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第642号委员会意见:增加避孕植入剂和宫内节育器的可及性以减少意外怀孕

Committee Opinion No. 642: Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy.

出版信息

Obstet Gynecol. 2015 Oct;126(4):e44-e48. doi: 10.1097/AOG.0000000000001106.

Abstract

Unintended pregnancy persists as a major public health problem in the United States. Although lowering unintended pregnancy rates requires multiple approaches, individual obstetrician-gynecologists may contribute by increasing access to contraceptive implants and intrauterine devices. Obstetrician-gynecologists should encourage consideration of implants and intrauterine devices for all appropriate candidates, including nulliparous women and adolescents. Obstetrician-gynecologists should adopt best practices for long-acting reversible contraception insertion. Obstetrician-gynecologists are encouraged to advocate for coverage and appropriate payment and reimbursement for every contraceptive method by all payers in all clinically appropriate circumstances.

摘要

意外怀孕在美国仍然是一个主要的公共卫生问题。虽然降低意外怀孕率需要多种方法,但个体妇产科医生可以通过增加避孕植入物和宫内节育器的可及性来做出贡献。妇产科医生应鼓励所有合适的候选人,包括未生育过的女性和青少年,考虑使用植入物和宫内节育器。妇产科医生应采用长效可逆避孕植入的最佳做法。鼓励妇产科医生倡导所有支付方在所有临床适当情况下为每种避孕方法提供保险以及适当的支付和报销。

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