Olukoya A A, Kaya A, Ferguson B J, AbouZahr C
Department of Child and Adolescent Health and Development, World Health Organization, CH-1211 27, Geneva, Switzerland.
Int J Gynaecol Obstet. 2001 Nov;75(2):137-47. doi: 10.1016/s0020-7292(01)00370-8.
Every year, an estimated 2.0-4.4 million adolescents resort to abortion. In comparison with adults, adolescents are more likely to delay the abortion, resort to unskilled persons to perform it, use dangerous methods and present late when complications arise. Adolescents are also more likely to experience complications. Consequently, adolescents seeking abortion or presenting with complications of abortion should be considered as a medical emergency. Issues requiring special attention in the management of abortion complications in adolescents are identified. Approaches to adolescent abortion should involve all levels of the health care system, as well as the community, and should include not only management of the consequences of unsafe abortion, but also post-abortion contraception and counseling. Prevention of unwanted pregnancy by providing information on sexuality, ensuring that reproductive health services are adolescent-friendly, creating a supportive environment, building young people's social and decision-making skills, and offering counseling in times of crisis are highlighted.
据估计，每年有200万至440万青少年选择堕胎。与成年人相比，青少年更有可能推迟堕胎，求助于非专业人员进行堕胎，使用危险方法，并且在出现并发症时很晚才就医。青少年也更有可能出现并发症。因此，寻求堕胎或出现堕胎并发症的青少年应被视为医疗紧急情况。确定了青少年堕胎并发症管理中需要特别关注的问题。青少年堕胎的处理方法应涉及医疗保健系统的各个层面以及社区，不仅应包括对不安全堕胎后果的处理，还应包括堕胎后避孕和咨询。强调通过提供性健康信息、确保生殖健康服务对青少年友好、营造支持性环境、培养年轻人的社交和决策技能以及在危机时刻提供咨询来预防意外怀孕。
