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Aya Goto1,2, Veronika J Wirtz3, Masako Hayashi4,5
1Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
自批准以来,日本医疗堕胎的普及率很低 (1.5%),堕胎前护理有限. 包括护士和助产士在内的医疗保健专业人员之间加强合作对于未来的医疗堕胎服务至关重要.
科学领域:
- 生殖健康 生殖健康
- 药理性流产 药理性流产
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 日本卫生,劳工和福利部于2023年4月26日批准了医疗堕胎药 (MEFEEGO包).
- 批准强制性住院或门诊观察在一个有床位的设施.
- 这项研究调查了日本最初采用医疗堕胎和堕胎前护理的情况.
研究的目的:
- 评估MEFEEGO包在日本医疗堕胎的立即使用情况.
- 评估堕胎前护理服务的可用性和提供情况.
- 识别影响这些服务的提供因素.
主要方法:
- 进行了机构一级的国家调查.
- 调查问卷分发给3941个医疗保健机构.
- 从2023年5月到10月收集的关于堕胎和咨询的数据.
主要成果:
- 从2096个设施中实现了53.2%的响应率.
- 在妊娠9周之前的1.5% (435/28,346) 的堕胎中使用了MEFEEGO包,没有严重的并发症.
- 堕胎期间的护理提供有所不同:心理健康为10.9%,咨询为3.3%,重复堕胎预防为50.6%,避孕为73%. 医生是主要提供者;护士和助产士在约20%的设施提供服务.
结论:
- 在日本,医疗堕胎的初始采用率很低.
- 流产期间的护理服务提供不一致,主要由医生领导.
- 加强专业间的合作,增加助产士和护士的参与,对于扩大医疗堕胎服务至关重要.
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