Krishna Usha R
Research Society Breach Candy Hospital, Mumbai, India.
Bhatia Hospital, Mumbai, India.
J Obstet Gynaecol India. 2021 Aug;71(Suppl 1):7-11. doi: 10.1007/s13224-021-01546-2. Epub 2021 Aug 30.
Globally reproductive health services such as contraception and abortion are impacted and are not accessible to a considerable population. The International Planned Parenthood Federation reported anticipated shortage of contraception as the lockdown measures led to reduction in the manufacturing of contraceptives. A recent analysis by the Guttmacher Institute estimated the potential effects of the pandemic. It was found that a 10% decline of sexual and reproductive health services due to COVID-19, would mean an additional 15.4 million unintended pregnancies, over 3.3 million unsafe abortions and 28,000 maternal deaths. The UN Secretary General has issued a call to continue the delivery of sexual and reproductive health services even without prescription. The focus is now to provide vaccines, and therefore, a number of research organizations and pharmaceutical industries are working on their production. One of the reasons for vaccine refusal is the concern that it may affect female and male reproductive functions. However, it is important to correct this misunderstanding as vaccination does not affect fertility. In most cases, vaccination during pregnancy and lactation can be considered safe and effective.
在全球范围内，诸如避孕和堕胎等生殖健康服务受到影响，相当一部分人无法获得这些服务。国际计划生育联合会报告称，由于封锁措施导致避孕药具生产减少，预计会出现避孕药具短缺的情况。古特马赫研究所最近的一项分析估计了疫情的潜在影响。研究发现，由于新冠疫情导致性健康和生殖健康服务下降10%，将意味着新增1540万意外怀孕、超过330万不安全堕胎以及2.8万例孕产妇死亡。联合国秘书长呼吁即使没有处方也要继续提供性健康和生殖健康服务。目前的重点是提供疫苗，因此，一些研究组织和制药行业正在致力于疫苗生产。拒绝接种疫苗的原因之一是担心它可能会影响女性和男性的生殖功能。然而，纠正这种误解很重要，因为接种疫苗不会影响生育能力。在大多数情况下，孕期和哺乳期接种疫苗可被视为安全有效。
