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药物流产逆转:科学与政治的交锋。

Medical abortion reversal: science and politics meet.

机构信息

Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC.

Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC.

出版信息

Am J Obstet Gynecol. 2018 Mar;218(3):315.e1-315.e6. doi: 10.1016/j.ajog.2017.11.555. Epub 2017 Nov 12.

Abstract

Medical abortion is a safe, effective, and acceptable option for patients seeking an early nonsurgical abortion. In 2014, medical abortion accounted for nearly one third (31%) of all abortions performed in the United States. State-level attempts to restrict reproductive and sexual health have recently included bills that require physicians to inform women that a medical abortion is reversible. In this commentary, we will review the history, current evidence-based regimen, and regulation of medical abortion. We will then examine current proposed and existing abortion reversal legislation. The objective of this commentary is to ensure physicians are armed with rigorous evidence to inform patients, communities, and policy makers about the safety of medical abortion. Furthermore, given the current paucity of evidence for medical abortion reversal, physicians and policy makers can dispel bad science and misinformation and advocate against medical abortion reversal legislation.

摘要

药物流产是寻求早期非手术流产的患者的一种安全、有效且可接受的选择。2014 年,药物流产在美国实施的所有堕胎手术中占近三分之一(31%)。最近,州级层面限制生殖和性健康的尝试包括了要求医生告知女性药物流产是可逆的法案。在本评论中,我们将回顾药物流产的历史、当前基于证据的方案和监管。然后,我们将研究当前提出的和现有的堕胎逆转立法。本评论的目的是确保医生掌握严格的证据,以便向患者、社区和政策制定者告知药物流产的安全性。此外,鉴于目前药物流产逆转的证据不足,医生和政策制定者可以消除不良科学和错误信息,并反对药物流产逆转立法。

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