McAllister Arden, Christensen Theresa, Dixit Eshani, Chesnokova Arina, Sonalkar Sarita
Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Rutgers Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
Clin Obstet Gynecol. 2023 Mar 1;66(1):63-72. doi: 10.1097/GRF.0000000000000745. Epub 2022 Aug 30.
Equitable access to contraception and contraceptive education has the potential to mitigate health disparities related to unintended pregnancy. Pregnancy and the postpartum window frequently offer reduced insurance barriers to healthcare, increased interaction with healthcare systems and family planning providers, and an opportune time for many individuals to receive contraception; however, there are additional considerations in method type for postpartum individuals, and contraceptive counseling must be thoughtfully conducted to avoid coercion and promote shared decision-making. This commentary reviews method-specific considerations and suggests priorities for achieving equity in postpartum contraceptive access.
公平获得避孕措施和避孕教育有可能减少与意外怀孕相关的健康差距。怀孕和产后阶段往往会减少医疗保健的保险障碍，增加与医疗保健系统和计划生育服务提供者的互动，并且是许多人获得避孕措施的适当时机；然而，产后人群在避孕方法类型上还有其他需要考虑的因素，必须谨慎进行避孕咨询，以避免强迫并促进共同决策。本评论回顾了特定方法的考虑因素，并提出了在产后避孕获取方面实现公平的优先事项。
