Godfrey Emily M, Tepper Naomi K, Curtis Kathryn M, Moskosky Susan B, Gavin Loretta E
Division of Reproductive Health, CDC, Atlanta, Georgia.
Office of Population Affairs, DHHS, Washington, District of Columbia.
Am J Prev Med. 2015 Aug;49(2 Suppl 1):S6-S13. doi: 10.1016/j.amepre.2015.02.023.
The provision of family planning services has important health benefits for the U.S.
Approximately 25 million women in the U.S. receive contraceptive services annually and 44 million make at least one family planning-related clinical visit each year. These services are provided by private clinicians, as well as publicly funded clinics, including specialty family planning clinics, health departments, Planned Parenthoods, community health centers, and primary care clinics. Recommendations for providing quality family planning services have been published by CDC and the Office of Population Affairs of the DHHS. This paper describes the process used to develop the women's clinical services portion of the new recommendations and the rationale underpinning them. The recommendations define family planning services as contraceptive care, pregnancy testing and counseling, achieving pregnancy, basic infertility care, sexually transmitted disease services, and preconception health. Because many women who seek family planning services have no other source of care, the recommendations also include additional screening services related to women's health, such as cervical cancer screening. These clinical guidelines are aimed at providing the highest-quality care and are designed to establish a national standard for family planning in the U.S.
提供计划生育服务对美国人口有重要的健康益处。
美国每年约有2500万女性接受避孕服务,每年有4400万女性至少进行一次与计划生育相关的临床就诊。这些服务由私人临床医生以及公共资助的诊所提供,包括专业计划生育诊所、卫生部门、计划生育组织、社区健康中心和初级保健诊所。疾病控制与预防中心(CDC)和美国卫生与公众服务部(DHHS)人口事务办公室已发布了提供高质量计划生育服务的建议。本文描述了制定新建议中女性临床服务部分所采用的过程及其背后的基本原理。这些建议将计划生育服务定义为避孕护理、妊娠检测与咨询、实现妊娠、基本不孕症护理、性传播疾病服务以及孕前健康。由于许多寻求计划生育服务的女性没有其他医疗来源,这些建议还包括与女性健康相关的额外筛查服务,如宫颈癌筛查。这些临床指南旨在提供最高质量的护理,并旨在为美国的计划生育确立国家标准。