Contraception after abortion, miscarriage, ectopic and molar pregnancy

IF 3.9 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-12-12 DOI:10.1016/j.bpobgyn.2023.102428

Michelle Cooper, Sharon Cameron

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引用次数: 0

Abstract

Regardless of whether a pregnancy ends in abortion, miscarriage or ectopic pregnancy, fertility and sexual activity can resume quickly. For those who do not plan to become pregnant again immediately, effective contraception is therefore required. Although a contraceptive discussion and the offer to provide contraception is considered an integral part of abortion care, health care providers may not always offer this same standard of care to those whose pregnancy ends in miscarriage or ectopic due to sensitivities or assumptions around this and future fertility intentions. Yet, evidence-based recommendations support the safety of initiating contraception at these times. Provision of a chosen method of contraception may be convenient for women and valued by them. As part of holistic care, healthcare professionals who care for women around these reproductive events should therefore offer quality information on contraception and help them access their chosen method to better meet their ongoing reproductive health needs.

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堕胎、流产、宫外孕和臼齿妊娠后的避孕措施

无论怀孕是以流产、流产还是宫外孕结束，生育能力和性活动都可以很快恢复。因此，对于那些不打算立即再次怀孕的人来说，必须采取有效的避孕措施。虽然避孕讨论和提供避孕措施被认为是人工流产护理不可或缺的一部分，但由于对流产或宫外孕的敏感性或对未来生育意愿的假设，医疗服务提供者可能不会为妊娠以流产或宫外孕告终的患者提供同样标准的护理。然而，基于证据的建议支持在这些时候采取避孕措施是安全的。提供所选的避孕方法可能会给妇女带来方便，并受到她们的重视。因此，作为整体护理的一部分，在这些生殖事件前后为妇女提供护理的医护人员应提供有关避孕的优质信息，并帮助她们获得所选择的避孕方法，以更好地满足其持续的生殖健康需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Best Practice & Research Clinical Obstetrics & Gynaecology 医学-妇产科学

CiteScore

9.40

自引率

1.80%

发文量

113

审稿时长

54 days

期刊介绍： In practical paperback format, each 200 page topic-based issue of Best Practice & Research Clinical Obstetrics & Gynaecology will provide a comprehensive review of current clinical practice and thinking within the specialties of obstetrics and gynaecology. All chapters take the form of practical, evidence-based reviews that seek to address key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. Management will be described in practical terms so that it can be applied to the individual patient.