Manhart Michael D, Fehring Richard J
Couple to Couple League, Cincinnati, OH, USA.
College of Nursing, Institute for Natural Family Planning, Marquette University, Milwaukee, WI, USA.
Linacre Q. 2018 Nov;85(4):339-347. doi: 10.1177/0024363918809699. Epub 2018 Nov 28.
A one-day meeting of physicians, professional nurses, and scientists actively involved in Natural Family Planning (NFP) research was held to review the state of the science of NFP and consider future priorities. The meeting had four objectives: (i) determine the gaps in research evidence for secure methods of NFP among women of all reproductive categories, (ii) determine the gaps in the research and development of new technology for providing NFP services, (iii) determine the gaps in the research that determine the benefits and challenges with use of NFP among married couples, and (iv) provide prioritized ideas for future research needs from the analysis of evidence gaps from objectives above. This article summarizes the discussion and conclusions drawn from topics reviewed. While much has been accomplished in the fifty years since , there are still many gaps to address. Five areas for future research in NFP were identified as high priority: (1) well-designed method effectiveness studies among various reproductive categories including important subpopulations (postpartum, perimenopause, posthormonal contraceptive), normally cycling women (especially US women), and comparative studies between NFP methods; (2) validation studies to establish the benefit of charting fertility signs (both currently known and potential new indicators) as a screening tool for women's health issues; (3) ongoing independent evaluation of fertility monitoring apps to provide users perspective on the relative merits of each and to identify those most worthy of further effectiveness testing; (4) studies evaluating the impact of new technologies on NFP adoption, use, and persistence; and (5) creation of a shared database across various NFP methods to collaborate on shared research interests, longitudinal studies, and so on. This summarizes a meeting to review the scientific and medical progress related to natural family planning made in the 50 years since Humane Vitae and to define priorities for future work. Areas reviewed included the evidence for avoiding pregnancy in normally cycling, postpartum, and perimenopausal women, the impact of new technology, including fertility charting apps, on NFP, and the impact on relationships and personal well-being from use of NFP. Five priority focus areas for future research were also identified.
一场由积极参与自然计划生育（NFP）研究的医生、专业护士和科学家参加的为期一天的会议召开，旨在审视NFP科学的现状并考虑未来的优先事项。该会议有四个目标：（i）确定所有生殖类别女性中安全的NFP方法的研究证据差距；（ii）确定提供NFP服务的新技术研发方面的差距；（iii）确定研究中关于已婚夫妇使用NFP的益处和挑战方面的差距；（iv）通过分析上述目标的证据差距，为未来的研究需求提供优先考虑的想法。本文总结了所审查主题的讨论和得出的结论。自那以来的五十年里虽已取得诸多成果，但仍有许多差距有待解决。确定了NFP未来研究的五个高度优先领域：（1）针对包括重要亚人群（产后、围绝经期、激素避孕后）、正常月经周期女性（尤其是美国女性）在内的各种生殖类别进行精心设计的方法有效性研究，以及NFP方法之间的比较研究；（2）进行验证研究，以确定记录生育迹象（包括当前已知和潜在的新指标）作为女性健康问题筛查工具的益处；（3）对生育监测应用程序进行持续的独立评估，以向用户提供每种应用程序相对优点的观点，并确定最值得进一步进行有效性测试的应用程序；（4）研究评估新技术对NFP采用、使用和持续使用的影响；（5）创建一个涵盖各种NFP方法的共享数据库，以就共同的研究兴趣、纵向研究等开展合作。这总结了一次会议，该会议回顾了自《人类生命》发表50年来与自然计划生育相关的科学和医学进展，并确定了未来工作的优先事项。审查的领域包括正常月经周期、产后和围绝经期女性避免怀孕的证据、包括生育图表应用程序在内的新技术对NFP的影响，以及使用NFP对人际关系和个人幸福感的影响。还确定了未来研究的五个优先重点领域。
