Thaxton Lauren, Espey Eve
Department of Obstetrics and Gynecology, MSC10 5580, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Department of Obstetrics and Gynecology, MSC10 5580, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Obstet Gynecol Clin North Am. 2017 Mar;44(1):41-56. doi: 10.1016/j.ogc.2016.11.001.
This article discusses barriers to reducing unintended pregnancy. Numerous factors may explain the high rate of unintended pregnancy in the United States, including inadequate sex education, confusing media messages about sex, cultural attitudes about sex and young parenting, conflation of contraception with abortion, inadequate health care access, burdensome contraceptive dispensing practices, and hospital merger limitations on care. Successful and promising approaches to expanding access to reproductive health care and reducing unintended pregnancy are discussed.
本文讨论了减少意外怀孕的障碍。许多因素可能解释了美国意外怀孕率居高不下的原因，包括性教育不足、关于性的媒体信息令人困惑、对性和年轻育儿的文化态度、避孕与堕胎的混淆、医疗保健可及性不足、繁琐的避孕药品发放做法以及医院合并对医疗的限制。文中还讨论了扩大生殖健康护理可及性和减少意外怀孕的成功且有前景的方法。
