化學毒物與孕前健康－－護理人員的角色

Chemical Toxicants and Preconception Health: The Role of Nurses

化學毒物對人類生殖功能的影響如果被忽略，一旦懷孕時會面臨抉擇的困境。加強孕前照護教育，護理人員將預防的概念教導育齡期的男女，因為環境毒物造成的不孕、胚胎受損或死亡，將可事先避免或及早處理。本文介紹社區、工作職場、居家環境中常見的化學毒物，以及其對育齡期男女受孕與胚胎發展之影響。護理人員可以就初級預防、二級預防、性史蒐集的層面，發揮評估、諮詢、教育、提供服務的功能，協助育齡期男女在孕前降低環境中化學毒物對生殖功能的傷害，提升其孕前健康。

The influence of chemical toxicants on human reproduction is often overlooked. However, couples previously exposed to toxicants face a higher risk of birth defects in their children. Through preconception care, nurses can provide prevention education to men and women of childbearing age and play a positive role in reducing rates of infertility and fetal harm due to chemical toxicity. This paper introduces chemical toxicants prevalent in the community, workplace, and home and also the impact of exposure to such on conception and fetal development. Working on primary prevention, secondary prevention, and sexual history collection, professional nurses can assess, counsel, educate, and provide relevant services to help prevent environmental exposure damage to reproductive functions and promote reproductive health.