葉長青醫師的好孕領航日誌

27/09/2025

台灣婦產科醫學會對於「孕婦使用乙醯氨酚與新生兒自閉症」的看法

27/09/2025

國際婦產科聯盟 (FIGO) 的官方聲明: 乙醯氨基酚 (acetaminophen) 在懷孕期間的使用與自閉症風險：證據不支持因果關係

孕期用藥原則，需平衡利與弊:
利: 控制疾病，避免因疾病控制不佳而影響懷孕 (例如感染、高血壓、糖尿病、免疫疾病等)
弊: 藥物對懷孕與胎兒的可能影響 (例如非類固醇抗發炎止痛藥 (NSAIDs) 在懷孕後期可能造成胎兒動脈導管提早關閉)

FIGO statement on Paracetamol (acetaminophen) use during pregnancy and autism risk: evidence does not support causal association

While some observational studies have suggested associations, these findings have fundamental methodological limitations, including recall bias, inadequate exposure characterisation, heterogeneous outcome assessment and insufficient control for confounding factors. Obstetric practice should be based on evidence-based medicine and careful evaluation of research methodology. Recent statements questioning paracetamol safety go against established scientific findings and may harm maternal and foetal health by discouraging use of this medication.

"As obstetric professionals, we should maintain our focus on evidence-based practice and advocate for our patients based on rigorous scientific research and proper evaluation of study quality." - Dr Frank Louwen, FIGO President-Elect

Healthcare providers should continue recommending paracetamol as the preferred analgesic during pregnancy when medically needed, counselling patients based on evidence while maintaining confidence in this medication's established safety profile.

Read the full statement here: https://www.figo.org/paracetamol-acetaminophen-use-during-pregnancy-and-autism-risk-evidence-does-not-support-causal

International Journal of Gynecology and Obstetrics

07/09/2025

報告與分享學習之旅最終站: 台北
研討會地點涵蓋北、中、南，內容從制度到實務，產前到產後，毫無冷場。
母胎安全永遠是 first priority。產科醫師的價值除了日夜待命接生外，綜合判斷母體、胎兒與胎盤狀況，追求母親與胎兒的最佳利益，平衡地做出因地與因時制宜的最適合決定，在這高危險妊娠日益增加的社會，更形重要。
Keep going~~

24/08/2025

這是一位國外過來，合併凝血功能異常與家族血栓病史的產婦。產科從來不是靠個人，團隊合作才是成功的關鍵。感謝部內醫護的支持，加上友科的相挺，在醫療越來越吃緊的時刻，守護孕產婦與胎兒的安全。Keep going 💪

14/08/2025

懷孕期間和產後預防栓塞是重要議題。新版的安產御守來了~ 現在生的比較少，但高危險妊娠變多，每個生產都平安 🙏