孕產期心理衛生工作之實施方式

The practice of perinatal mental health

孕產婦之心理衛生狀況對自身、孩子及家人具有重要的影響，本文旨在介紹孕產期心理衛生的介入方式，包括有孕期之心理社會評估及建立持續性照護關係；產程之護理支持、陪產員支持、同理式示範與增能；產後的基層醫療之評估、聆聽式訪視、親嬰治療及母嬰病房等。相對於國外多元的介入方式，國內之孕產婦心理衛生服務仍相當不足。研究者依據國內政策與現狀，指出在國內強化孕產期心理衛生工作的方向，包括由「親嬰同室」試行「同理式示範與增能」，並將「母乳支持團體」進一步發展為「親嬰治療」等，期待國內孕產期心理衛生工作能受到應有的重視。

Perinatal mental health is important to women and their families. The author reviewed various ways of mental health services in perinatal stage. For pregnant women, psychosocial evaluation and continuous rapport establishment were implemented. During childbirth, nursing support, doula support, empathetic modeling and empowerment were adopted. After childbirth, psychosocial evaluation in primary care, listening visit, parent-infant psychotherapy and mother-baby unit were applied for mothers. In Taiwan, the mental health interventions aimed for perinatal women were limited. For the improvement of perinatal mental health services in Taiwan, the author suggested that practitioners can develop “empathetic modeling and empowerment” base on the current “room-in” policy. Also, we can add elements of “parent-infant psychotherapy” into the existing “breastfeeding support group”. Further discussion and exploration in this area was expected.