Golden Matthew R, Whittington William L H, Handsfield H Hunter, Clark Agnes, Malinski Cheryl, Helmers Jennifer R, Hogben Matthew, Holmes King K
Division of Infectious Diseases and the Center for AIDS and STD, Harborview Medical Center, University of Washington, Box 359777, 325 9th Avenue, Seattle, WA 98104-2499, USA.
Contraception. 2004 Mar;69(3):241-6. doi: 10.1016/j.contraception.2003.10.018.
Few data are available on the risk of unintended pregnancy in women with STD or how contraceptive services can be integrated into STD control activities.
To define the risk for unintended pregnancy and assess the effectiveness of family-planning (FP) referral and interest in advanced provision emergency contraception (APEC) among women with gonorrhea or chlamydial infection.
Female participants in a randomized trial of different approaches to partner notification were interviewed, offered referral for FP services and asked if they would want APEC.
Among participants ages 14-24, the observed past pregnancy rate and age-adjusted anticipated past pregnancy rate were, respectively, 196 and 72 per 1000 women-years. Of 474 nonpregnant participants who did not desire pregnancy, 127 (34%) were using no contraception or condoms alone, of whom 8 (6%) requested a FP appointment and 81% wanted APEC.
Women treated for STD are at high-risk for unintended pregnancy. Although referral for FP was ineffective, interest in APEC was very high.
关于性传播疾病（STD）女性意外怀孕风险的数据较少，以及避孕服务如何能融入性传播疾病控制活动的数据也较少。
确定意外怀孕风险，并评估淋病或衣原体感染女性中计划生育（FP）转诊的有效性以及她们对提前提供紧急避孕（APEC）的意愿。
对不同性伴侣通知方式随机试验中的女性参与者进行访谈，为她们提供计划生育服务转诊，并询问她们是否需要提前提供紧急避孕。
在14 - 24岁的参与者中，观察到的既往妊娠率和年龄调整后的预期既往妊娠率分别为每1000妇女年196例和72例。在474名不想要怀孕的未孕参与者中，127名（34%）未采取任何避孕措施或仅使用避孕套，其中8名（6%）要求预约计划生育服务，81%想要提前提供紧急避孕。
接受性传播疾病治疗的女性意外怀孕风险很高。虽然计划生育转诊无效，但对提前提供紧急避孕的意愿非常高。
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