Abortion in adolescents: epidemiology, confidentiality, and methods
Abortion in adolescents: epidemiology, confidentiality, and methods
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DOI：
10.1097/gco.0b013e3283307b84
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发表时间：
2009-10-01
影响因子：
2.1
通讯作者：
Beasley, Anitra D.
中科院分区：
文献类型：
--
作者：
Davis, Anne R.;Beasley, Anitra D.
目的reviewTo审查的流行病学，保密性，和堕胎提供具体到adolescents.Recent findingsIn美国，四分之五的怀孕青少年是意外的，约三分之一的所有青少年怀孕结束人工流产的方法。旅行和费用等障碍减少了所有妇女和青少年堕胎的机会，她们的怀孕诊断比老年妇女晚，可能特别受到这些挑战的影响。越来越多的州要求父母参与青少年终止妊娠的决定。最近的分析表明，强制父母参与并不能促进家庭沟通;相反，这种法律实际上可能会延迟适当的医疗护理，从而增加伤害的风险。药物和手术流产是青少年的选择;两者都是安全有效的。没有证据表明，在青春期堕胎会导致负面的心理后果，降低生育率，或增加风险，在未来的pregnances. SummaryContinuing意外怀孕率高，美国青少年需要获得安全和及时的堕胎服务。不幸的是，青少年在获得堕胎护理方面遇到独特的障碍，导致延迟和与后来堕胎相关的可预防风险。
Purpose of reviewTo review the epidemiology, confidentiality, and methods of abortion provision specific to adolescents.Recent findingsIn the United States, four out of five pregnancies in teenagers are unintended and about one-third of all adolescent pregnancies end in induced abortion. Barriers such as travel and cost decrease abortion access for all women and adolescents, whose pregnancies are diagnosed later than older women, may be particularly impacted by such challenges. An increasing majority of states require parental involvement in adolescents' decisions to end their pregnancies. Recent analyses indicate that mandating parental involvement does not promote family communication; rather, such laws may actually increase the risk of harm by delaying appropriate medical care. Medication and surgical abortion are options for adolescents; both are safe and effective. There is no evidence that abortion during adolescence causes negative psychological consequences, decreased fertility, or increased risk in future pregnancies.SummaryContinued high rates of unintended pregnancy among US adolescents necessitate access to safe and timely abortion services. Unfortunately, teens encounter unique barriers in obtaining abortion care that lead to delays and preventable risk associated with later abortion.