a highly structured “pregnancy prep” optimization plan before actually trying to conceive: earlier bedtimes, more water, less alcohol, stronger fitness, higher protein, and daily use of multiple supplements (about 6–8). She also tried to “reduce reproductive toxins” by replacing household and personal items (e.g., nonstick pans, fragranced products, some synthetic clothing), buying an air purifier, and even turning off Wi‑Fi at night; she pursued extra hormone tests and a controversial mineral/heavy-metal scan, then used diet over the next ~1 year to try to lower detected mercury. The narrative frames preconception as an engineerable “lead time” and implies healthy pregnancy can be guaranteed through the right mix of personal choices and consumption.
Social media commodifies and accelerates this “zero trimester” idea: influencers tell followers to train for pregnancy “like a marathon,” selling checklist-style 6–12 month protocols to people “trying to conceive.” Related hashtags on photo platforms show about 106,000 posts (#preconception) and 36,000 posts (#pregnancyprep), while individual short-form videos often reach tens of thousands to millions of interactions. Advice is frequently packaged as outsized, almost magical payoff (e.g., comparing watching a sunrise to consuming massive antioxidants) and funnels into paid products and programs—such as a prenatal/preconception supplement pack around $58.77 per month, a 7-day reset for about $97, and an online course priced at $1,770—plus “nontoxic” full-home swap-outs that can quickly push total costs into the hundreds of dollars or more.
Medical and research perspectives agree preconception care matters, but emphasize long-stable, evidence-based basics: start a prenatal vitamin with folic acid at least 1 month before conception, avoid alcohol and smoking/drugs, ensure vaccinations and chronic conditions are managed, and review prescriptions and supplements with a clinician. A cited quantitative review of social-media preconception nutrition claims found only about 5% aligned with current international preconception guidelines, about 54% had “no evidence” for the claimed health outcome (with even higher “no evidence” rates on short-video and photo platforms), and some practices may backfire: raw milk can introduce pathogens and raise miscarriage/fetal-harm risk; extreme diets and high-intensity training can disrupt fertility-related hormones; certain organ-based supplements may contain hormone-related ingredients; and excess vitamin A in pregnancy can be toxic. The broader context includes women having children about 3 years later than their mothers, around 1 in 5 women experiencing infertility, reports that nearly three-quarters of Gen Z feel fertility anxiety, and post-2022 US reproductive-rights rollbacks—about 17 states with total or near-total limits (including restrictions around ~6 weeks)—that can intensify risk-management narratives. Experts warn this trend moralizes outcomes and places responsibility on women despite male factors accounting for roughly 30%–40% of infertility cases, and individual effort cannot guarantee results.