Thomsen R J
Bassett Army Community Hospital, Fort Wainwright, AK 99703.
Alaska Med. 1992 Jan-Mar;34(1):55-7.
The Soviet model for both obstetrical and gynecological care and family planning provision seems entrenched in the Soviet Far East as found during a July 1991 visit to the Magadan and Chukotka Regions. Modern birth control is minimally practiced, but does include use of the older Soviet Loop intrauterine contraceptive device (IUD), recent introduction of the new Soviet Copper-T IUD and sporadic availability of condoms and foreign made birth control pills. Without male or female surgical sterilizations being performed, the consequence is that the major form of family planning is first trimester abortion. During this visit, I introduced the use of the NORPLANT Subdermal Contraceptive System and the Copper-T380A IUD to physicians at Anadry and Pevek regional hospitals. Gynecological surgery was also performed and fairly typical ob-gyn care units were toured. Ob-Gyn physicians in the Soviet Far East were found to be highly motivated. They look to the West for help in upgrading family planning and ob-gyn health care in the face of severe shortages after a half decade of perestroika.
1991年7月访问马加丹和楚科奇地区时发现，苏联的产科、妇科护理及计划生育模式在苏联远东地区似乎根深蒂固。现代节育措施很少实施，但确实包括使用老式的苏联环形宫内节育器（IUD）、新引进的苏联铜T型宫内节育器，以及偶尔能买到的避孕套和外国产避孕药。由于未开展男性或女性绝育手术，结果是计划生育的主要形式是孕早期人工流产。在此次访问期间，我向阿纳德尔和佩韦克地区医院的医生介绍了诺普兰皮下避孕系统和铜T380A宫内节育器的使用方法。还实施了妇科手术，并参观了相当典型的妇产科护理单元。结果发现，苏联远东地区的妇产科医生积极性很高。在经历了五年的改革后，面对严重短缺的情况，他们期望西方能在提升计划生育和妇产科医疗保健方面提供帮助。
