关键词: Adolescent adolescence birth control contraception contraceptive methods effectiveness guidelines

Mesh : Pregnancy Female Adolescent Humans Contraception / methods Pregnancy in Adolescence / prevention & control Condoms Contraceptive Agents / therapeutic use Sexually Transmitted Diseases / prevention & control

来  源:   DOI:10.1080/13625187.2022.2162336

Abstract:
UNASSIGNED: Adolescent pregnancy, while recently in decline, remains a matter in need of addressing. Education and counselling are deemed crucial and this review aims at comparing published contraceptive guidelines, thus resolving any surrounding misconceptions.
UNASSIGNED: Recently published contraception guidelines regarding adolescent pregnancy were retrieved. In particular, guidelines and recommendations from ACOG, RCOG, SOCG, AAP, CPS, NICE, CDC, and WHO were compared and reviewed based on each guideline\'s method of reporting.
UNASSIGNED: Three categories of contraceptive methods are available for adolescents and recommendations on their initiation should be made based on their efficacy, according to all guidelines. Therefore, long acting reversible contraceptives (LARCs) should be highly recommended as the most effective method (typical use failure rate: 0.05%), followed by short-acting hormonal contraceptives (typical use failure rate: 3-9%). The third contraceptive option includes contraceptives used in the moment of intercourse and displays the lowest effectiveness (typical use failure rate: 12-25%), mostly due to its dependence on personal consistency, however offers protection against STI transmission.
UNASSIGNED: Adolescents should be encouraged to initiate contraception, with LARCs being the primary choice followed by short-acting hormonal contraception. However, regardless of the chosen effective contraceptive method, the use of condom is necessary for STI prevention.
Adolescent pregnancy, while recently in decline, remains a matter in need of addressing. The use of contraceptive methods such as LARCs and short-acting hormonal contraceptives should be encouraged and suggested based on effectiveness with the addition of condom for STI prevention.
摘要:
未经批准:青少年怀孕,虽然最近在下降,仍然是一个需要解决的问题。教育和咨询被认为是至关重要的,这项审查旨在比较已发布的避孕指南,从而解决任何周围的误解。
UNASSIGNED:最近发布的关于青春期妊娠的避孕指南被检索。特别是,ACOG的指导方针和建议,RCOG,SOCG,AAP,CPS,Nice,CDC,和WHO根据每个指南的报告方法进行比较和审查。
UNASSIGNED:青少年可以使用三类避孕方法,应根据其功效提出建议,根据所有准则。因此,长效可逆避孕药(LARCs)应被推荐为最有效的方法(典型使用失败率:0.05%),其次是短效激素避孕药(典型使用失败率:3-9%)。第三种避孕方法包括在性交时使用的避孕药具,效果最低(典型使用失败率:12-25%),主要是由于它对个人一致性的依赖,然而提供对STI传输的保护。
未经授权:应鼓励青少年开始避孕,LARCs是主要的选择,其次是短效激素避孕。然而,无论选择哪种有效的避孕方法,使用避孕套对于预防性传播感染是必要的。
青少年怀孕,虽然最近在下降,仍然是一个需要解决的问题。应鼓励和建议使用避孕方法,例如LARCs和短效激素避孕药,并根据有效性增加避孕套预防性传播感染。
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