Long-Acting Reversible Contraception.

Long-Acting Reversible Contraception.
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DOI:
10.1055/s-0037-1603647
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发表时间:
2017-06
影响因子:
1.2
通讯作者:
Franceschini, Silvio Antonio
Franceschini, Silvio Antonio
中科院分区:
其他
文献类型:
--
作者:
Machado, Rogerio Bonassi;Monteiro, Ilza Maria Urbano;Magalhães, Jarbas;Guazzelli, Cristina Aparecida Falbo;Brito, Milena Bastos;Finotti, Marta Franco;Lubianca, Jaqueline Neves;Sakamoto, Luis Carlos;Franceschini, Silvio Antonio

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意外怀孕是发达国家和发展中国家的一个主要公共卫生问题。尽管降低怀孕率需要采取多因素的方法,但增加长效避孕方法的使用可以极大地改变这种情况。在巴西,妇科医生和产科医生在避孕咨询中发挥着关键作用,在选择长效可逆方法(以宫内节育器 (IUD) 和植入式避孕器为特征)方面起决定性作用。在常规避孕咨询中应强调,由于指示长效方法的情况数量减少,范围广阔。另一方面,妇科医生和产科医生应采用长效避孕方法的插入技术,并致力于为通过巴西的公共和私人卫生系统获得这些避孕药具创造条件。这项研究是 Diretrizes e Recomendações FEBRASGO(FEBRASGO 指南和建​​议——巴西妇产科协会联合会,葡萄牙语缩写)项目的一部分。它旨在回顾长效避孕药具的主要特征,并批判性地考虑现状和未来前景,以改善这些方法的使用,并提出对妇科医生和产科医生的常规感兴趣的实用建议。
Unwanted pregnancy is a major public health problem both in developed and developing countries. Although the reduction in the rates of these pregnancies requires multifactorial approaches, increasing access to long-acting contraceptive methods can contribute significantly to change this scenario. In Brazil, gynecologists and obstetricians play a key role in contraceptive counseling, being decisive in the choice of long-acting reversible methods, characterized by intrauterine devices (IUDs) and the contraceptive implant. The vast scope due to the reduced number of situations to indicate long-acting methods should be emphasized in routine contraceptive counseling. On the other hand, gynecologists and obstetricians should adapt the techniques of insertion of long-acting methods, and engage in facilitating conditions to access these contraceptives through public and private health systems in Brazil. This study is part of a project called Diretrizes e Recomendações FEBRASGO (Guidelines and Recommendations of the FEBRASGO – Brazilian Federation of Gynecology and Obstetrics Associations from the Portuguese acronym). It aims to review the main characteristics of long-acting contraceptives and critically consider the current situation and future prospects to improve access to these methods, proposing practical recommendations of interest in the routine of gynecologists and obstetricians.
DOI: 10.1023/a:1006780005535
发表时间: 1999-01-01
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影响因子: --
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