Allen Suzanne, Barlow Erin
Division of Adolescent Medicine, Department of Pediatrics, U Mass Memorial Children's Medical Center, 55 Lake Avenue North, Worcester, MA 01655, USA.
Division of Adolescent Gynecology, Department of Obstetrics/Gynecology, U Mass Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA; Division of Pediatric, Department of Pediatrics, U Mass Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Pediatr Clin North Am. 2017 Apr;64(2):359-369. doi: 10.1016/j.pcl.2016.11.014.
Long-acting reversible contraception (LARC) methods are 20% more effective than traditional contraceptives and are recommended by the American Academy of Pediatrics and American College of Obstetrics and Gynecology as first-line contraception for adolescent girls. Large studies show that LARC use reduces unintended pregnancies, increases user satisfaction, and prolongs duration of use. This article prepares the primary care provider (PCP) with knowledge on safety, efficacy, eligibility, confidentiality, anticipatory guidance, how to find a LARC provider, and guidance on common side effects so the PCP can confidently counsel adolescent patients on LARC methods.
长效可逆避孕(LARC)方法的有效性比传统避孕方法高20%,被美国儿科学会和美国妇产科学院推荐为青春期女孩的一线避孕方法。大型研究表明,使用LARC可减少意外怀孕、提高使用者满意度并延长使用时长。本文为初级保健提供者(PCP)提供有关安全性、有效性、适用人群、保密性、预期指导、如何找到LARC提供者以及常见副作用指导等方面的知识,以便PCP能够自信地为青春期患者提供关于LARC方法的咨询。