ACOG Committee Opinion no. 450: Increasing use of contraceptive implants and intrauterine devices to reduce unintended pregnancy.
ACOG Committee Opinion no. 450: Increasing use of contraceptive implants and intrauterine devices to reduce unintended pregnancy.
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DOI：
10.1097/aog.0b013e3181c6f965
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发表时间：
2009-12-01
影响因子：
7.2
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中科院分区：
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美国意外怀孕率高的部分原因可能是长效可逆避孕（LARC）方法的使用相对较少，特别是避孕植入物和宫内节育器。顶级可逆方法的共同特点是需要长期使用的单一激励行为，从有效性方程中消除依从性和用户依赖性。根据世界卫生组织关于避孕药具使用的循证医学资格标准，LARC方法几乎没有禁忌症，几乎所有妇女都有资格接受植入物和宫内节育器。由于这些优点和降低意外怀孕率的潜力，LARC方法应作为一线避孕方法提供，并鼓励大多数妇女作为选择。为了增加LARC方法的使用，必须解决缺乏医疗保健提供者知识或技能、患者意识低和前期费用高等障碍。
High unintended pregnancy rates in the United States may in part be the result of relatively low use of long-acting reversible contraceptive (LARC) methods, specifically the contraceptive implant and intrauterine devices. Top-tier reversible methods share the characteristic of requiring a single act of motivation for long-term use, eliminating adherence and user-dependence from the effectiveness equation. According to the World Health Organization's evidence-based Medical Eligibility Criteria for contraceptive use, LARC methods have few contraindications, and almost all women are eligible for implants and intrauterine devices. Because of these advantages and the potential to reduce unintended pregnancy rates, LARC methods should be offered as first-line contraceptive methods and encouraged as options for most women. To increase use of LARC methods, barriers such as lack of health care provider knowledge or skills, low patient awareness, and high upfront costs must be addressed.