年紀越長，胚胎品質如溜滑梯般往下墜，約有50%的胚胎著床後流產，是由染色體的異常所引起！建議胚胎植入前，先做 #PGS(PGT-A) 確認，這是一種可以在植入胚胎前就將胚胎做完整染色體評估的一種新的基因科技。可以為一般不孕症患者、習慣性流產的婦女、試管嬰兒失敗三次以上、高齡或有家族染色體異常遺傳的患者帶來新的希望。...

2019年05月17日三讀通過《司法院釋字第748號解釋施行法》（下稱「748施行法」），並訂於同年05月24日正式實施，宣告我國成為亞洲第一個同性婚姻合法化國家。而伴隨著同性婚姻的議題，除了法律上效力的異同等等問題以外，大家也十分關注現行法究竟有沒有辦法讓同志生育自己的小孩。而我們今天將從《人工生殖法》的角度，來和大家聊聊聊究竟同志伴侶間可不可以透過人工生殖法生育自己的小孩吧！人工生殖法適用在哪些人呢？首先，讓我們先來看看在現行的《人工生殖法》下，究竟要符合哪些條件，才能實施人工生殖吧！根據人工生殖法第11條的規定：夫妻符合下列各款情形者，醫療機構始得為其實施人工生殖：一、經依第七條規定實施檢查及評估結果，適合接受人工生殖。二、夫妻一方經診斷罹患不孕症，或罹患主管機關公告之重大遺傳性疾病，經由自然生育顯有生育異常子女之虞。三、夫妻至少一方具有健康之生殖細胞，無須接受他人捐贈精子或卵子。夫妻無前項第二款情形，而有醫學正當理由者，得報經主管機關核准後，實施人工生殖。除了這些要件以外，人工生殖法第2條第3款訂有條文中「受術夫妻」的定義：「指接受人工生殖之夫及妻，且妻能以其子宮孕育生產胎兒者。」因此我們從上述的規定綜合來看，實施人工生殖必須同時符合下列條件：1. 一方必須是「不孕」、或經自然出生的小孩可能有重大遺傳性疾病2. 必須通過檢查及評估3. 必須其中一方有辦法提供健康的生殖細胞4. 妻能以其子宮孕育、生產胎兒根據這樣的條件來看，實施人工生殖其實並不容易，同時也因為這樣的規定方式可以得知，在我國並不容許「代理孕母」。因此在現行法下，即便是異性婚姻，只要夫妻都沒有辦法提供健康細胞、或者妻的子宮無法孕育胎兒，也無法實施人工生殖。同性婚姻當事人應該無法適用人工生殖法的規定回到我們一開始提到的問題：同性婚姻的當事人究竟有沒有辦法實施人工生殖呢？雖然在748施行法第24條中，確實明文同性婚姻準用施行法以外其他「夫妻」的規定，但我們可以從上面的說明發現，如果是同性婚姻當事人的狀況下，適用上出現以下2個問題：1. 條文要求必須「不孕」，而同性婚姻的雙方當事人無法生育小孩的原因並非不孕，而是生理上不可能生育，似乎與條文的「不孕」的意思不合。2. 就算我們將「不孕」的解釋擴大包含「生理上不可能生育」的情形，使同性婚姻當事人符合「不孕」的要件，但由於還有「以一方的子宮孕育胎兒」這個要件，因此實質上仍只有女同志能夠實施人工生殖，而男同志則無法實施。總結來說，目前同性婚姻的當事人是無法透過《人工生殖法》的規定實施人工生殖的。但關於這個問題，有新聞指出國健署將會在研究過法律條文後進行討論，未來將會何去何從，我們或許還需要觀察一段時間。...

新通過的「司法院釋字748號解釋施行法」草案，雖然准用民法部分規定，但有不少是有別於異性戀婚姻，包括同婚伴侶的年齡限制設定須滿18歲（異性婚姻的女方年齡僅須滿16歲），且只能單方收養有血緣關係的子女，不能共同收養。對於同婚收養子女部分，法務部長表示，收養部分並未在大法官會議有中提及，但顧及人道與血緣現實狀況，當事人只能收養另一方的親生子女，對繼親收養要予以保護，要保障兒童權益，因此納入，但並未准許同性共同收養小孩。黨政人士也說，考量專法已經用法律來創建同性婚姻關係，若又規定可共同收養無血緣的子女，是用法律再創立第2層的同性家庭關係，社會的接受度不夠高，未來的立法可能更加嚴峻，這就是「社會進步要一步一步來」，事前與挺同團體溝通，也獲得支持。對於跨國同婚規定，蔡清祥表示，跨國婚姻是比較複雜情形，這次沒把所有狀況考慮進來，是因這並非能立即解決，後續還有很多問題要克服，也非本次訂定專法要處理的，這次僅針對大法官解釋談到的問題作初步處理。法務部法律事務司司長鍾瑞蘭也說，對於各界關切跨國同婚、報稅與借精借卵生子相關規定，專法目前尚未準用，因相關議題的主管法條在其他部會，各部會正在斟酌討論檢視中。對於草案中提及宗教自由的效力，草案內提到的宗教自由與其他自由權利，是因這是普世價值，希望很多疑慮能在此做出明確說明，這部分不會因本法施行受影響。他說，未來內政部要如何改變已辦理同性伴侶登記者，會進一步與內政部磋商。...

While talking about food and health.A responsible doctor is to teach the right medical knowledge to those guests!Help those who are jealous to stop on the road.Combine fresh ingredients to create delicious dishes with medical issues! Really happy!The seriousness of the disease has become a chronic or major disease, which has gradually extended enormous medical expenses. In the face of such a "rich disease" that is so expensive, most people can't afford it.It is more important to avoid the disease and find it. You must start your health prevention from the daily routine! ...

Pregnant women in the process of pregnancy, the most important for timely acceptance of prenatal care. Most of the health check-ups listed in the Handbook of Pregnant Women's Manual were made by the Health Insurance Bureau two decades ago and can grasp the general situation of the fetus. With advances in medical science and technology, the "High-Level Ultrasound" childbirth test at its own expense program between 20 and 24 weeks of pregnancy allows us to grasp more detailed health status of the fetus from the brain to the limbs.Dr. Zhong Ji Xian said that the current national health insurance system to pay two prenatal ultrasound examination costs, respectively, in early pregnancy and about 20 weeks of pregnancy, belong to the basic items of inspection, the main assessment of fetal size, fetal position, amniotic fluid volume and placenta position. At 20 to 24 weeks of pregnancy, the baby's organs have developed to some extent. Through the "high-level ultrasound", the fetus can be subjected to whole-body organs. The detailed examination of the structure from the brain to the limbs allows parents to understand the health of the fetus , If any abnormalities can be tracked immediately after birth treatment.Zhong Jixian shows that high-level ultrasound belongs to 2D images and is a traditional ultrasound. 3D reorganizes many 2D images into a stereoscopic image, and some information may be distorted. If the time axis is added, it becomes a 4D ultrasound. Although the fetus can be seen Appearance, whether the appearance of defects such as rabbit lips, but can not tell whether the baby has anomalies within the structure, it is still 2D ultrasound has diagnostic value.High-level ultrasound detection of fetal abnormalities, the accuracy rate of about Bacheng, the main influencing factors are pregnant women body size, amniotic fluid volume, baby posture and number of weeks of pregnancy. Pregnant women too thick layer of fat, amniotic fluid too little or baby's position just to block the site to be checked, may cause blurred images. In addition, the number of weeks of pregnancy is too small, baby organs have not yet developed, the week is too large, the baby is not easy to do in the wig flip action, so 20 to 24 weeks of pregnancy is the best time to check. In particular, have produced abnormal fetal exposure to teratogenic drugs or long-term exposure to radiation in pregnant women, are recommended to accept high-level ultrasound examination....

Prenatal examination is very important if you want to give birth to a healthy baby. A 34-year-old pregnant woman in New Taipei City did not make high-level ultrasound when she was pregnant with her first child, but gave birth to a healthy baby successfully. However, at the 28th week of pregnancy, she found that her baby had severe hydrocephalus and both brain cells had contracted , A few days after his death unfortunate death, so that family members quite sad. Dr. Chung Chi-hsien said that the purpose of pregnancy test is to enable all pregnant women to produce healthy babies without endangering their own health. At present, most of the health check-ups listed in the "Manual of Pregnant Women's Health" are contents that the Health Insurance Institute started implementing 20 years ago, and can only grasp the general situation of the fetus. Prenatal examination requires accurate grasp of fetal status Pregnant women during pregnancy, the most important is the timely acceptance of prenatal care. The current National Health Insurance system to pay 2 prenatal ultrasound examination costs, but belong to the basic items of inspection, the main assessment of fetal size, fetal position, amniotic fluid volume and placenta position.  At present, "high-level ultrasound" can conduct detailed examination of the entire body organs and limbs of the fetus so that prospective parents can understand the health status of the fetus at an early stage. If there is any abnormality, they can follow the treatment promptly after birth. Although they need their own expense, but high-level ultrasound examinations like the baby's first general medical examination, can accurately grasp the fetus more detailed health status....

To a well-known television station in Taiwan to participate in the program hosted by TAO,JING-YING "Woman 234" video, for the explanation of the topic of infertility, from the perspective of Western medicine for the treatment of infertility artists and the audience and medical information related.Talk about infertility through talk shows, hoping to make the content available to couples who want to get pregnant! ...

Dr. Zhong Jixian was invited to participate in the 10/27-11/4 American Reproductive Medicine Annual Meeting (ASRM). ASRM is the highest authority in the field of human reproduction. Its members come from more than 100 countries around the world, and many experts attend the meeting. Its prosperity. This annual meeting, and met with Dr. He Hongneng from National Taiwan University Hospital, this annual meeting will discuss how to use new technology to maintain future fertility, as well as new ideas and new techniques for embryo implantation. The 2017 American Reproductive Medicine Annual Conference also invited Louise Brown, the first test-tube baby in history, to tell her story....