在后多布斯时代,为患有炎性肠病的患者提供计划生育服务
Lori M Gawron1, Jessica B Johnson2, Ann D Flynn2
1Division of Family Planning , Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah.
联邦堕胎保护在2022年6月结束,影响了炎症性肠病 (IBD) 患者的怀孕计划. 基于证据的咨询和专业诊所对于后多布斯时代的生殖健康至关重要.
科学领域:
- 生殖健康 生殖健康
- 胃肠病学 胃肠病学
- 公共卫生政策 公共卫生政策
背景情况:
- 联邦堕胎保护在2022年6月结束,这给那些可能怀孕的炎症性肠病 (IBD) 患者带来了重大挑战.
- 不必要的或错误的怀孕对IBD患者构成风险,特别是在疾病爆发期间或服用致病药物时.
- 由于立法变化,IBD患者的生殖健康考虑现在在地理上变化和不稳定.
研究的目的:
- 在目前的立法环境中,审查IBD患者的重要生殖健康考虑因素.
- 强调对IBD患者的孕前健康和避孕咨询的重要性.
- 突出IBD患者需要可访问,及时的生殖健康服务.
主要方法:
- 审查关于IBD,怀孕和生殖健康的当前文献.
- 分析后多布斯景观对IBD患者生殖选择的影响.
- 在IBD护理中讨论预孕和避孕咨询的最佳实践.
主要成果:
- 联邦堕胎保护的终止需要对IBD患者的生殖计划进行重新评估.
- 综合护理模式,如多学科或复杂的避孕诊所,可以改善咨询和服务提供.
- 非生殖健康提供者也应该有能力提供基于证据的咨询.
结论:
- 对IBD患者来说,以人为中心和基于证据的咨询对预孕和避孕至关重要.
- 大量IBD中心内的专门诊所可以解决时间敏感的生殖健康需求.
- 目前的法律环境需要为患有IBD的孕妇制定主动和全面的生殖健康策略.
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