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Updated: May 23, 2025

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关于产后子宫内器械 (PPIUD) 的FIGO立场声明
Anita Makins1,2, Azra Ahsan2,3,4, Marium Waqas3,4
1Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK.
概括
产后避孕,包括产后子宫内装置 (PPIUD),对于满足低收入和中等收入国家 (LMICs) 的计划生育需求至关重要. 整合这些服务可以改善孕产妇的健康状况,并赋予妇女权力.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
- 全球公共卫生 全球公共卫生
背景情况:
- 全球有2.18亿多名妇女面临未得到满足的计划生育需求,主要是在低收入和中等收入国家 (LMICs).
- 短暂的妊娠间隔增加了孕产妇和新生儿发病率和死亡率的风险.
- 机构出生率的上升为产后计划生育 (PPFP) 提供了机会.
研究的目的:
- 突出产后避孕在解决未满足的计划生育需求方面的关键作用.
- 倡导将分娩后立即计划生育 (PPFP),特别是产后子宫内装置 (PPIUD),纳入常规产妇护理.
- 确定障碍,并提出成功实施PPIUD的战略.
主要方法:
- 关于产后避孕的当前文献和全球卫生倡议的审查.
- 分析与产后子宫内装置 (PPIUD) 相关的好处和挑战.
- 检查将PPFP服务纳入现有医疗保健系统的战略.
主要成果:
- 产后子宫内避孕装置 (PPIUD) 是一种安全,具有成本效益的,具有低失败率的非激素长效可逆避孕药 (LARC).
- 对PPIUD的障碍包括分散的服务,供应商偏见,误解和供应链问题.
- 成功实施需要任务共享,社区参与和全面的咨询.
结论:
- 将PPFP (包括PPIUD) 整合到常规产妇护理中,对于改善LMIC中母亲和儿童健康结果至关重要.
- 通过战略干预来解决实施障碍,可以提高获得和采用产后避孕的机会.
- 通过PPFP赋予妇女知情的生殖选择,有助于实现可持续发展目标 (SDGs).
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