Bahar Yasmin Z, Gold Melanie A
New York-Presbyterian Hospital Columbia University Medical Center, Center for Community Health and Education/School Based Health Centers.
Department of Pediatrics, Division of Child and Adolescent Health, Columbia University Irving Medical Center/New York-Presbyterian Hospital, New York, New York.
Clin Obstet Gynecol. 2020 Sep;63(3):561-573. doi: 10.1097/GRF.0000000000000541.
Unintended teen pregnancy continues to be a problem in the United States which has the highest rate of adolescent pregnancy among developed nations. Long-acting reversible contraception (LARC) has much higher continuation rates compared with moderately effective reversible contraception; however, moderately effective reversible contraception is more commonly used by adolescents. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists recommend LARC as first-line contraception for adolescents. Clinicians providing contraception to adolescents should be knowledgeable of LARC indications, side effects, initiation guidelines, management of adverse reactions, and adolescent specific issues regarding LARC counseling, initiation, and continuation.
意外少女怀孕在美国仍然是一个问题，美国在发达国家中青少年怀孕率最高。与中度有效的可逆避孕方法相比，长效可逆避孕（LARC）的持续使用率要高得多；然而，青少年更常用中度有效的可逆避孕方法。美国儿科学会和美国妇产科医师学会建议将LARC作为青少年的一线避孕方法。为青少年提供避孕服务的临床医生应了解LARC的适应症、副作用、开始使用指南、不良反应的处理，以及与LARC咨询、开始使用和持续使用相关的青少年特定问题。
