Obstet Gynecol. 2021 Aug 1;138(2):e91-e95. doi: 10.1097/AOG.0000000000004475.
All contraceptive methods are safe and effective when provided immediately after abortion procedures and when otherwise medically appropriate for a patient. Providing a contraceptive method immediately after an induced or spontaneous abortion can help individuals achieve their desired reproductive outcomes and minimize the burden of multiple appointments. Contraceptive counseling and methods should be made available to all patients who experience induced or spontaneous abortion, and the patient's right to decline or postpone this care should be respected. Recognizing the individual barriers that may exist for each patient is important to providing patient-centered care. It also is important to understand the history of reproductive rights abuses, including contraceptive coercion and forced sterilization, in the United States. Ultimately, clinicians should focus on providing access to counseling and, ideally, providing all methods of contraception, while recognizing that each patient is unique.
所有避孕方法在堕胎手术后立即提供时,以及在其他符合患者医疗需求的情况下,都是安全有效的。在人工流产或自然流产后立即提供避孕方法,有助于个体实现其期望的生殖结果,并减少多次就诊的负担。应向所有经历人工流产或自然流产的患者提供避孕咨询和方法,并且应尊重患者拒绝或推迟这种护理的权利。认识到每个患者可能存在的个体障碍,对于提供以患者为中心的护理很重要。了解美国生殖权利滥用的历史也很重要,包括避孕强制和强制绝育。最终,临床医生应专注于提供咨询服务,并理想情况下提供所有避孕方法,同时认识到每个患者都是独特的。