SlideShare a Scribd company logo
1 of 20
人工流產的臨床考量      何師竹 台中榮民醫院婦產部
人工流產的母體合併症 (官方手術說明書) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
人工流產的母體合併症 (官方手術說明書) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
人工流產對長期身心健康上的後果   Long-Term Physical and Psychological Health  Consequences of Induced Abortion:Review of the Evidence   OBSTETRICAL AND GYNCOLOGICAL SURVEY 2007 V58:67 ,[object Object],Abortion rate     1996  U.S.A.   23 / 1000 #     Women Age 15 to 44  #   26% all recognized pregnancy 1995  Canada  16/1000  England  15/1000 Sweden  18/1000 Netherland  6/1000
Obstetric Ethics : (the fetus as a patient) 胎兒也是產科醫師的病人 ,[object Object],[object Object]
Obstetric Ethics : (the fetus as a patient) 胎兒也是產科醫師的病人 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
優生保健法 第三章 人工流產及結紮手術 第九條 懷孕婦女經診斷或證明有左列情事之一者,得依其自願, 施行人工流產。 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],為「優生」施行的流產涉及 :
非引導性的遺傳諮詢與同意書 Informed consent and Nondirective genetic counseling ,[object Object],[object Object],[object Object]
    Ethical and legal considerations in screening, detection, and management of fetal anomalies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],產科醫師的責任 Duty of  the obstetrician
產前診斷及發現異常之諮商的兩難情況(一)   Dilemma in Prenatal Diagnosis and  Counselling After  Disclosure ( I ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],妊娠 24 週以後合法中止懷孕適應症
     內發現,宜於足月產後矯治     Detectable in Utero but Best Corrected After Delivery at Term ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
唇腭裂的產前照護 Obstetrical ManagementAntepartum for Cleft Lip and Palate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
需提前娩出子宮外作矯治 May Require Induced Preterm Delivery for Early Correction Ex Utero ,[object Object],[object Object],[object Object],[object Object]
產前診斷及發現異常之諮商的兩難情況(二)   Dilemma in Prenatal Diagnosis and Counselling after Disclosure ( II ) ,[object Object],[object Object],[object Object],[object Object]
篩檢唐氏症的代價太高? The Cost of Choice: A Price Too High in the  Triple Screen for Down Syndrome.   Elkins,et al. Clinical Obs/Gynecology, V36:532-540 ,[object Object],[object Object],[object Object]
篩檢唐氏症的代價太高? The Cost of Choice: A Price Too High in the  Triple Screen for Down Syndrome. ,[object Object]
產前診斷及中止懷孕所引發的倫理議題 Ethical problems raised by prenatal diagnosis and TOP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
國人有更多的兩難 More dilemma in our practice ,[object Object],[object Object],[object Object],[object Object],[object Object],    Human diginity and rights  are the consecrated and inviolable gift of creator to mankind . Medicine is an  art of healing  which take place in object with knowing, feeling, willing and endowed right .    人類的尊嚴與權利是造物主所授予神聖不可侵犯的禮物。醫學是醫治的藝術,施之予有知、情、意及賦有人權的個體身上。

More Related Content

What's hot

Twin pregnancy-DR.DIVYA JAIN
Twin pregnancy-DR.DIVYA JAINTwin pregnancy-DR.DIVYA JAIN
Twin pregnancy-DR.DIVYA JAINDIVYA JAIN
 
Recurrent spontaneous abortion
Recurrent spontaneous abortionRecurrent spontaneous abortion
Recurrent spontaneous abortionmothersafe
 
Nonimmune hydrops fetalis . Dr B M Rakshit
Nonimmune  hydrops  fetalis .  Dr B M RakshitNonimmune  hydrops  fetalis .  Dr B M Rakshit
Nonimmune hydrops fetalis . Dr B M RakshitBibek Rakshit
 
Multiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr ElnasharMultiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr ElnasharAboubakr Elnashar
 
Fetal surveillance in twin pregnancy
Fetal surveillance in twin pregnancyFetal surveillance in twin pregnancy
Fetal surveillance in twin pregnancyAlkaPandey24
 
4. hydrops fetalis; pedatric pathology
4. hydrops fetalis; pedatric pathology4. hydrops fetalis; pedatric pathology
4. hydrops fetalis; pedatric pathologyKrishna Tadepalli
 
ART Pregnancy - Are they different ?
ART Pregnancy -  Are they different ?ART Pregnancy -  Are they different ?
ART Pregnancy - Are they different ?Vasundhara Hospital
 
mode of delivery in multiple gestation
mode of delivery in multiple gestationmode of delivery in multiple gestation
mode of delivery in multiple gestationMaryam Al-Ezairej
 
Single foetal demise in twin pregnancy
Single foetal demise in twin pregnancySingle foetal demise in twin pregnancy
Single foetal demise in twin pregnancyAloy Okechukwu Ugwu
 
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019Kareem Alnakeeb
 
Diagnóstico prenatal no invasivo en sangre materna
Diagnóstico prenatal no invasivo en sangre maternaDiagnóstico prenatal no invasivo en sangre materna
Diagnóstico prenatal no invasivo en sangre maternaGinecólogos Privados Ginep
 
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019Kareem Alnakeeb
 
Infection in pregnancy
Infection in pregnancyInfection in pregnancy
Infection in pregnancyFadzlina Zabri
 
Rhesus Isoimmunisation
Rhesus IsoimmunisationRhesus Isoimmunisation
Rhesus Isoimmunisationlimgengyan
 

What's hot (20)

Twin pregnancy-DR.DIVYA JAIN
Twin pregnancy-DR.DIVYA JAINTwin pregnancy-DR.DIVYA JAIN
Twin pregnancy-DR.DIVYA JAIN
 
Iufd
IufdIufd
Iufd
 
Recurrent spontaneous abortion
Recurrent spontaneous abortionRecurrent spontaneous abortion
Recurrent spontaneous abortion
 
Seminar savita
Seminar savitaSeminar savita
Seminar savita
 
Nonimmune hydrops fetalis . Dr B M Rakshit
Nonimmune  hydrops  fetalis .  Dr B M RakshitNonimmune  hydrops  fetalis .  Dr B M Rakshit
Nonimmune hydrops fetalis . Dr B M Rakshit
 
Multiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr ElnasharMultiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr Elnashar
 
Twins
TwinsTwins
Twins
 
Fetal surveillance in twin pregnancy
Fetal surveillance in twin pregnancyFetal surveillance in twin pregnancy
Fetal surveillance in twin pregnancy
 
4. hydrops fetalis; pedatric pathology
4. hydrops fetalis; pedatric pathology4. hydrops fetalis; pedatric pathology
4. hydrops fetalis; pedatric pathology
 
ART Pregnancy - Are they different ?
ART Pregnancy -  Are they different ?ART Pregnancy -  Are they different ?
ART Pregnancy - Are they different ?
 
Reccurent Pregnancy Loss
Reccurent Pregnancy LossReccurent Pregnancy Loss
Reccurent Pregnancy Loss
 
mode of delivery in multiple gestation
mode of delivery in multiple gestationmode of delivery in multiple gestation
mode of delivery in multiple gestation
 
Single foetal demise in twin pregnancy
Single foetal demise in twin pregnancySingle foetal demise in twin pregnancy
Single foetal demise in twin pregnancy
 
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
 
Rh iso immunization
Rh  iso immunization Rh  iso immunization
Rh iso immunization
 
Diagnóstico prenatal no invasivo en sangre materna
Diagnóstico prenatal no invasivo en sangre maternaDiagnóstico prenatal no invasivo en sangre materna
Diagnóstico prenatal no invasivo en sangre materna
 
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
Management of twin pregnancy with single fetal demise; Obstetrics - October 2019
 
Infection in pregnancy
Infection in pregnancyInfection in pregnancy
Infection in pregnancy
 
Hydrops 2014 gphc
Hydrops 2014 gphcHydrops 2014 gphc
Hydrops 2014 gphc
 
Rhesus Isoimmunisation
Rhesus IsoimmunisationRhesus Isoimmunisation
Rhesus Isoimmunisation
 

Viewers also liked

Mantelapp collaboration tools
Mantelapp collaboration toolsMantelapp collaboration tools
Mantelapp collaboration toolsadit277
 
Fringe IA: Understanding complex organizational, data, & technical issues
Fringe IA: Understanding complex organizational, data, & technical issuesFringe IA: Understanding complex organizational, data, & technical issues
Fringe IA: Understanding complex organizational, data, & technical issuesMichael Adcock
 
Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...
Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...
Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...Alexander Decker
 
Direct Marketing for Propagation
Direct Marketing for PropagationDirect Marketing for Propagation
Direct Marketing for PropagationGriffin Farley
 
The Practice of Propagation Planning
The Practice of Propagation PlanningThe Practice of Propagation Planning
The Practice of Propagation PlanningGriffin Farley
 
How To Do Propagation Planning
How To Do Propagation PlanningHow To Do Propagation Planning
How To Do Propagation PlanningGriffin Farley
 
Planning for Transmedia
Planning for TransmediaPlanning for Transmedia
Planning for TransmediaGriffin Farley
 

Viewers also liked (8)

Mantelapp collaboration tools
Mantelapp collaboration toolsMantelapp collaboration tools
Mantelapp collaboration tools
 
Fringe IA: Understanding complex organizational, data, & technical issues
Fringe IA: Understanding complex organizational, data, & technical issuesFringe IA: Understanding complex organizational, data, & technical issues
Fringe IA: Understanding complex organizational, data, & technical issues
 
Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...
Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...
Urban sprawl effects on settlement areas in urban fringe of jakarta metropoli...
 
Direct Marketing for Propagation
Direct Marketing for PropagationDirect Marketing for Propagation
Direct Marketing for Propagation
 
SXSW Learnings
SXSW LearningsSXSW Learnings
SXSW Learnings
 
The Practice of Propagation Planning
The Practice of Propagation PlanningThe Practice of Propagation Planning
The Practice of Propagation Planning
 
How To Do Propagation Planning
How To Do Propagation PlanningHow To Do Propagation Planning
How To Do Propagation Planning
 
Planning for Transmedia
Planning for TransmediaPlanning for Transmedia
Planning for Transmedia
 

Similar to 不孕症 遺傳諮詢 2

Similar to 不孕症 遺傳諮詢 2 (20)

Recurrent pregnancy loss 1
Recurrent pregnancy loss 1Recurrent pregnancy loss 1
Recurrent pregnancy loss 1
 
INTRAUTERINE FETAL DEATH_1.pptx
INTRAUTERINE FETAL DEATH_1.pptxINTRAUTERINE FETAL DEATH_1.pptx
INTRAUTERINE FETAL DEATH_1.pptx
 
ABORTION ( PART- 1)
ABORTION ( PART- 1)ABORTION ( PART- 1)
ABORTION ( PART- 1)
 
Iufd by dr shabnam
Iufd by dr shabnamIufd by dr shabnam
Iufd by dr shabnam
 
IUFD(INTRA UTERINE FETAL DEATH).pptx
IUFD(INTRA UTERINE FETAL DEATH).pptxIUFD(INTRA UTERINE FETAL DEATH).pptx
IUFD(INTRA UTERINE FETAL DEATH).pptx
 
ABORTION.ppt
ABORTION.pptABORTION.ppt
ABORTION.ppt
 
IUFD.pptx
IUFD.pptxIUFD.pptx
IUFD.pptx
 
ART PREGNANCY COMPLICATIONS
ART PREGNANCY COMPLICATIONSART PREGNANCY COMPLICATIONS
ART PREGNANCY COMPLICATIONS
 
,n l
,n l,n l
,n l
 
Post term pregnancy
Post term pregnancyPost term pregnancy
Post term pregnancy
 
Abortion
AbortionAbortion
Abortion
 
Pediatric Lect1
Pediatric Lect1Pediatric Lect1
Pediatric Lect1
 
Bleeding in early pregnancy
Bleeding in early pregnancyBleeding in early pregnancy
Bleeding in early pregnancy
 
spontanious abortion.pptx
spontanious abortion.pptxspontanious abortion.pptx
spontanious abortion.pptx
 
Recurrent pregnancy loss
Recurrent pregnancy loss Recurrent pregnancy loss
Recurrent pregnancy loss
 
Teratology of calf
Teratology of calfTeratology of calf
Teratology of calf
 
Paediatric oncology
Paediatric oncologyPaediatric oncology
Paediatric oncology
 
Miscarriages
MiscarriagesMiscarriages
Miscarriages
 
multiple pregnancy
multiple pregnancymultiple pregnancy
multiple pregnancy
 
Medico legal 2017
Medico legal 2017Medico legal 2017
Medico legal 2017
 

More from guest62cfbf

多囊性卵巢 8
多囊性卵巢            8多囊性卵巢            8
多囊性卵巢 8guest62cfbf
 
多囊性卵巢 7
多囊性卵巢            7多囊性卵巢            7
多囊性卵巢 7guest62cfbf
 
多囊性卵巢 3
多囊性卵巢            3多囊性卵巢            3
多囊性卵巢 3guest62cfbf
 
多囊性卵巢 6
多囊性卵巢            6多囊性卵巢            6
多囊性卵巢 6guest62cfbf
 
多囊性卵巢 5
多囊性卵巢            5多囊性卵巢            5
多囊性卵巢 5guest62cfbf
 
多囊性卵巢 4
多囊性卵巢            4多囊性卵巢            4
多囊性卵巢 4guest62cfbf
 
多囊性卵巢 3
多囊性卵巢            3多囊性卵巢            3
多囊性卵巢 3guest62cfbf
 
多囊性卵巢 2
多囊性卵巢            2多囊性卵巢            2
多囊性卵巢 2guest62cfbf
 
多囊性卵巢 1
多囊性卵巢            1多囊性卵巢            1
多囊性卵巢 1guest62cfbf
 
不孕症 超音波 6
不孕症      超音波          6不孕症      超音波          6
不孕症 超音波 6guest62cfbf
 
不孕症 超音波 2
不孕症      超音波          2不孕症      超音波          2
不孕症 超音波 2guest62cfbf
 
不孕症 超音波 1
不孕症      超音波          1不孕症      超音波          1
不孕症 超音波 1guest62cfbf
 
不孕症 遺傳諮詢 1
不孕症        遺傳諮詢              1不孕症        遺傳諮詢              1
不孕症 遺傳諮詢 1guest62cfbf
 
不孕症 遺傳諮詢 4
不孕症        遺傳諮詢            4不孕症        遺傳諮詢            4
不孕症 遺傳諮詢 4guest62cfbf
 
不孕症 遺傳諮詢 3
不孕症        遺傳諮詢            3不孕症        遺傳諮詢            3
不孕症 遺傳諮詢 3guest62cfbf
 

More from guest62cfbf (19)

排卵藥物 2
排卵藥物             2排卵藥物             2
排卵藥物 2
 
多囊性卵巢 8
多囊性卵巢            8多囊性卵巢            8
多囊性卵巢 8
 
Pcos 1
Pcos        1Pcos        1
Pcos 1
 
多囊性卵巢 7
多囊性卵巢            7多囊性卵巢            7
多囊性卵巢 7
 
多囊性卵巢 3
多囊性卵巢            3多囊性卵巢            3
多囊性卵巢 3
 
多囊性卵巢 6
多囊性卵巢            6多囊性卵巢            6
多囊性卵巢 6
 
多囊性卵巢 5
多囊性卵巢            5多囊性卵巢            5
多囊性卵巢 5
 
多囊性卵巢 4
多囊性卵巢            4多囊性卵巢            4
多囊性卵巢 4
 
多囊性卵巢 3
多囊性卵巢            3多囊性卵巢            3
多囊性卵巢 3
 
多囊性卵巢 2
多囊性卵巢            2多囊性卵巢            2
多囊性卵巢 2
 
多囊性卵巢 1
多囊性卵巢            1多囊性卵巢            1
多囊性卵巢 1
 
不孕症 超音波 6
不孕症      超音波          6不孕症      超音波          6
不孕症 超音波 6
 
不孕症 超音波 2
不孕症      超音波          2不孕症      超音波          2
不孕症 超音波 2
 
不孕症 超音波 1
不孕症      超音波          1不孕症      超音波          1
不孕症 超音波 1
 
不孕症 遺傳諮詢 1
不孕症        遺傳諮詢              1不孕症        遺傳諮詢              1
不孕症 遺傳諮詢 1
 
不孕症 遺傳諮詢 4
不孕症        遺傳諮詢            4不孕症        遺傳諮詢            4
不孕症 遺傳諮詢 4
 
不孕症 遺傳諮詢 3
不孕症        遺傳諮詢            3不孕症        遺傳諮詢            3
不孕症 遺傳諮詢 3
 
Pws921109speech
Pws921109speechPws921109speech
Pws921109speech
 
Pcos 2
Pcos        2Pcos        2
Pcos 2
 

不孕症 遺傳諮詢 2