Cannon Rachel, Treder Kelly, Woodhams Elisabeth J
Boston Medical Center, Boston, Massachusetts (R.C., K.T., E.J.W.).
Ann Intern Med. 2023 Aug;176(8):ITC113-ITC128. doi: 10.7326/AITC202308150. Epub 2023 Aug 8.
Contraception counseling and provision are vital components of comprehensive health care. An unplanned pregnancy can be particularly challenging for patients with chronic illness. Internal medicine physicians are uniquely positioned to assess pregnancy readiness and provide contraception, as they often intersect with pregnancy-capable patients at the moment of a new diagnosis or when providing ongoing care for a chronic medical condition. A shared decision-making counseling approach engages patients, ensures patient-centered care, and supports their choice of a contraceptive method that aligns with their reproductive plans and medical needs.
避孕咨询与服务是全面医疗保健的重要组成部分。意外怀孕对慢性病患者来说可能尤其具有挑战性。内科医生在评估怀孕准备情况和提供避孕措施方面具有独特的优势，因为他们在新诊断时或为慢性病提供持续护理时，经常会接触到有怀孕可能的患者。共同决策咨询方法能让患者参与其中，确保以患者为中心的护理，并支持他们选择符合其生育计划和医疗需求的避孕方法。
