台湾人工生殖技术管制之回顾与前瞻

台湾地区人工生殖技术的管制先后经历了道德管制和行政管制两个阶段,目前正积极总结各阶段管制模式的成败得失,努力构造《人工生殖法》的原则和框架,以提高人工生殖技术管制的合法性和有效性。     

Association of Depression with Complications of Diabetic Pregnancy: A Retrospective Analysis

The goal of this study was to determine whether an association between histories of depression and adverse pregnancy outcome could be established using a retrospective analysis. Participants were a convenience sample of 152 pregnant diabetic women for whom prior pregnancy data were available. Prior pregnancy outcome, depression history, and other clinical characteristics were determined from chart review and medical history questionnaires. Logistic regression was used to determine which of the measured clinical factors, including history of depression, had a significant association with history of pregnancy complications. Thirty-nine patients (26%) had a past history of depression. Three pregnancy complications (preterm labor, pre-eclampsia, fetal prematurity) were more common in the group having a history of depression as was the proportion of participants requiring Caesarean section p( < .05 for each comparison). A history of depression was associated with prior pregnancy complications independent of the effects of parity, prepregnancy BMI, tobacco use history, diabetes type, and presence of diabetes complications (OR = 3.6; 95% CI = 1.5–9.0, p = .006). These retrospective data indicate that depression is linked to complications of diabetic pregnancy and support the need for prospective studies to clarify the effects of depression and its treatment on diabetic pregnancy.     

Tired,moody and pregnant? Exercise may be the answer

Negative psychological states such as depression, fatigue and anxiety are experienced by many women during pregnancy. This study examined whether engaging in an exercise programme during pregnancy is associated with improvements in psychological well-being among previously inactive women (n?=?56, M age?=?30.34, SD?=?4.57; M weeks pregnant?=?22.58, SD?=?5.32). Participants completed the Profile of Mood States–Short Form and State Trait Anxiety Scale-Trait version at baseline and after four weeks of exercise. Exercise was assessed using accelerometers and these data were used to determine bouts of 30-min of moderate-to-vigorous exercise. Factorial repeated measures ANOVAs demonstrated that participants who met Canadian guidelines for exercise during pregnancy at week four (n?=?17) experienced significant decreases in depression (p?=?.004, η²?=?.13), anger (p?=?.03, η²?=?.08), tension (p?=?.03, η²?=?.08), fatigue (p?=?.01, η²?=?.10), trait anxiety (p?=?.01, η²?=?.12) and increases in vigour (p?=?.001, η²?=?.19) compared to those who were not meeting guidelines (n?=?39). From a psychological health perspective, these findings highlight the importance of continuing to promote exercise during pregnancy.     

Young Rural Males in South Africa Speak on Teenage Pregnancy: “It's Really Her Problem”

The aim of this study was to explore the attitudes, beliefs and behaviours of school-going rural males in KwaZulu-Natal, South Africa on teenage pregnancy. Two methods of data collection were used, namely, a quantitative survey with a sample of 294 male youth from 10 schools. This was followed by focus group interviews with three groups, each comprising ten males, from three of the schools. Quantitative data examined self reported knowledge, behaviours, beliefs and attitudes of participants relating to teenage pregnancy. Qualitative data from the focus groups generated both an individual and ‘group think and provided insights into the relational construction of these beliefs and behaviours. Although the analysis revealed some mixed reactions, the majority response pointed to ‘dominant male-submissive female’ views of sexual relationships. Most participants supported the notion that the burden of pregnancy fell on the female, with males frequently denying paternity and criticizing females for careless sexual behaviour. Attributions for teenage pregnancy by boys are important for intervention to curtail impact on survivor girls.