Sanders James, Currie Cheryl L
University of Lethbridge.
Can J Public Health. 2014 Sep 17;105(6):e450-2. doi: 10.17269/cjph.105.4692.
Half of all pregnancies in Canada are unintended. Whether a pregnancy is intended or unintended has a bearing on the risk of prenatal alcohol exposure. Research indicates that women who experience an unintended pregnancy are significantly more likely to consume alcohol while pregnant. Most fetal alcohol spectrum disorder (FASD) prevention frameworks in Canada have adopted a mid-stream approach focused on preventing alcohol consumption among women who are already pregnant. Yet there is a second approach, further upstream, that is rarely discussed as an FASD prevention tool in this country - preventing unintended pregnancy itself. Improving access to long-acting reversible contraceptives for women and girls who are experiencing cost and access barriers to these methods could do much to stem the incidence of FASD and the prohibitive health and social costs associated with this disorder in Canada.
加拿大一半的怀孕都是意外怀孕。怀孕是否为意外情况与产前酒精暴露风险有关。研究表明，经历意外怀孕的女性在孕期饮酒的可能性显著更高。加拿大大多数胎儿酒精谱系障碍（FASD）预防框架都采用了一种中游方法，重点是防止已怀孕女性饮酒。然而，还有一种更上游的方法，在该国很少作为FASD预防工具被讨论——即预防意外怀孕本身。改善那些在获取长效可逆避孕方法方面面临成本和获取障碍的妇女和女孩获得此类方法的机会，对于遏制FASD的发病率以及加拿大与这种疾病相关的高昂健康和社会成本大有帮助。
