J Pediatr Health Care. 2018 Sep-Oct;32(5):e91-e97. doi: 10.1016/j.pedhc.2018.02.009. Epub 2018 Jul 4.
Teen pregnancy is prevalent in the United States and has a number of potential negative outcomes. The most effective contraceptives available, known as long-acting reversible contraceptives (LARCs), were recently approved for use in adolescents. LARC devices, including the intrauterine device and subdermal implant, are currently recommended as the first-line contraceptive for all women, including adolescents. Despite this recommendation, current LARC use in the adolescent population remains low. A number of barriers to LARC use in adolescents have been identified, including cost, provider knowledge, and patient education. It is important that nurse practitioners providing care to adolescents are knowledgeable of LARC methods and consistently recommend these devices as the first-line contraceptive to all patients desiring contraception because of their high efficacy, safety, and continuation rates. This article discusses LARC benefits, adverse effects, considerations, barriers to access, and implications for nursing practice.
少女怀孕在美国很普遍，并且可能会带来许多潜在的负面影响。最近，被称为长效可逆避孕措施（LARC）的最有效避孕方法已获准在青少年中使用。LARC 装置，包括宫内节育器和皮下埋植剂，目前被推荐为所有女性（包括青少年）的首选避孕方法。尽管有此推荐，但目前青少年人群中 LARC 的使用率仍然很低。在青少年中使用 LARC 存在多种障碍，包括费用、提供者的知识和患者教育。为青少年提供护理的执业护士应该了解 LARC 方法，并始终向所有希望避孕的患者推荐这些装置作为首选避孕方法，因为它们具有高效、安全和续用率高的特点。本文讨论了 LARC 的益处、不良反应、注意事项、获得途径的障碍以及对护理实践的影响。
