Boston Medical Center, Boston, Massachusetts (E.J.W.).
University of Chicago, Chicago, Illinois (M.G.).
Ann Intern Med. 2019 Feb 5;170(3):ITC18-ITC32. doi: 10.7326/AITC201902050.
Contraception counseling and provision are vital components of comprehensive health care. Unplanned pregnancy can be devastating to any woman but is particularly dangerous for those with chronic illness. Internal medicine providers are in a unique position to provide contraception, as they often intersect with women at the moment of a new medical diagnosis or throughout care for a chronic problem. A shared decision-making approach can engage patients and ensure that they choose a contraceptive method that aligns with their reproductive plans and medical needs.
避孕咨询和服务是综合保健的重要组成部分。意外怀孕对任何女性来说都是毁灭性的，但对患有慢性病的女性来说尤其危险。内科医生提供避孕措施具有独特的优势，因为他们经常在女性新诊断出疾病或慢性病治疗期间与她们接触。共同决策方法可以让患者参与其中，并确保他们选择一种符合他们生育计划和医疗需求的避孕方法。
