Current knowledge on contraceptive knowledge in France: CNGOF Contraception Guidelines
Current knowledge on contraceptive knowledge in France: CNGOF Contraception Guidelines
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DOI：
10.1016/j.gofs.2018.10.005
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发表时间：
2018-12-01
影响因子：
0.8
通讯作者：
Le Guen, M.
中科院分区：
文献类型：
--
作者：
Vigoureux, S.;Le Guen, M.
目标。-总结法国和全世界目前关于避孕措施的知识，描述不同类型避孕措施的有效性，描述使用避孕措施的妇女的特征，避孕失败的情况，并描述与避孕方法有关的不同医疗风险。-咨询Medline数据库和国家或国际避孕报告。-法国的避孕覆盖率很高：2013年97%的妇女使用避孕方法(在有生育能力、性生活活跃但没有怀孕愿望的妇女中)，大多数妇女使用医疗方法(72%使用避孕药和其他激素避孕药、宫内节育器，25%使用自然和传统屏障方法)。2013年的避孕药恐慌让人们对雌激素-孕激素避孕措施的使用和医生提供的信息提出了质疑，但避孕药仍然是第一种避孕方法，其次是宫内节育器、避孕套以及传统和自然方法。在法国，终身避孕药的覆盖率根据一个定义的标准而变化：青少年使用避孕套，怀孕前服用避孕药，分娩后使用宫内节育器。绝育手术很少被选择和提供。在法国，避孕仍然是女性占主导地位的领域。应该让妇女和夫妇了解所有避孕方法，使他们能够选择最适合自己健康、生活条件和性行为的方法。(C)2018年由爱思唯尔·马森公司出版。
Objective. - To summarize current knowledge on contraceptive coverage in France and worldwide, describe the effectiveness of different types of contraceptives, describe the characteristics of women using contraception, contraceptive failure situations and describe the different medical risks associated with contraceptive methods.Methods. - Consultation of the Medline database and of national or international reports on contraception.Results. - Contraceptive coverage in France is high: 97% of women in 2013 use a contraceptive method (among fertile, sexually active women without a desire for pregnancy), with a majority using medical methods (72% using pills and other hormonal contraceptives, intrauterine devices and 25% using natural and traditional barrier methods). The 2013 pill scare called into question the use of estrogen-progestogenic contraception and the information provided by doctors, but the pill remains the first contraceptive method followed by the intrauterine device, condoms and the traditional and natural methods. Lifetime contraceptive coverage changes according to a defined standard in France: condoms for the teen-agers, pills before pregnancy and then intrauterine devices after childbirth. Sterilization is very rarely chosen and offered. Contraception in France remains a predominantly female domain. Women and couples should be informed about all contraceptive methods, allowing them to choose the method that best suits their health, living conditions and sexuality. (C) 2018 Published by Elsevier Masson SAS.