意外怀孕：对癌症女性避孕措施使用及咨询情况的系统评价
Unintended Pregnancy: A Systematic Review of Contraception Use and Counseling in Women With Cancer.
作者信息
Britton Laura
机构信息
University of North Carolina in Chapel Hill.
出版信息
Clin J Oncol Nurs. 2017 Apr 1;21(2):189-196. doi: 10.1188/17.CJON.189-196.
Abstract
BACKGROUND: Women with past or current cancer diagnoses can benefit from planning pregnancies to optimize maternal health and birth outcomes. .
OBJECTIVES: The purpose of this systematic review is to identify unmet needs for family planning services among women with cancer by describing the prevalence of contraception counseling, contraception use, unintended pregnancy, and abortion. .
METHODS: Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 16 studies were included. .
FINDINGS
Women with cancer experience unintended pregnancy and abortion throughout their care. Not all women reported receiving contraception counseling, and many reported inconsistencies between contraception counseling desired and received. A prominent theme was uncertainty about fertility status. Use of highly effective contraceptive methods was low to moderate in eight patient populations.
摘要
背景
曾被诊断患有癌症或目前患有癌症的女性可以通过规划怀孕来优化孕产妇健康和分娩结局而获益。
目的
本系统评价的目的是通过描述避孕咨询、避孕措施使用、意外怀孕和堕胎的发生率，确定癌症女性在计划生育服务方面未得到满足的需求。
方法
采用PRISMA（系统评价和Meta分析的首选报告项目）指南，纳入了16项研究。
结果
癌症女性在整个治疗过程中经历意外怀孕和堕胎。并非所有女性都报告接受了避孕咨询，许多女性报告了期望的避孕咨询与实际接受的避孕咨询之间存在不一致。一个突出的主题是生育状况的不确定性。在八个患者群体中，高效避孕方法的使用率低至中等。
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