智力障碍妇女使用注射避孕药:叙述审查和服务评估
Marianne Bergman1, Alaa Martin2
1Essex Partnership University Trust, Wickford, UK.
BJPsych open
|August 20, 2025
概括
智力障碍的妇女不成比例地被处方,尽管骨矿物质密度 (BMD) 降低的风险. 临床管理和风险意识不足,需要个性化护理和进一步研究.
科学领域:
- 生殖健康
- 智力障碍研究
- 药物监督管理
背景情况:
- 智力障碍妇女经常经历月经困扰,导致使用荷尔蒙避孕药.
- 尽管已知的风险如骨矿物质密度降低和体重增加,但DMPA经常被处方.
研究的目的:
- 评估智力障碍妇女使用DMPA的临床治疗方法.
- 评估当前的做法是否与已确定的关于避孕选择和风险管理的文献建议一致.
主要方法:
- 针对ID女性的避孕方法进行了文献综述.
- 一项地方服务评估评估了100名患有智障的妇女的避孕药使用,健康问题和风险理解.
主要成果:
- 与一般人群相比,文献审查显示DMPA使用率较高, BMD风险已得到证实.
- 在23名DMPA使用者中,服务评估发现了DMPA风险和监测,不适当使用和不良主动风险管理方面的知识差距.
结论:
- 在没有足够的临床理由或风险意识的情况下,DMPA的使用在ID的妇女中不成比例.
- 许多个人和护理人员不知道骨质疏松症的风险,很少考虑DMPA的替代品.
- 个性化避孕管理,更密切的DMPA使用审查和加强监测 (例如DEXA扫描,补充剂) 是至关重要的. 需要进一步的研究.
相关概念视频
Intellectual Disability
159
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
159
Insulin Formulations: Types and Delivery
270
Insulin preparations are categorized by their duration of action into short-acting and long-acting types. Two strategies are used to modify insulin's absorption and pharmacokinetic profile: slowing the absorption post-subcutaneous injection, or altering human insulin's amino acid sequence or protein structure. These changes retain the insulin's ability to bind to the insulin receptor, but alter its behavior in solution or after injection.
Short-acting insulins are divided into...
Short-acting insulins are divided into...
270
Drug Delivery: Parenteral Route
831
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
831
Birth Control Methods
2.4K
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...
2.4K
Insulin: Dosing Regimen and Adverse Effects
257
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
257
Drug Delivery: Overview
422
The selection of a drug's delivery route depends upon its physicochemical properties, including lipid or water solubility and ionization, as well as the therapeutic requirement, such as immediate or sustained effect. These routes can be divided into three primary categories: enteral, parenteral, and topical.
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
422


