紧急避孕客户选择长效可逆避孕方法:一项前性观察性研究
Gentry Carter1, Misha Pangasa1, Corinne D Sexsmith1
1ASCENT Center Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, United States.
Contraception
|September 6, 2024
概括
七分之一寻求紧急避孕 (EC) 的人开始长效可逆避孕 (LARC). 与口服levonorgestrel一起的etonogestrel植入物比宫内器械 (IUD) 更受欢迎.
科学领域:
- 生殖健康 生殖健康
- 避孕药是一种避孕药,用于避孕.
- 计划生育 计划生育方式
背景情况:
- 长效可逆避孕 (LARC) 提供有效的长期避孕.
- 紧急避孕 (EC) 访问为LARC启动提供了一个机会.
- 了解欧盟环境中的LARC吸收对于生殖健康战略至关重要.
研究的目的:
- 调查在紧急避孕 (EC) 访问期间启动长效可逆避孕 (LARC).
- 确定EC客户中LARC方法的采用率和选择.
主要方法:
- 从2021年2月到2023年4月,在犹他州的四个计划生育诊所进行了一项观察性研究.
- 寻求EC的18-35岁的客户可以在口头EC和三个LARC选项之间进行选择.
- 收集了LARC请求和启动的数据.
主要成果:
- 在2106名欧盟客户中,有306人 (14.5%) 要求LARC.
- 293个客户启动了一个LARC方法.
- 使用口服列格斯特勒的乙格斯特勒植入物是最常用的选择方法 (55%),其次是铜子宫内置器 (IUD) (25%) 和52毫克列格斯特勒IUD (21%).
结论:
- 在这项研究中,约有14.5%的EC客户启动了LARC.
- 与口服levonorgestrel相结合的etonogestrel植入物比IUD更常被选择.
- 欧洲共同体访问是LARC启动的可行环境,优先选择以格斯特勒植入物.
相关概念视频
Birth Control Methods
214
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
214
Drug Delivery: Enteral Route
395
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
395
Local Anesthetics: Clinical Application as Epidural Anesthesia
422
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
422
Routes of Drug Administration: Overview
6.1K
Drug administration involves delivering drugs to the body through various routes, such as enteral, parenteral, and topical.
Enteral administration refers to drugs absorbed through the gastrointestinal tract. They can be swallowed (perorally), placed under the tongue (sublingually), or on the inner lining of the cheeks (buccally). Perorally administered drugs take time to be absorbed and have a slower onset of action. The rectal route is another form of enteral administration, which allows for...
Enteral administration refers to drugs absorbed through the gastrointestinal tract. They can be swallowed (perorally), placed under the tongue (sublingually), or on the inner lining of the cheeks (buccally). Perorally administered drugs take time to be absorbed and have a slower onset of action. The rectal route is another form of enteral administration, which allows for...
6.1K
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
719
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
719
Depolarizing Blockers: Pharmocokinetics
315
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
315


