Women with sickle cell disease (SCD) are of particular concern regarding the significantly increased risk of pregnancy-related morbidity, mortality, and adverse outcomes. They have limited knowledge of pregnancy and childbirth risks, as well as of the benefits and risks of contraceptives. Thus, there is an urgent need for appropriate information about reproductive family planning to reduce unintended pregnancy. Any decision regarding the use of contraceptives has to be based on the efficacy and risk/benefit ratio of the method used. Both the World Health Organization (WHO) and the Centers for Disease Control (CDC) have developed, published, and updated evidence-based guidelines for medical providers for the use of contraceptives in patients with specific medical chronic conditions. This article provides an overview of the present knowledge on the use of contraceptives in women with SCD. We believe that the collaboration between health care professionals (hematologists, obstetricians, endocrinologists, and primary care providers) can play a major role in identifying the safer contraceptive method to abolish the risks of unintended pregnancy and preserve the health status of patients with SCD.

译文

镰状细胞病 (SCD) 的妇女特别关注与妊娠相关的发病率,死亡率和不良结局的风险显着增加。他们对怀孕和分娩风险以及避孕药具的益处和风险的了解有限。因此,迫切需要有关生殖计划生育的适当信息,以减少意外怀孕。关于使用避孕药具的任何决定都必须基于所用方法的功效和风险/收益比。世卫组织和疾病控制中心 (CDC) 都已为医疗提供者开发,发布和更新了针对特定慢性病患者使用避孕药的循证指南。本文概述了SCD妇女使用避孕药具的现有知识。我们相信,卫生保健专业人员 (血液学家、产科医生、内分泌医生和初级保健提供者) 之间的合作可以在确定更安全的避孕方法以消除意外怀孕的风险和保护SCD患者的健康状况方面发挥重要作用。

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