在患有炎症性肠病的妇女中,关于避孕选择的知识,价值观和偏好
Jimmy K Limdi1,2, Sarah Rhodes3, Eleanor Liu1
1Northern Care Alliance NHS Foundation Trust, Division of Gastroenterology-Section of IBD, Manchester, UK.
许多患有炎症性肠病 (IBD) 的女性不有效使用避孕措施. 改善关于生殖健康和避孕的患者提供者讨论对于患有IBD的女性至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 生殖健康 生殖健康
- 妇女健康 妇女健康
背景情况:
- 活跃的炎症性肠病 (IBD) 与不良的妊娠结果有关.
- 目前的指导方针缺乏针对IBD患者的避孕咨询的重点.
- 关于IBD妇女的避孕方法的数据有限.
研究的目的:
- 评估IBD妇女的避孕使用,偏好,知识和障碍.
- 确定影响IBD患者避孕选择的因素.
- 了解有关生殖健康的患者与医生的沟通.
主要方法:
- 一项针对338名患有IBD的18-45岁女性的调查.
- 使用PRO-2和IBD控制问卷对疾病控制的评估.
- 对避孕方式偏好的评估和后勤回归分析.
主要成果:
- 74%的女性使用避孕;口服药和屏障方法是最常见的.
- 长效避孕药的使用率很低 (20%),但在活跃疾病 (23%),使用率更高.
- 有效性,易用性和最小的副作用是主要优先事项;只有25%的IBD临床医生讨论了生殖问题.
结论:
- 很大一部分患有IBD的女性不使用避孕措施,长效方法的吸收率很低.
- 患有IBD的妇女希望有效的,用户友好的避孕药,副作用很少,但缺乏知识.
- 加强患者提供者沟通和教育对于改善这一群体的生殖健康结果至关重要.
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