พฤติกรรมในการป้องกันความผิดปกติแต่กำเนิดจากสิ่งแวดล้อมของสตรีตั้งครรภ์
คำสำคัญ:
ความผิดปกติแต่กำเนิดจากสิ่งแวดล้อม, พฤติกรรม, สตรีตั้งครรภ์บทคัดย่อ
การคลอดทารกที่มีภาวะสุขภาพดีเป็นความคาดหวังของทุกครอบครัว พฤติกรรมของสตรีตั้งครรภ์เป็นหัวใจสำคัญของการป้องกันความผิดปกติแต่กำเนิด ปัจจัยที่ส่งผลให้ทารกเกิดความผิดปกติมี 3 ปัจจัยหลัก ได้แก่ ปัจจัยด้านสิ่งแวดล้อม พันธุกรรม และไม่ทราบสาเหตุที่แน่นอน สิ่งแวดล้อมเป็นปัจจัยที่สามารถควบคุมและป้องกันได้ บทความนี้มีวัตถุประสงค์เพื่อนำเสนอพฤติกรรมในการป้องกันความผิดปกติแต่กำเนิดจากสิ่งแวดล้อมของสตรีตั้งครรภ์ตามแนวทางการป้องกันความผิดปกติแต่กำเนิดของศูนย์ควบคุมและป้องกันโรคแห่งสหรัฐอเมริกา ประกอบด้วยหลักสำคัญ 4 ประการ ที่เรียกว่า PACT คือ การวางแผนล่วงหน้า (Plan Ahead) การหลีกเลี่ยงสิ่งที่เป็นอันตราย (Avoid Harmful Substances) การดำเนินชีวิตให้มีสุขภาพดี (Choose a Healthy Lifestyle) และการพูดคุยกับผู้ให้บริการด้านสุขภาพ (Talk to Health Care Providers) สตรีตั้งครรภ์ควรได้รับการส่งเสริมให้มีพฤติกรรมที่เหมาะสมในทุก ๆ ด้าน ตั้งแต่ก่อนตั้งครรภ์ และขณะตั้งครรภ์ ทั้งนี้เพื่อให้ทารกในครรภ์มีภาวะสุขภาพที่ดีต่อไป
Author Biographies
ปภัชญา มีชัยชนะ, วิทยาลัยพยาบาลบรมราชชนนี สงขลา
เกสรา ศรีพิชญาการ, คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่
References
Anan, S. D. (2015). Antenatal Care: Perspectives of Pregnant Woman in Bangkruai Hospital Nontaburi Province. Journal of Preventive Medicine Association of Thailand, 4(2), 125-134.
Annual Epidemiological Surveillance. (2012). Rubella. Retrieved November 1, 2017 from http://www.boe.moph.go.th
American College of Obstetricians and Gynecologists [ACOG]. (2010). Moderate Caffeine Consumption During Pregnancy. ACOG Committee Opinion No. 462. Obstetrics and Gynecology, 116(2), 467-468.
American Diabetes Association [ADA]. (2016). Management of Diabetes in Pregnancy. Diabetes Care, 39(1), 94–98. doi: 10.2337/dc16-S015
American Pregnancy Association. (2016). Exercise During Pregnancy. Retrieved January 12, 2017 from http://americanpregnancy.org
American Thyroid Association. (2016). Iodine Deficiency. Retrieved October 16, 2016 from http://www.thyroid.org/iodine-deficiency/
Bureau of Emerging Infectious Diseases. (2016). Situation and Prevention of Zika Virus in Thailand. Retrieved October 16, 2016 from http://beid.ddc.moph.go.th
Centers for Disease Control and Prevention [CDC]. (2015). Make a PACT for Prevention: Commit to Healthy Choices to Help Prevent Birth Defects. Retrieved October 17, 2016 fromhttp://www.cdc.gov
Chetchowska, M., Salach, J. K., Ambroszkiewicz, J., Maciejewski, T., Gajewska, J., Bulska, E., & Barciszewski, J. (2011). Effect of Cigarette Smoking on Blood Lead Levels in Pregnant Women. Medycyna Wieku Rozwojowego, 16(3), 196-204.
Christianson, A., Howson, C. P., & Modell, B. (2006). March of Dimes: Global Report on Birth Defects the Hidden Toll of Dying and Disabled Children. New York: White Plains.
Cunningham, F. G., Leveno, K. J., Spong, C. Y., Dashe, J. S., Hoffman, B. L., Casey, B. M. et al. (2014). Williams Obstetrics (24thed.). New York: McGraw-Hill Education.
Czeizel, A. E., Dudas, I., Vereczkey, A., & Banhidy, F. (2013). Folate Deficiency and Folic Acid Supplementation: The Prevention of Neural-Tube Defects and Congenital Heart Defects. Nutrients, 5(11), 4760-4775.doi:10.3390/nu5114760
Department of Labour Protection and Welfare Ministry of Labour. (2014). Women of Labour.Retrieved November 17, 2016 from https://www.nstda.or.th
Faculty of Medicine Chiang Mai University. (2016). Mother and Child Health Handbook of Maharaj Nakorn Chiang Mai Hospital. Chiang Mai: Chiang Mai University. (in Thai)
Feldman, S. H., Jones, L. K., Lindsay, S., Slymen, D., Cohen, K. H., Kao, K., et al. (2012). Prenatal alcohol Exposure Patterns and Alcohol-Related Birth Defects and Growth Deficiencies: A Prospective Study. Alcoholism: Clinical and Experimental Research, 36(4), 670-676.doi: 10.1111/j.1530-0277.2011.01664.x
Gallo, A. M., & Lee, K. A. (2008). Sleep Characteristics in Hospitalized Antepartum Patients. Gynecologic and Neonatal Nursing, 37(6), 715-721. doi: 10.1111/j.1552-6909.2008.00297.x
Health. (2016). Listeriosis Fact Sheet. Retrieved October 16, 2016 from http://www.health. nsw.gov.au
Kongkanoy, K., & Sirikhun, S. (2012). Pregnancy Yoga. Retrieved November 17, 2016 from http://thaicamdb.info
Leddy, M. A., Anderson, B. L., Power, M. L., Gall, S., Gonik, B., & Schulkin, J. (2009). Changes in and Current Status of Obstetrician-Gynecologists’ Knowledge, Attitudes, and Practice Regarding Immunization. Obstetrical & Gynecological Survey, 64(12), 823-829.doi: 10.1097/OGX.0b013e3181c4bbb7
Medlineplus. (2017). Caffeine. Retrieved November 10, 2016 from http://www.nlm.nih.gov/ medlineplus/caffeine.html
Medthai. (2015). Family Planning. Retrieved March 30, 2019 from http://www.medthai.com
Meechaichana, W., Sripichyakan, K., & Phianmongkhol, Y. (2018). Knowledge and behavior in preventing birth defects from environment of pregnant woman in Chiang Mai. The southern college network journal of nursing and public health, 5(1): 32-46.
Ministry of Public Health. (2013). Mother and Child Health Handbook (6thed.). Thailand: He War Veterans Organization.
National Science and Technology Development Agency. (2011). Lead in Preserved Egg. Retrieved October 1, 2016 from https://www.nstda.or.th
Nisenblat, V., & Norman, J. R., (2016). The Effects of Caffeine on Reproductive Outcomes in Women. Retrieved October 16, 2016 from http://www.uptodate.com
Ostrer, H. (2016). Genetic and Environmental Causes of Birth Defect. Retrieved October 16, 2016 from http://www.uptodate.com/contents/genetic-and-environmental-causes-of-%09birth-defects
Rasmussen, S. A., Jamieson, D. J., Honein, M. A., & Petersen, L. R. (2016). Zika Virus and Birth Defects-Reviewing the Evidence for Causality.New England Journal of Medicine, 374(20), 1981-1987. doi: 10.1056/NEJMsr1604338
Seeharuttanapatum, B., & Wimonmala, K. (2013). Knowledge, Attitude and Premarital Health Check Up Behavior of the Couple Formation Stage in the Women Health Promotion and Family Planning Unit at Bma Medical College and Vajira Hospital. Journal of Public Health Nursing, 27(1), 46-60. (in Thai)
Khemapech, S. (2013). Exercise: Effect on Pregnant Women and Fetus. Journal of the Police Nursing, 5(1): 1-18. (in Thai)
Sripichyakan, K. (2014). Prenatal care. In U. Charuwatcharapaniskul (Ed.), The Main Knowledge of Maternal and Newborn Nursing and Midwifery (pp. 165-178). Chiang Mai: krongchang printing Office. (in Thai)
Sripichyakan, K., Ayutthaya, N. I. A., Deelua, J., Wanapirak, C., & Sangsawang, S. (2016). Promotion of Fetal Development from the Experience of Parents, Families, Female Youths, and Nursing Personnel. Faculty of Nursing, Chiang Mai University. (in Thai)
Sukchan, P., Liabsuetrakul, T., Chongsuvivatwong, V., Songwathana, P., Sornsrivichai, V., & Kuning, M. (2010). Inadequacy of Nutrients Intake among Pregnant Women in the Deep South of Thailand. BMC Public Health, 10(1), 1.doi: 10.1186/1471-2458-10-572
Techawathakul, S., Ratinthorn, A., Yusamran, C., & Boriboonhirunsarn, D. (2014). Risk Factors Related to Preeclampsia. Journal of Nursing Science, 32(1), 61-70. (in Thai)
The Asianparent Thailand. (2017). Stress in Pregnancy Causes Underweight Babies, Study Says. Retrieved July 27, 2017 from https://sg.theasianparent.com/stress-pregnancy
The Society of Obstetricians and Gynaecologists of Canada [SOGC]. (2014). Working During Pregnanc. Retrieved Retrieved July 27, 2016 from http://pregnancy.sogc.org
The Society of Maternal and Fetal Medicine. (2016). Annual Report 2015. Maharaj Nakorn Chiangmai Hospital. (in Thai)
The U.S. Department of Agriculture Food and Drug Administration [USDA-FDA]. (2011). Food Safety for Pregnant Woman. Retrieved from http://www.fda.gov
Wagijo, M. A., Sheikh, A., Duijts, L., & Been, J. V. (2015). Reducing Tobacco Smoking and Smoke Exposure to Prevent Preterm Birth and its Complications. Paediatric Respiratory Reviews, 22, 3-10. doi:http://dx.doi.org/10.1016/j.prrv.2015.09.002
World Health Organization [WHO]. (2006). Five Keys to Safer Food Manual. Retrieved November 17, 2016 from http://apps.who.int
World Health Organization [WHO]. (2011). Guideline: Vitamin A Supplementation in Pregnant Women. Geneva: World Health Organization.
World Health Organization [WHO]. (2013). Birth Defects in South-East Asia: A Public Health Challenge: Situation Analysis. Retrieved July 27, 2016 from http://apps.searo.who.int
World Health Organization [WHO]. (2015). Congenital Anomalies. Retrieved July 27, 2016 from http://www.who.int/mediacentre/factsheets/fs370
World Health Organization [WHO]. (2016a). What is the Environment in the Context of Health?. Retrieved July 27, 2017 from http://www.who.int
World Health Organization [WHO]. (2016b). Iodine Supplementation in Pregnant and Lactating Woman. Retrieved October 16, 2016 from http://www.who.int
Annual Epidemiological Surveillance. (2012). Rubella. Retrieved November 1, 2017 from http://www.boe.moph.go.th
American College of Obstetricians and Gynecologists [ACOG]. (2010). Moderate Caffeine Consumption During Pregnancy. ACOG Committee Opinion No. 462. Obstetrics and Gynecology, 116(2), 467-468.
American Diabetes Association [ADA]. (2016). Management of Diabetes in Pregnancy. Diabetes Care, 39(1), 94–98. doi: 10.2337/dc16-S015
American Pregnancy Association. (2016). Exercise During Pregnancy. Retrieved January 12, 2017 from http://americanpregnancy.org
American Thyroid Association. (2016). Iodine Deficiency. Retrieved October 16, 2016 from http://www.thyroid.org/iodine-deficiency/
Bureau of Emerging Infectious Diseases. (2016). Situation and Prevention of Zika Virus in Thailand. Retrieved October 16, 2016 from http://beid.ddc.moph.go.th
Centers for Disease Control and Prevention [CDC]. (2015). Make a PACT for Prevention: Commit to Healthy Choices to Help Prevent Birth Defects. Retrieved October 17, 2016 fromhttp://www.cdc.gov
Chetchowska, M., Salach, J. K., Ambroszkiewicz, J., Maciejewski, T., Gajewska, J., Bulska, E., & Barciszewski, J. (2011). Effect of Cigarette Smoking on Blood Lead Levels in Pregnant Women. Medycyna Wieku Rozwojowego, 16(3), 196-204.
Christianson, A., Howson, C. P., & Modell, B. (2006). March of Dimes: Global Report on Birth Defects the Hidden Toll of Dying and Disabled Children. New York: White Plains.
Cunningham, F. G., Leveno, K. J., Spong, C. Y., Dashe, J. S., Hoffman, B. L., Casey, B. M. et al. (2014). Williams Obstetrics (24thed.). New York: McGraw-Hill Education.
Czeizel, A. E., Dudas, I., Vereczkey, A., & Banhidy, F. (2013). Folate Deficiency and Folic Acid Supplementation: The Prevention of Neural-Tube Defects and Congenital Heart Defects. Nutrients, 5(11), 4760-4775.doi:10.3390/nu5114760
Department of Labour Protection and Welfare Ministry of Labour. (2014). Women of Labour.Retrieved November 17, 2016 from https://www.nstda.or.th
Faculty of Medicine Chiang Mai University. (2016). Mother and Child Health Handbook of Maharaj Nakorn Chiang Mai Hospital. Chiang Mai: Chiang Mai University. (in Thai)
Feldman, S. H., Jones, L. K., Lindsay, S., Slymen, D., Cohen, K. H., Kao, K., et al. (2012). Prenatal alcohol Exposure Patterns and Alcohol-Related Birth Defects and Growth Deficiencies: A Prospective Study. Alcoholism: Clinical and Experimental Research, 36(4), 670-676.doi: 10.1111/j.1530-0277.2011.01664.x
Gallo, A. M., & Lee, K. A. (2008). Sleep Characteristics in Hospitalized Antepartum Patients. Gynecologic and Neonatal Nursing, 37(6), 715-721. doi: 10.1111/j.1552-6909.2008.00297.x
Health. (2016). Listeriosis Fact Sheet. Retrieved October 16, 2016 from http://www.health. nsw.gov.au
Kongkanoy, K., & Sirikhun, S. (2012). Pregnancy Yoga. Retrieved November 17, 2016 from http://thaicamdb.info
Leddy, M. A., Anderson, B. L., Power, M. L., Gall, S., Gonik, B., & Schulkin, J. (2009). Changes in and Current Status of Obstetrician-Gynecologists’ Knowledge, Attitudes, and Practice Regarding Immunization. Obstetrical & Gynecological Survey, 64(12), 823-829.doi: 10.1097/OGX.0b013e3181c4bbb7
Medlineplus. (2017). Caffeine. Retrieved November 10, 2016 from http://www.nlm.nih.gov/ medlineplus/caffeine.html
Medthai. (2015). Family Planning. Retrieved March 30, 2019 from http://www.medthai.com
Meechaichana, W., Sripichyakan, K., & Phianmongkhol, Y. (2018). Knowledge and behavior in preventing birth defects from environment of pregnant woman in Chiang Mai. The southern college network journal of nursing and public health, 5(1): 32-46.
Ministry of Public Health. (2013). Mother and Child Health Handbook (6thed.). Thailand: He War Veterans Organization.
National Science and Technology Development Agency. (2011). Lead in Preserved Egg. Retrieved October 1, 2016 from https://www.nstda.or.th
Nisenblat, V., & Norman, J. R., (2016). The Effects of Caffeine on Reproductive Outcomes in Women. Retrieved October 16, 2016 from http://www.uptodate.com
Ostrer, H. (2016). Genetic and Environmental Causes of Birth Defect. Retrieved October 16, 2016 from http://www.uptodate.com/contents/genetic-and-environmental-causes-of-%09birth-defects
Rasmussen, S. A., Jamieson, D. J., Honein, M. A., & Petersen, L. R. (2016). Zika Virus and Birth Defects-Reviewing the Evidence for Causality.New England Journal of Medicine, 374(20), 1981-1987. doi: 10.1056/NEJMsr1604338
Seeharuttanapatum, B., & Wimonmala, K. (2013). Knowledge, Attitude and Premarital Health Check Up Behavior of the Couple Formation Stage in the Women Health Promotion and Family Planning Unit at Bma Medical College and Vajira Hospital. Journal of Public Health Nursing, 27(1), 46-60. (in Thai)
Khemapech, S. (2013). Exercise: Effect on Pregnant Women and Fetus. Journal of the Police Nursing, 5(1): 1-18. (in Thai)
Sripichyakan, K. (2014). Prenatal care. In U. Charuwatcharapaniskul (Ed.), The Main Knowledge of Maternal and Newborn Nursing and Midwifery (pp. 165-178). Chiang Mai: krongchang printing Office. (in Thai)
Sripichyakan, K., Ayutthaya, N. I. A., Deelua, J., Wanapirak, C., & Sangsawang, S. (2016). Promotion of Fetal Development from the Experience of Parents, Families, Female Youths, and Nursing Personnel. Faculty of Nursing, Chiang Mai University. (in Thai)
Sukchan, P., Liabsuetrakul, T., Chongsuvivatwong, V., Songwathana, P., Sornsrivichai, V., & Kuning, M. (2010). Inadequacy of Nutrients Intake among Pregnant Women in the Deep South of Thailand. BMC Public Health, 10(1), 1.doi: 10.1186/1471-2458-10-572
Techawathakul, S., Ratinthorn, A., Yusamran, C., & Boriboonhirunsarn, D. (2014). Risk Factors Related to Preeclampsia. Journal of Nursing Science, 32(1), 61-70. (in Thai)
The Asianparent Thailand. (2017). Stress in Pregnancy Causes Underweight Babies, Study Says. Retrieved July 27, 2017 from https://sg.theasianparent.com/stress-pregnancy
The Society of Obstetricians and Gynaecologists of Canada [SOGC]. (2014). Working During Pregnanc. Retrieved Retrieved July 27, 2016 from http://pregnancy.sogc.org
The Society of Maternal and Fetal Medicine. (2016). Annual Report 2015. Maharaj Nakorn Chiangmai Hospital. (in Thai)
The U.S. Department of Agriculture Food and Drug Administration [USDA-FDA]. (2011). Food Safety for Pregnant Woman. Retrieved from http://www.fda.gov
Wagijo, M. A., Sheikh, A., Duijts, L., & Been, J. V. (2015). Reducing Tobacco Smoking and Smoke Exposure to Prevent Preterm Birth and its Complications. Paediatric Respiratory Reviews, 22, 3-10. doi:http://dx.doi.org/10.1016/j.prrv.2015.09.002
World Health Organization [WHO]. (2006). Five Keys to Safer Food Manual. Retrieved November 17, 2016 from http://apps.who.int
World Health Organization [WHO]. (2011). Guideline: Vitamin A Supplementation in Pregnant Women. Geneva: World Health Organization.
World Health Organization [WHO]. (2013). Birth Defects in South-East Asia: A Public Health Challenge: Situation Analysis. Retrieved July 27, 2016 from http://apps.searo.who.int
World Health Organization [WHO]. (2015). Congenital Anomalies. Retrieved July 27, 2016 from http://www.who.int/mediacentre/factsheets/fs370
World Health Organization [WHO]. (2016a). What is the Environment in the Context of Health?. Retrieved July 27, 2017 from http://www.who.int
World Health Organization [WHO]. (2016b). Iodine Supplementation in Pregnant and Lactating Woman. Retrieved October 16, 2016 from http://www.who.int
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2019-05-01
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1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารเครือข่าย วิทยาลัยพยาบาลและการสาธารณสุขภาคใต้ ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการหรือเครือข่ายวิทยาลัยพยาบาลและวิทยาลัยการสาธารณสุขภาคใต้ ไม่จำเป็นต้องเห็นด้วย
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