Aly Jasmine, Choi Lindsey, Christy Alicia Y
Program in Reproductive Endocrinology and Infertility, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Gynecologic Surgery and Obstetrics Blanchfield Army Community Hospital, Fort Campbell, Kentucky.
F S Rev. 2022 Jul;3(3):190-200. doi: 10.1016/j.xfnr.2022.05.002. Epub 2022 May 30.
It is important to closely examine trends in reproduction during a pandemic because it provides not only the foundation for an improved future response but also crucial insights regarding the disparate impact across different races and socioeconomic classes. The coronavirus disease 2019 pandemic is a prime example of the impact a pandemic can have on a nation's reproductive health. Contraception and abortion access became more difficult with more barriers to access, likely contributing to increasing unintended pregnancy rates. Underrepresented minorities and vulnerable populations were disproportionately affected by the virus on their reproductive health as well as by the virus itself. As the first ever messenger ribonucleic acid vaccine in conjunction with the lack of inclusion of pregnant and peripartum women in initial studies and conflicting and misinformation on social media, the initial role of the coronavirus disease 2019 vaccine in women of reproductive age was unclear. Further research inclusive of this group of women has led to the consensus by major medical societies to recommend vaccination of women regardless of pregnancy or lactating status. Examining these topics in depth will lead to the development of strategies that can be employed to mitigate the negative effects on reproductive health during the current pandemic and can also be applied to future strategic plans to prevent similar negative outcomes.
在大流行期间密切研究生殖趋势非常重要，因为这不仅为未来改进应对措施奠定基础，还能提供有关不同种族和社会经济阶层所受不同影响的关键见解。2019年冠状病毒病大流行就是大流行对一个国家生殖健康产生影响的典型例子。避孕和堕胎变得更加困难，获取途径障碍增多，这可能导致意外怀孕率上升。代表性不足的少数群体和弱势群体在生殖健康方面以及受到病毒本身的影响方面都受到了不成比例的影响。作为首款信使核糖核酸疫苗，加上最初研究中未纳入孕妇和围产期妇女，以及社交媒体上的相互矛盾和错误信息，2019年冠状病毒病疫苗在育龄妇女中的最初作用尚不清楚。纳入这组女性的进一步研究已导致主要医学协会达成共识，建议无论女性处于怀孕或哺乳状态都进行疫苗接种。深入研究这些主题将促成可用于减轻当前大流行期间对生殖健康负面影响的策略的制定，这些策略也可应用于未来的战略计划，以防止类似的负面结果。
