孕前照護

Preconception Care

健康的母親與嬰兒，對任何文化的家庭而言，是極具意義的希望與夢想。生育階段的女性，傳統上是從尋求產前照護開始，但是越來越多的證據顯示在受孕前改善或促進婦女及夫婦健康，可以增進下一代的健康，因此完整的婦女健康照護，應該從孕前照護開始，如此可進一步改善懷孕結果及預防生育所伴隨的母體危害。時代變遷，孕前照護觀念亦隨之崛起，美國CDC （Centers for Disease Control and Prevention）於2004年成立孕前照護工作小組並召開伙伴會議，後來陸續於200、200年召開孕前照護全國高峰會，討論及發展孕前照護的相關議題，至此生育保健的推動有了新的見解及方向。初級預防的孕前照護，是由許多的介入措施所組成，其目的在於鑑定及減輕會對婦女健康或懷孕結果造成影響的生物醫學、行為、或社會危險因子。目前國內尚無全國性政策可提供完整的孕前照護，因此若能整合各項介入措施，透過學校或職場的孕前照護、孕前照護門診、家庭或社區的孕前探視服務等，將可促進婦女與兒童健康，提高國家的競爭力。

Healthy mothers and children are the hope and dream of every country. Evidence shows that promoting health in women and couples before pregnancy can promote the health of their offspring. Hence, comprehensive healthcare for women should start before pregnancy (i.e., preconception care). Such represents an effective strategy to lessen adverse maternal and infant health outcomes. The Centers for Disease Control and Prevention (CDC) in the United States established in 2004 a working group to convene conferences addressing preconception care issues, which has since held two summit conferences (in 2005 and 2007) to develop recommendations and guidelines for improving preconception health and care. A new consensus on reproductive health promotion and protection as emerged. Preconception care, the primary preventive approach for women of reproductive age, works to identify and modify biomedical, behavioral, and social risks through preventive and management interventions. No national policy for preconception care currently exists in Taiwan. Hence, it is important to coordinate different resources related to preconception care available through schools, workplaces, outpatient service centers, families and the community in order to establish a uniform national policy and intervention programs that will further enhance the health of women and children in Taiwan.