Gemzell-Danielsson Kristina, Kopp Kallner Helena, Faúndes Anibal
Department of Women and Children's Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Department of Women and Children's Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Int J Gynaecol Obstet. 2014 Jul;126 Suppl 1:S52-5. doi: 10.1016/j.ijgo.2014.03.003. Epub 2014 Mar 27.
Family planning counseling and the provision of postabortion contraception should be an integrated part of abortion and postabortion care to help women avoid another unplanned pregnancy and a repeat abortion. Postabortion contraception is significantly more effective in preventing repeat unintended pregnancy and abortion when it is provided before women leave the healthcare facility where they received abortion care, and when the chosen method is a long-acting reversible contraceptive (LARC) method. This article provides evidence supporting these two critical aspects of postabortion contraception. It suggests that gynecologists and obstetricians have an ethical obligation to do everything necessary to ensure that postabortion contraception, with a focus on LARC methods, becomes an integral part of abortion and postabortion care, in line with the recommendations of the International Federation of Gynecology and Obstetrics and of several other organizations.
计划生育咨询和提供流产后避孕措施应成为堕胎及流产后护理的一个有机组成部分，以帮助女性避免再次意外怀孕和重复堕胎。如果在女性离开提供堕胎护理的医疗机构之前就提供流产后避孕措施，并且所选择的方法是长效可逆避孕（LARC）方法，那么流产后避孕在预防重复意外怀孕和堕胎方面会显著更有效。本文提供了支持流产后避孕这两个关键方面的证据。它表明，妇产科医生有道义责任采取一切必要措施，确保以LARC方法为重点的流产后避孕措施，按照国际妇产科联合会和其他几个组织的建议，成为堕胎及流产后护理的一个组成部分。
