Obelenienė Birutė, Narbekovas Andrius, Juškevičius Jonas
Department of Catholic Theology, Vytautas Magnus University, Kaunas, Lithuania.
Institute of Public Law, Mykolas Riomeris University, Vilnius, Lithuania.
Linacre Q. 2021 Feb;88(1):14-23. doi: 10.1177/0024363919886517. Epub 2019 Nov 22.
The term natural family planning (NFP), both in the scientific terminology and in the practical language of health policy, is often referred to as natural contraception or fertility awareness-based methods (FABM). "NFP. A guide to providing services," issued by the World Health Organization (WHO) in 1988, presents NFP as a method inconsistent with any other contraceptive method but later published "Family Planning, a Global Handbook for Providers," wherein NFP is not presented as a stand-alone method group but is grouped with FAB methods, which are combined with barrier contraception active during the fertile phase of a woman's menstrual cycle if there is a desire to postpone pregnancy. In other words, the WHO family planning recommendations present FABM as one group of contraceptive methods. The WHO is the directing and coordinating authority on international health within the United Nations' system. For these obvious reasons, the article mostly concentrates on WHO definition of FAMB. This article presents the anthropological and methodological differences between NFP (including and modern NFP methods that employ urinary hormone metabolite detection) and FABM and, through comparative analysis, determines that NFP is synonymous with neither FABM nor any of the methods of this group but is rather a distinct group of family planning methods.
The term natural family planning (NFP), both in the scientific terminology and in the practical language of health policy, is often referred to as natural contraception or fertility awareness-based methods (FABM). The World Health Organization's (WHO) is the directing and coordinating authority on international health within the United Nations' system. WHO family planning recommendations present FABM as one group of contraceptive methods For these obvious reasons the article mostly concentrates on the WHO definition of FAMB. The article presents the anthropological and methodological differences between NFP and FABM and, through comparative analysis, determines that NFP is synonymous with neither FABM nor any of the methods of this group but is rather a distinct group of family planning methods.
“自然计划生育”（NFP）一词，无论是在科学术语还是在卫生政策的实际用语中，通常都被称为自然避孕法或基于生育意识的方法（FABM）。世界卫生组织（WHO）1988年发布的《自然计划生育：服务指南》将自然计划生育描述为一种与其他任何避孕方法都不同的方法，但后来发布的《计划生育：全球服务提供者手册》中，自然计划生育并未被列为一个独立的方法组，而是与生育意识方法归为一类，若希望推迟怀孕，这些方法可与女性月经周期 fertile 期起作用的屏障避孕法相结合。换句话说，世界卫生组织的计划生育建议将基于生育意识的方法作为一类避孕方法。世界卫生组织是联合国系统内国际卫生问题的指导和协调机构。出于这些明显原因，本文主要关注世界卫生组织对基于生育意识的方法的定义。本文阐述了自然计划生育（包括使用尿液激素代谢物检测的现代自然计划生育方法）与基于生育意识的方法在人类学和方法学上的差异，并通过比较分析确定，自然计划生育既不等同于基于生育意识的方法，也不等同于该组中的任何一种方法，而是一组独特的计划生育方法。
“自然计划生育”（NFP）一词，无论是在科学术语还是在卫生政策的实际用语中，通常都被称为自然避孕法或基于生育意识的方法（FABM）。世界卫生组织（WHO）是联合国系统内国际卫生问题的指导和协调机构。世界卫生组织的计划生育建议将基于生育意识的方法作为一类避孕方法。出于这些明显原因，本文主要关注世界卫生组织对基于生育意识的方法的定义。本文阐述了自然计划生育与基于生育意识的方法在人类学和方法学上的差异，并通过比较分析确定，自然计划生育既不等同于基于生育意识的方法，也不等同于该组中的任何一种方法，而是一组独特的计划生育方法。
原文中“fertile phase”直译为“可生育阶段”，结合语境这里可能是指“排卵期”，但由于不确定具体所指，保留了英文未翻译。
