Todd Nicole, Black Amanda
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada
Department of Obstetrics and Gynecology, University of Ottawa; and The Ottawa Hospital Research Institute, Ottawa, Canada
J Clin Res Pediatr Endocrinol. 2020 Feb 6;12(Suppl 1):28-40. doi: 10.4274/jcrpe.galenos.2019.2019.S0003.
Although pregnancy and abortion rates have declined in adolescents, unintended pregnancies remain unacceptably high in this age group. The use of highly effective methods of contraception is one of the pillars of unintended pregnancy prevention and requires a shared decision making process within a rights based framework. Adolescents are eligible to use any method of contraception and long-acting reversible contraceptives, which are “forgettable” and highly effective, may be particularly suited for many adolescents. Contraceptive methods may have additional non-contraceptive benefits that address other needs or concerns of the adolescent. Dual method use should be encouraged among adolescents for the prevention of both unintended pregnancies and sexually transmitted infections. Health care providers have an important role to play in ensuring that adolescents have access to high quality and non-judgmental reproductive health care services and contraceptive methods in adolescent-friendly settings that recognize the unique biopsychosocial needs of the adolescent.
尽管青少年的怀孕率和堕胎率有所下降,但该年龄组意外怀孕的比例仍然高得令人无法接受。使用高效避孕方法是预防意外怀孕的支柱之一,这需要在基于权利的框架内进行共同决策。青少年有资格使用任何避孕方法,而长效可逆避孕方法“无需刻意记忆”且效果显著,可能特别适合许多青少年。避孕方法可能还有其他非避孕益处,可满足青少年的其他需求或关切。应鼓励青少年同时采用两种方法,以预防意外怀孕和性传播感染。医疗保健提供者在确保青少年能够在认可青少年独特生物心理社会需求的适宜环境中获得高质量且无歧视的生殖健康护理服务及避孕方法方面,发挥着重要作用。