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美国的堕胎服务提供者:超越妇产科领域的拓展

Abortion providers in the United States: expanding beyond obstetrics and gynecology.

作者信息

Sagar Kareena, Rego Erica, Malhotra Radhika, Lacue Amanda, Brandi Kristyn M

机构信息

Departments of Obstetrics, Gynecology, and Reproductive Health (Mses Sagar and Rego and Dr Lacue), Rutgers New Jersey Medical School, Newark, NJ.

Medicine (Dr Malhotra), Rutgers New Jersey Medical School, Newark, NJ.

出版信息

AJOG Glob Rep. 2023 Feb 25;3(2):100186. doi: 10.1016/j.xagr.2023.100186. eCollection 2023 May.

Abstract

In the years preceding the (2022) decision, there had been a shift in the demographics of abortion providers. Although most abortion providers were obstetricians-gynecologists, there had been a rapid increase in the number of internal medicine and family medicine physicians and advanced practice clinicians providing abortion care. As discourse about limiting abortion access has gained volume over the past few years, so have the number of legislative restrictions aimed at preventing people from seeking abortions. Among these are laws and policies targeted at reducing the number of providers and clinics providing abortion care, resulting in an absence of training, high case volume, and institutional restrictions. With the overturning of , the landscape of abortion provision will continue to shift further. Action needs to be taken to expand the types of providers getting trained and providing abortions to ensure access for those seeking abortions.

摘要

在(2022年)该裁决之前的几年里,堕胎服务提供者的人口统计数据发生了变化。尽管大多数堕胎服务提供者是妇产科医生,但提供堕胎护理的内科和家庭医学医生以及高级执业临床医生的数量迅速增加。在过去几年里,随着关于限制堕胎服务可及性的讨论愈演愈烈,旨在阻止人们寻求堕胎的立法限制也越来越多。其中包括旨在减少提供堕胎护理的提供者和诊所数量的法律和政策,这导致了培训缺失、高工作量以及机构限制。随着(某项裁决)被推翻,堕胎服务的局面将继续进一步转变。需要采取行动扩大接受培训并提供堕胎服务的提供者类型,以确保寻求堕胎者能够获得服务。 (注:原文中“the (2022) decision”和“With the overturning of,”部分信息缺失,翻译时保留了原文格式)

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本文引用的文献

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Abortion Surveillance - United States, 2020.《2020 年美国堕胎监测》
MMWR Surveill Summ. 2022 Nov 25;71(10):1-27. doi: 10.15585/mmwr.ss7110a1.
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Abortion incidence and service availability in the United States, 2020.2020 年美国的堕胎发生率和服务提供情况。
Perspect Sex Reprod Health. 2022 Dec;54(4):128-141. doi: 10.1363/psrh.12215. Epub 2022 Nov 20.
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The immediate post-Roe landscape.罗诉韦德案裁决后的当下局面。
BMJ Sex Reprod Health. 2023 Jan;49(1):1-2. doi: 10.1136/bmjsrh-2022-201641. Epub 2022 Jul 28.
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A Black Abortion Provider's Perspective on Post- America.一位黑人堕胎提供者对“后美国”的看法。
N Engl J Med. 2022 Jun 23;386(25):e70. doi: 10.1056/NEJMpv2206922. Epub 2022 Jun 8.

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