Morse Jessica E, Ramesh Shanthi, Jackson Andrea
Family Planning Division, Department of Obstetrics & Gynecology, University of North Carolina, 101 Manning Drive, Campus Box #7570, Chapel Hill, NC 27514, USA.
Family Planning Division, Department of Obstetrics & Gynecology, University of North Carolina, 101 Manning Drive, Campus Box #7570, Chapel Hill, NC 27514, USA.
Obstet Gynecol Clin North Am. 2017 Mar;44(1):27-40. doi: 10.1016/j.ogc.2016.10.003.
Underserved women, especially those with low incomes and from racial and ethnic minorities, experience a disproportionate share of unintended pregnancies in the United States. Although unintended pregnancy rates are general markers of women's health and status, they may not accurately capture women's experiences of these pregnancies or their social circumstances. A patient-centered approach to family planning optimizes women's reproductive preferences, is cognizant of historical harms and current disparities, and may more comprehensively address the issue of unintended pregnancy. Clinicians, researchers, and policy makers can all adopt a patient-centered approach to help underserved women regain their reproductive autonomy.
在美国，未得到充分医疗服务的女性，尤其是低收入以及来自少数种族和族裔的女性，意外怀孕的比例过高。尽管意外怀孕率通常是女性健康和状况的指标，但它们可能无法准确反映这些女性怀孕的经历或她们的社会环境。以患者为中心的计划生育方法能优化女性的生育偏好，认识到历史上的伤害和当前的差异，并且可能更全面地解决意外怀孕问题。临床医生、研究人员和政策制定者都可以采用以患者为中心的方法，帮助未得到充分医疗服务的女性重新获得生殖自主权。
