• 【在尼日利亚伊洛因,使用皮下左炔诺孕酮植入物避孕作为手术避孕的替代方法。】 复制标题 收藏 收藏
    DOI:10.1016/0020-7292(91)90667-t 复制DOI
    作者列表:Fakeye O
    BACKGROUND & AIMS: :Acceptability and social characteristics of a cohort of Norplant, IUD, pill and depo-med-roxyprogesterone acetate (DMPA) acceptors who were seen at the University of Ilorin Family Planning Clinic over a 10-week period of the pre-introductory clinical trial of Norplant, are compared. Findings indicate that Norplant and DMPA are adopted as an alternative to sterilization by women advanced in reproductive age and of high parity. The pill and IUD are adopted mainly as birth-spacing methods. Women's education, but not previous use of a contraceptive method, influenced the adoption of Norplant. The continuation rate at 12 months, a measure of acceptability, was highest, 93.7 per 100 women, for Norplant and 77.9, 46.7 and 27.7 per 100 women for the IUD, DMPA and the pill, respectively. The need to address the high family size norms in the African subregion is discussed.
    背景与目标: : 在伊洛林大学计划生育诊所进行的为期10周的Norplant,IUD,pill和depo-med-roxygesterone acetate (DMPA) 受体队列的可接受性和社会特征。比较了Norplant的入门临床试验。调查结果表明,育龄高,高胎次的妇女采用Norplant和DMPA作为绝育的替代方法。避孕药和宫内节育器主要用作生育间隔方法。妇女的教育,但以前没有使用避孕方法,影响了Norplant的采用。12个月时的可接受性指标Norplant最高,每100名妇女93.7例,IUD、DMPA和药丸分别为每100名妇女77.9例、46.7例和27.7例。讨论了解决非洲次区域高家庭规模规范的必要性。
  • 【避孕选择项目: 减少长效可逆避孕的障碍。】 复制标题 收藏 收藏
    DOI:10.1016/j.ajog.2010.04.017 复制DOI
    作者列表:Secura GM,Allsworth JE,Madden T,Mullersman JL,Peipert JF
    BACKGROUND & AIMS: OBJECTIVE:To introduce and promote the use of long-acting reversible methods of contraception (LARC; intrauterine contraceptives and subdermal implant) by removing financial and knowledge barriers. STUDY DESIGN:The Contraceptive CHOICE Project is a prospective cohort study of 10,000 women 14-45 years who want to avoid pregnancy for at least 1 year and are initiating a new form of reversible contraception. Women screened for this study are read a script regarding long-acting reversible methods of contraception to increase awareness of these options. Participants choose their contraceptive method that is provided at no cost. We report the contraceptive choice and baseline characteristics of the first 2500 women enrolled August 2007 through December 2008. RESULTS:Sixty-seven percent of women enrolled (95% confidence interval, 65.3-69.0) chose long-acting methods. Fifty-six percent selected intrauterine contraception and 11% selected the subdermal implant. CONCLUSION:Once financial barriers were removed and long-acting reversible methods of contraception were introduced to all potential participants as a first-line contraceptive option, two-thirds chose long-acting reversible methods of contraception.
    背景与目标:
  • 【自然月经节律和口服避孕药会不同程度地影响呼出气成分。】 复制标题 收藏 收藏
    DOI:10.1038/s41598-018-29221-z 复制DOI
    作者列表:Sukul P,Schubert JK,Trefz P,Miekisch W
    BACKGROUND & AIMS: :Natural menstrual cycle and/or oral contraception diversely affect women metabolites. Longitudinal metabolic profiling under constant experimental conditions is thereby realistic to understand such effects. Thus, we investigated volatile organic compounds (VOCs) exhalation throughout menstrual cycles in 24 young and healthy women with- and without oral contraception. Exhaled VOCs were identified and quantified in trace concentrations via high-resolution real-time mass-spectrometry, starting from a menstruation and then repeated follow-up with six intervals including the next bleeding. Repeated measurements within biologically comparable groups were employed under optimized measurement setup. We observed pronounced and substance specific changes in exhaled VOC concentrations throughout all cycles with low intra-individual variations. Certain blood-borne volatiles changed significantly during follicular and luteal phases. Most prominent changes in endogenous VOCs were observed at the ovulation phase with respect to initial menstruation. Here, the absolute median abundances of alveolar ammonia, acetone, isoprene and dimethyl sulphide changed significantly (P-value ≤ 0.005) by 18.22↓, 13.41↓, 18.02↑ and 9.40↓%, respectively. These VOCs behaved in contrast under the presence of combined oral contraception; e.g. isoprene decreased significantly by 30.25↓%. All changes returned to initial range once the second bleeding phase was repeated. Changes in exogenous benzene, isopropanol, limonene etc. and smoking related furan, acetonitrile and orally originated hydrogen sulphide were rather nonspecific and mainly exposure dependent. Our observations could apprehend a number of known/pre-investigated metabolic effects induced by monthly endocrine regulations. Potential in vivo origins (e.g. metabolic processes) of VOCs are crucial to realize such effects. Despite ubiquitous confounders, we demonstrated the true strength of volatolomics for metabolic monitoring of menstrual cycle and contraceptives. These outcomes may warrant further studies in this direction to enhance our fundamental and clinical understanding on menstrual metabolomics and endocrinology. Counter-effects of contraception can be deployed for future noninvasive assessment of birth control pills. Our findings could be translated toward metabolomics of pregnancy, menopause and post-menopausal complications via breath analysis.
    背景与目标: : 自然月经周期和/或口服避孕对女性代谢产物的影响不同。因此,在恒定的实验条件下进行纵向代谢分析对于理解这种影响是现实的。因此,我们调查了24名有或没有口服避孕药的年轻健康女性在整个月经周期中的挥发性有机化合物 (voc) 呼气。从月经开始,然后以六个间隔 (包括下一次出血) 重复随访,通过高分辨率实时质谱法鉴定呼出的voc并以痕量浓度对其进行定量。在优化的测量设置下,在生物学上可比较的组中进行重复测量。我们观察到在所有循环中呼出气VOC浓度的明显变化和物质特异性变化,个体内变化很小。某些血源性挥发物在卵泡期和黄体期发生了显着变化。相对于初次月经,在排卵期观察到内源性voc的最显着变化。肺泡氨、丙酮、异戊二烯和二甲基硫醚的绝对中值丰度 (p值  ≤   0.005) 分别变化18.22 ↓ 、13.41 ↓ 、18.02 ↑ 和9.40 ↓ %。这些voc在联合口服避孕药的存在下表现为相反; 例如异戊二烯显著降低了30.25 ↓ %。一旦第二次出血阶段重复,所有变化都恢复到初始范围。外源苯,异丙醇,柠檬烯等的变化以及与吸烟有关的呋喃,乙腈和口服硫化氢的变化是非特异性的,并且主要取决于暴露。我们的观察结果可能会理解每月内分泌调节引起的许多已知/预先研究的代谢作用。Voc的潜在体内起源 (例如代谢过程) 对于实现这种作用至关重要。尽管混杂因素普遍存在,但我们证明了volatolomics在代谢监测月经周期和避孕药方面的真正优势。这些结果可能需要在这个方向上进行进一步的研究,以增强我们对月经代谢组学和内分泌学的基础和临床理解。避孕的反作用可以用于将来对避孕药进行无创评估。通过呼吸分析,我们的发现可以转化为妊娠,更年期和绝经后并发症的代谢组学。
  • 【在埃塞俄比亚西北部贡达尔市进行抗逆转录病毒治疗的性活跃妇女中,双重避孕方法的利用和相关因素: 一项横断面研究。】 复制标题 收藏 收藏
    DOI:10.1186/s12905-020-0890-3 复制DOI
    作者列表:Abay F,Yeshita HY,Mekonnen FA,Sisay M
    BACKGROUND & AIMS: BACKGROUND:Mother to child transmission is responsible for 90% of child infection with human immune deficiency virus (HIV). Dual contraceptive use is one of the best actions to prevent mother's human immune deficiency virus transmission to her child and partner. This study aimed at assessing the prevalence and factors associated with dual contraceptive use among sexually active women on antiretroviral therapy in Gondar City, northwest, Ethiopia. METHODS:An institution based cross sectional study was conducted in Gondar City public health facilities from December 1 to 31, 2018. Systematic random sampling technique was utilized to include 563 study participants. Data were collected by interview using a structured questionnaire. Descriptive analysis was made to compute mean, median and proportion. Finally, multivariable logistic regression model was fitted to identify the factors associated with dual contraceptive method utilization. Analysis was performed by using Statistical Package for Social Sciences (SPSS) software version 20. RESULTS:The overall prevalence of dual contraceptive method utilization among sexually active women on antiretroviral therapy was 28.8% (95% CI: 24.9, 32.7). Women aged 35-49 years (Adjusted odds ratio (AOR): 6.99; 95% CI: 3.11, 15.71)), who lived in urban areas (AOR: 4.81; 95% CI: 2.04, 11.31), attended secondary and above education (AOR: 4.43; 95% CI: 1.92, 10.22), and disclosed HIV status to sexual partners (AOR: 9.84; 95% CI: 3.48, 27.81) were more likely to use dual contraceptive method. CONCLUSION:In this study, the proportion of women who utilized dual contraceptive method was low. Age, place of residence, educational status and disclosure of HIV status were factors associated with dual contraceptive use. Therefore, providing education about the advantages of disclosing HIV status to sexual partners and strengthening of counseling about the advantages of dual contraceptive use will be helpful in enhancing the use of dual contraceptive method among sexually active women on antiretroviral therapy.
    背景与目标:
  • 【避孕管理对野马 (Equus caballus) 生育力和社会行为的影响。】 复制标题 收藏 收藏
    DOI:10.1093/conphys/cox018 复制DOI
    作者列表:Nuñez CMV,Adelman JS,Carr HA,Alvarez CM,Rubenstein DI
    BACKGROUND & AIMS: :Due to the extirpation of their natural predators, feral horse populations have expanded across the United States, necessitating their management. Contraception of females (mares) with porcine zona pellucida (PZP) is a popular option; however, effects to physiology and behavior can be substantial. On Shackleford Banks, North Carolina, USA, treated mares have exhibited cycling during the non-breeding season and demonstrated decreased fidelity to the band stallion, but PZP's long-term effects on mare physiology and behavior remain largely unexplored. After the contraception program was suspended in this population, we examined how prior exposure to varying levels of PZP treatment impacted (1) foaling probability and foaling dates (a proxy for ovulatory cycling) from 2009 to 2014 and (2) mare fidelity to the band stallion and reproductive behavior during 2013 and 2015. Additionally, we evaluated the effects of time since the mares' last treatment on these factors. Mares receiving any level of prior PZP treatment were less likely to foal than were untreated mares. Among mares that received 1-3 PZP applications, foaling probability increased with time since last treatment before declining, at ~6 years post-treatment. Mares that received 4+ applications did not exhibit a significant increase in foaling probability with time since last treatment. Moreover, previously treated mares continued to conceive later than did untreated mares. Finally, mares previously receiving 4+ treatments changed groups more often than did untreated mares, though reproductive behavior did not differ with contraception history. Our results suggest that although PZP-induced subfertility and its associated behavioral effects can persist after the cessation of treatment, these effects can be ameliorated for some factors with less intense treatment. Careful consideration to the frequency of PZP treatment is important to maintaining more naturally functioning populations; the ability to manage populations adaptively may be compromised if females are kept subfertile for extended periods of time.
    背景与目标: : 由于其天敌的灭绝,野马的数量在美国各地扩大,因此有必要对其进行管理。用猪透明带 (PZP) 避孕雌性 (母马) 是一种流行的选择; 但是,对生理和行为的影响可能是巨大的。在美国北卡罗来纳州的Shackleford Banks上,经过处理的母马在非繁殖季节表现出骑自行车,并且对种马的保真度降低,但是PZP对母马生理和行为的长期影响仍未得到探索。在该人群中暂停避孕计划后,我们研究了先前暴露于不同水平的PZP治疗如何影响 (1) 种马概率和种马日期 (排卵周期的代表) 2009年2014年以及 (2) 母马对种马的忠诚度和生殖行为2013年和2015。此外,我们评估了自母马上次治疗以来的时间对这些因素的影响。与未经治疗的母马相比,接受任何水平的PZP治疗的母马患小马驹的可能性较小。在接受1-3次PZP应用的母马中,自上次治疗以来,母马的概率随时间增加而增加,直到治疗后约6年才下降。自上次治疗以来,接受4次申请的母马的出马概率没有随时间显着增加。此外,以前治疗过的母马比未治疗的母马继续受孕。最后,尽管生殖行为与避孕史没有差异,但先前接受4种治疗的母马比未经治疗的母马更易改变组。我们的结果表明,尽管PZP诱导的生育能力低下及其相关的行为影响在停止治疗后可以持续存在,但对于某些因素而言,这些影响可以通过较小的治疗得到改善。仔细考虑PZP治疗的频率对于维持更自然功能的人群很重要; 如果女性长时间保持低生育能力,则适应性管理人群的能力可能会受到损害。
  • 【镰状细胞病青少年和年轻成年女性激素避孕的当前问题和选择: 卫生保健专业人员的最新情况。】 复制标题 收藏 收藏
    DOI:10.4084/MJHID.2020.032 复制DOI
    作者列表:De Sanctis V,Soliman AT,Daar S,Canatan D,Di Maio S,Kattamis C
    BACKGROUND & AIMS: :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.
    背景与目标: : 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。
  • 【短效可逆避孕在青少年中的使用: 药丸,贴剂,环和紧急避孕。】 复制标题 收藏 收藏
    DOI:10.1016/j.cppeds.2018.11.003 复制DOI
    作者列表:Saldanha N
    BACKGROUND & AIMS: :Long acting reversible contraception (LARC) is the recommend form of birth control for adolescents by both the American Academy of Pediatrics and the American Congress of Obstetrics and Gynecology, but the majority of adolescents continue to use short acting reversible contraception (SARC) such as the oral contraceptive pill, vaginal ring, and transdermal patch. For this reason, it is important for medical providers to be familiar with how to prescribe and manage SARC in adolescents, paying particular attention to which patients are eligible to use them, which benefits the methods have outside of contraception, what side effects to be aware of, and special considerations for adolescents. Many adolescents will choose not to use any form of hormonal contraception-thus having a knowledge about and comfort with use of emergency contraception is of equal importance.
    背景与目标: : 长效可逆避孕 (LARC) 是美国儿科学会和美国妇产科大会推荐的青少年节育形式,但大多数青少年继续使用短效可逆避孕 (SARC),如口服避孕药、阴道环、和透皮贴剂。因此,对于医疗提供者来说,重要的是要熟悉如何在青少年中开出和管理SARC,特别注意哪些患者有资格使用它们,这些方法在避孕之外有哪些好处,需要注意的副作用以及青少年的特殊考虑。许多青少年将选择不使用任何形式的激素避孕-因此,对紧急避孕的了解和安慰具有同等重要的意义。
  • 【[急性间歇性卟啉症和口服避孕药.病例报告].】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Bianketti J,Lipniacka A,Szlendak U,Gregor A
    BACKGROUND & AIMS: BACKGROUND:Acute intermittent porphyria is the most common type of porphyria occurring in Poland. Its characteristic feature is periods of remissions and aggravations. Aggravation or an attack of the disease is caused by many endogenous and exogenous factors, among others by hormonal contraceptives. CASE REPORT:This article describes the case of an acute intermittent porphyria attack in a 28 years old female patient resulting from the use of a few, contraindicated drugs (metamizole, nospa, desogestrel in case of porphyria, urinary tract infection, as well as a spontaneous abortion two months earlier). The attack included abdominal pain, vomiting, reduction in muscle strength in limbs and it was complicated by seizures caused by hyponatraemia. High excess haem precursors in urine was observed. During hospitalization, the patient ceased to take harmful drugs and she was given haem arginate, glucose and symptomatic drugs, and she recovered completely. CONCLUSION:In the described case there were a few porphyrogenous factors whose action was observed, among which the most important was desogestrel. Due to this conclusion, a change in contraceptive therapy that would exclude hormonal contraception was suggested.
    背景与目标:
  • 【在Wistar白化病大鼠中,用risg进行血管内避孕后对白细胞和睾丸的遗传毒性评估,并通过DMSO和nahco 3逆转。】 复制标题 收藏 收藏
    DOI:10.1016/j.reprotox.2012.11.005 复制DOI
    作者列表:Ansari AS,Alam I,Hussain M,Khan SR,Lohiya NK
    BACKGROUND & AIMS: :Evaluation of genotoxicity of RISUG® - a vas based contraceptive, was carried out in the present study. Animals were allotted into groups of sham operated control, vas occlusion with RISUG (5-7 μl) for 360 days and reversal by DMSO (250-500 μl) and 5% NaHCO₃ (500 μl). Blood samples and testis were collected at 360 days of vas occlusion and 90 days of vas occlusion reversal for comet analysis. Hydrogen peroxide induced samples were used as positive control. Olive moment, tail length and percentage DNA in tail were recorded with minimum variation in all groups for both leukocytes and testis. When compared with positive control the variation was highly significant for both 20 μM and 50 μM H₂O₂ (p<0.001). It is concluded that vas occlusion with RISUG at the contraceptive dose regimen is not associated with genotoxicity in leukocytes or the testis of pre- and post-reversal rats.
    背景与目标: : 利苏格的遗传毒性评价®-在本研究中进行了基于vas的避孕药。将动物分为假手术对照组,用ristug (5-7μl) 阻塞vas 360天,并通过DMSO (250-500 μ l) 和5% nahco (500 μ l) 逆转。在360天的vas闭塞和90天的vas闭塞逆转时收集血样和睾丸以进行彗星分析。过氧化氢诱导的样品用作阳性对照。在所有组中,白细胞和睾丸均记录了橄榄时刻,尾巴长度和尾巴中的DNA百分比,变化最小。当与阳性对照相比时,变化对于20μm和50μmh 2 o 2都非常显着 (p<0.001)。结论是,在避孕剂量方案下,ristug阻塞vas与逆转前后大鼠的白细胞或睾丸的遗传毒性无关。
  • 【儿科急诊科干预措施,以增加青少年避孕的开始。】 复制标题 收藏 收藏
    DOI:10.1111/acem.13565 复制DOI
    作者列表:Hoehn EF,Hoefgen H,Chernick LS,Dyas J,Krantz L,Zhang N,Reed JL
    BACKGROUND & AIMS: BACKGROUND:The pediatric emergency department (PED) provides care for adolescents at high risk of unintended pregnancy, but little is known regarding the efficacy of PED-based pregnancy prevention interventions. The objectives of this PED-based pilot intervention study were to 1) assess the rate of contraception initiation after contraceptive counseling and appointment facilitation in the PED during the study period, 2) identify barriers to successful contraception initiation, and 3) determine adolescent acceptability of the intervention. METHODS:This pilot intervention study included females 14 to 19 years of age at risk for unintended pregnancy. Participants received standardized contraceptive counseling and were offered an appointment with gynecology. Participants were followed via electronic medical record and phone to assess contraception initiation and barriers. Chi-square tests were used to examine the association between contraception initiation and participant characteristics. RESULTS:A total of 144 patients were eligible, and 100 were enrolled. In the PED, 68% (68/100) expressed interest in initiating hormonal contraception, with 70% (48/68) of interested participants indicating that long-acting reversible contraception (LARC) was their preferred method. Twenty-five percent (25/100) of participants initiated contraception during the study period, with 19 participants starting LARC. Thirty-nine percent (22/57) of participants who accepted a gynecology appointment attended that appointment. Barriers to follow-up include transportation and inconvenient follow-up times. Participants were accepting of the intervention with 93% agreeing that the PED is an appropriate place for contraceptive counseling. CONCLUSIONS:PED contraceptive counseling is acceptable among adolescents and led to successful contraception initiation in 25% of participants. The main barrier to contraception initiation was participant follow-up with the gynecology appointment.
    背景与目标:
  • 【[与14-18岁学校人口自我报告使用紧急避孕药相关的因素]。】 复制标题 收藏 收藏
    DOI:10.1016/j.gaceta.2010.05.010 复制DOI
    作者列表:López-Amorós M,Schiaffino A,Moncada A,Pérez G
    BACKGROUND & AIMS: OBJECTIVE:To describe factors associated with self-reported use of emergency contraception in adolescents attending school in the city of Terrassa (Barcelona, Spain) in 2008. METHODS:We carried out a cross-sectional study to describe the health habits of teenage girls and boys attending school in Terrassa. A representative sample of adolescents aged between 14 and 18 years (n=1300) was used. The adolescents were administered a questionnaire designed ad hoc. Adolescents who reported having had sexual intercourse at least once were studied (n=390). The outcome variable was self-reported use of emergency contraception at some time. The explanatory variables provided information on sociodemographic characteristics, drug use and sexuality. The odds ratios (OR) and 95% confidence intervals (95% CI) were fitted using multivariate logistic regression models. The results were stratified by sex. RESULTS:A total of 390 students, 28.2% girls and 20.1% boys (their partners) had used emergency contraception at some time. Among boys, the final multivariate model showed that emergency contraception was associated with alcohol abuse (OR=2.7; 95% CI:1.0-7.5), having sexual intercourse weekly (OR=2.8; 95% CI: 1.1-7.2) and not having discussed issues about sexuality in the classroom (OR=2.5; 95% CI: 1.0-6.5). Among girls, self-reported emergency contraception was associated with alcohol abuse (OR=2.7; 95% CI: 1.4-5.6), cannabis consumption (OR=3.1; 95% CI:1.6-6.0) and weekly sexual intercourse (OR=2.0; 95% CI: 1.1-3.9). CONCLUSION:Promotion and prevention strategies should begin as early as possible. Behavioral differences should be seen from a gender perspective in the fields of both research and program implementation.
    背景与目标:
  • 【科威特家庭社交网络中已婚妇女对激素紧急避孕的认识。】 复制标题 收藏 收藏
    DOI:10.1016/j.ejogrb.2006.05.023 复制DOI
    作者列表:Marafie N,Ball DE,Abahussain E
    BACKGROUND & AIMS: OBJECTIVE:Awareness and use of hormonal emergency contraception are not known in the Arab world. This study investigated awareness and perceptions of hormonal emergency contraception among women within a Kuwaiti extended family and their social contacts. STUDY DESIGN:A cross-sectional survey was conducted using a self-administered questionnaire which was distributed to 66 married women within a Kuwaiti family's social network. The questionnaire provided a short explanation of hormonal emergency contraception and then elicited the respondent's prior awareness, concerns and perception on future availability. RESULTS:The mean (S.D.) age of the respondents was 35.1 (6.3) years. Over 30% were currently using oral contraceptives; 28% were using no contraceptive method. Four women (6.1%) had heard of hormonal emergency contraception before, one had used it. Most respondents (65.2%) would not use or inform a friend about hormonal emergency contraception. Main concerns were risks to the health of the woman (83.3%) or the baby (54.5%) or that it was abortifacient (21.2%). However, 90.9% of respondents wanted hormonal emergency contraception to be available. CONCLUSIONS:Awareness of hormonal emergency contraception is low among Kuwaiti women. Despite some concerns, they feel it should be made available. Health care providers and policymakers should address this situation.
    背景与目标:
  • 【先天性心脏病妇女的避孕方法。】 复制标题 收藏 收藏
    DOI:10.1016/j.amjcard.2010.06.060 复制DOI
    作者列表:Vigl M,Kaemmerer M,Seifert-Klauss V,Niggemeyer E,Nagdyman N,Trigas V,Bauer U,Schneider KT,Berger F,Hess J,Kaemmerer H
    BACKGROUND & AIMS: :The present study reports on contraceptive use, methods used, and counseling received on contraceptive issues for women with congenital heart disease and provides a brief review of current knowledge of the risks in relation to the different cardiac situations encountered with these specific patients. A total of 536 consecutive adult women with congenital heart disease (median age 29 years) were recruited from 2 tertiary care centers. They underwent a clinical assessment and completed a questionnaire regarding their contraceptive use. Oral contraceptives, condoms, and intrauterine devices were the most commonly used methods. Pregnancy occurred in almost every tenth woman despite the use of contraception. We identified a substantial number of women (20%) who were presently using contraceptive methods that were contraindicated for their specific cardiac condition. Additionally, a high proportion of patients (28%), in the group with high pregnancy-associated risks, were not using contraception despite having a sexual relationship. In our study, 43% of the women had not been counseled about contraception, and 48% had not been informed of the pregnancy-related risks by their treating physician. In conclusion, timely and competent counseling about contraception is important for women with congenital heart disease. Collaboration between cardiologists and gynecologists should be strengthened. Failure to give adequate family planning advice to this patient group could have hazardous consequences, causing an unnecessary risk to mother and child.
    背景与目标: : 本研究报告了先天性心脏病妇女的避孕药具使用,使用的方法和接受的避孕问题咨询,并简要回顾了与这些特定患者遇到的不同心脏状况有关的风险的当前知识。总共从2个三级护理中心招募了536名患有先天性心脏病的成年女性 (中位年龄29岁)。他们接受了临床评估,并完成了有关其避孕药具使用情况的问卷调查。口服避孕药,避孕套和宫内节育器是最常用的方法。尽管使用了避孕措施,但几乎每十分之一的妇女都会怀孕。我们确定了大量女性 (20%) 目前正在使用针对其特定心脏状况禁忌的避孕方法。此外,在与妊娠相关风险高的组中,尽管有性关系,但仍有很高比例的患者 (28%) 没有使用避孕方法。在我们的研究中,43% 的妇女没有接受过避孕咨询,48% 的医生也没有告知与妊娠相关的风险。总之,及时有效的避孕咨询对于患有先天性心脏病的妇女很重要。应该加强心脏病专家和妇科医生之间的合作。未能向该患者群体提供足够的计划生育建议可能会造成危险后果,对母亲和儿童造成不必要的风险。
  • 【[关于城市人口避孕的知识、态度和做法]。】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Chebaro R,El Tayyara L,Ghazzawi F,Abi Saleh B
    BACKGROUND & AIMS: :We studied knowledge, attitudes and practices (KAP) regarding contraception of 1003 married women (aged 15-49 years) randomly recruited from private clinics (490 women) and community clinics (512 women) in Beirut in the year 2000. A standardized KAP questionnaire was administered to the 2 groups and differences between the groups were analysed. Contraceptive methods were used by two-thirds of the women. The private clinics group reported a significantly higher socioeconomic status and educational level than the community clinics group. Despite the free availability of contraceptive methods in the community clinics, the women's level of knowledge of, attitude towards and practice of contraception was significantly lower than those of women in the private clinics. Knowledge, attitudes and practices toward contraception did not depend on the free availability of contraceptive methods but rather on the socioeconomic and educational level of the women.
    背景与目标: : 我们研究了从2000年贝鲁特的私人诊所 (490名妇女) 和社区诊所 (512名妇女) 随机招募的1003名已婚妇女 (15-49岁) 的避孕知识,态度和做法 (KAP)。对两组进行标准化KAP问卷调查,并分析两组之间的差异。3分之2妇女使用避孕方法。私人诊所组的社会经济地位和教育水平明显高于社区诊所组。尽管社区诊所免费提供避孕方法,但妇女对避孕的了解,态度和做法的水平明显低于私人诊所的妇女。对避孕的知识,态度和做法并不取决于避孕方法的免费提供,而是取决于妇女的社会经济和教育水平。
  • 【感染艾滋病毒妇女的生育偏好和避孕需求: 联合行动议程的基础。】 复制标题 收藏 收藏
    影响因子 :
    发表时间:2009-11-01
    来源期刊:AIDS
    DOI:10.1097/01.aids.0000363773.83753.27 复制DOI
    作者列表:Johnson KB,Akwara P,Rutstein SO,Bernstein S
    BACKGROUND & AIMS: OBJECTIVES:HIV-positive women have particular needs for contraception to avoid unwanted pregnancy, to protect their own health and to eliminate the risk of transmitting HIV to an infant. In 2004, the United Nations described a four-element strategy to preventing mother-to-child transmission of HIV; the second element is preventing unintended pregnancies among HIV-positive women. However, fertility preferences among HIV-positive women who know their status remain poorly understood. This study seeks to demonstrate the degree to which knowledge of one's own serostatus is associated with fertility preferences and contraceptive demand and use. METHODS:This study uses Demographic and Health Surveys data and bivariate and multivariate methods to assess the contribution of a proxy variable for knowledge of own HIV serostatus to women's fertility desires, demand for contraception and contraceptive method choice for Zambia, Swaziland, Zimbabwe and Lesotho. RESULTS:Knowledge of one's own HIV-positive serostatus is significantly associated with a desire to limit childbearing with contraceptive use, but not necessarily with unmet need for contraception. HIV-positive women who know their status are more likely than other women to use condoms. CONCLUSION:HIV-positive women who know their serostatus exhibit fertility desires and contraceptive behaviors that are different from those of other women. These findings support the argument that efforts to scale up the second element of the strategy to prevent mother-to-child transmission of HIV should be accelerated: it is a cost-effective, rights-based approach to preventing incidence of mother-to-child transmission of HIV. Scaling up requires full commitment by both reproductive health/family planning and HIV constituencies to concerted integration at all levels of program planning, coordination and implementation.
    背景与目标:

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录