艾滋病毒感染者的避孕和堕胎护理:生殖健康从业者的临床指南。

IF 2.1 4区 医学 Q2 NURSING
Lanbo Yang MD, Rebecca H. Allen MD, MPH, Mary Catherine Cambou MD, Karin Nielsen-Saines MD, MPH, Benjamin P. Brown MD, MS
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引用次数: 0

摘要

有能力怀孕的人受到艾滋病毒的影响尤为严重。这一人群的计划生育需求和服务往往得不到满足,关于避孕选择和堕胎护理的临床护理指南也没有得到很好的阐明。艾滋病毒感染者在获得避孕和堕胎服务方面往往面临独特的障碍,这是由于内化的污名、复杂的医疗护理(如药物相互作用、抗逆转录病毒疗法的不良影响)以及对医疗保健提供者的不信任。生殖健康、初级和传染病护理提供者也不清楚艾滋病毒感染者的最佳做法避孕咨询和避孕护理,因为加强生殖传染病专业知识的机会有限。在这篇综述中,我们总结了该人群中有关避孕咨询和堕胎护理的现有和最新证据以及临床考虑因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners

People capable of pregnancy are disproportionately affected by HIV. Family planning needs and services are often unmet in this population, and clinical care guidelines regarding contraceptive options and abortion care are not well elucidated. Individuals living with HIV often face unique barriers in accessing contraception and abortion services due to internalized stigma, medically complex care (eg, drug–drug interactions, adverse effects of antiretroviral therapy), and distrust of health care providers. There is also a lack of clarity among reproductive health, primary, and infectious disease care providers on best-practice contraceptive counseling and contraceptive care for individuals living with HIV, given limited opportunities to enhance expertise in reproductive infectious disease. In this review, we summarize existing and updated evidence and clinical considerations regarding contraceptive counseling and abortion care in this population.

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来源期刊
CiteScore
3.60
自引率
7.40%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The Journal of Midwifery & Women''s Health (JMWH) is a bimonthly, peer-reviewed journal dedicated to the publication of original research and review articles that focus on midwifery and women''s health. JMWH provides a forum for interdisciplinary exchange across a broad range of women''s health issues. Manuscripts that address midwifery, women''s health, education, evidence-based practice, public health, policy, and research are welcomed
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