Putting 'family' back in family planning
Putting 'family' back in family planning
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DOI：
10.1093/humrep/deu304
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发表时间：
2015-01-01
影响因子：
6.1
通讯作者：
Merhi, Zaher
中科院分区：
文献类型：
--
作者：
Seifer, David B.;Minkoff, Howard;Merhi, Zaher
计划生育访问的目的是帮助妇女以最符合其生活目标的方式建立家庭。女性对与年龄有关的生育能力的了解并不理想，现在第一次想要怀孕的年龄越来越大。在这里，我们回顾了30岁以上妇女怀孕机会减少的问题。争论的焦点是是否在一个年龄进行标准的生育能力评估，例如，卵母细胞冷冻仍然是实际可行的，知道在生育能力低下的夫妇中被证明的预测指标可能信息较少，甚至不适合没有生育抱怨的妇女。研究表明，如果女性知道她们的生育能力正在下降，她们可能会改变生活计划，包括提前生孩子或考虑保存卵母细胞。因此，我们认为，在最初的计划生育访问期间，医生需要努力评估女性的生育优先事项，尽管不一定是她们的生育能力。
Family planning visits are designed to help women build families in a manner most compatible with their life goals. Women's knowledge regarding age-related fertility is suboptimal, and first wanted pregnancies are now occurring at older ages. Here we review the issue of diminishing chances of a pregnancy occurring in women over 30 years of age. A debate arises over whether to perform a standard fertility assessment at an age when, for example, oocyte freezing is still practical and feasible, knowing that the proven predictors in subfertile couples may be less informative, or even inappropriate, in women without complaints about fertility. Studies have demonstrated that if women knew that their fertility was diminishing, they might alter life plans, including having children sooner or considering oocyte preservation. Therefore, we argue that physicians need to make an effort to evaluate a woman's childbearing priorities, though not necessarily their fertility, during the initial family planning visit.