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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Contraception and the obese woman
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Contraception and the obese woman

机译：避孕和肥胖的女人

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摘要

Purpose: Obesity has reached epidemic rates among U.S. women of reproductive age, many of whom want to use contraception. However, some forms of contraception can have adverse effects on an obese woman's health. This article explores risks of contraception available in the United States and provides clinical recommendations for use by obese women. Data sources: Information was compiled by reviewing the scientific literature on contraception and female obesity using CINAHL, MEDLINE, PubMed search engines. Conclusions: The evidence is largely supportive of combined oral contraceptive (COC) use in carefully screened obese women without known risks factors for cardiovascular disease. The efficacy of COCs may be slightly reduced in obese women because of increased body mass. Other types of hormonal contraceptives have varying safety and efficacy reports when used by obese women. Intrauterine devices do not have reduced efficacy nor increased risks for obese women but insertion may be more difficult. Obesity has no effect on efficacy of barrier methods of contraception. Implications: Clinicians should conduct a careful history and physical exam with selected supporting laboratory tests when considering prescription of hormonal contraceptives for obese women. Obese women require health counseling to carefully follow directions for contraceptive use to avoid unintended pregnancy.
机译：目的：肥胖症已达到美国生殖年龄的妇女的流行病率，其中许多人想要使用避孕措施。然而，某些形式的避孕可能对肥胖女性的健康产生不利影响。本文探讨了美国提供的避孕风险，并提供肥胖妇女使用的临床建议。数据来源：使用CINAHL，MEDLINE，PUBMED搜索引擎审查避孕和女性肥胖的科学文献来编制信息。结论：证据主要是支持在没有已知的心血管疾病风险因素的小心筛查的肥胖妇女中使用组合口服避孕药（COC）。由于体重增加，COCs的疗效可能在肥胖女性中略微减少。其他类型的激素避孕药在肥胖女性使用时具有不同的安全性和功效报告。宫内装置没有减少疗效，也没有增加肥胖女性的风险，但插入可能更加困难。肥胖对避孕方法的疗效没有影响。含义：临床医生应在考虑肥胖妇女的荷尔蒙避孕药处方时，通过选择的支持实验室测试进行仔细的历史和体检。肥胖妇女需要健康咨询，以便仔细遵循避孕用途的指示，以避免意外怀孕。

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    ReifsniderE.; MendiasN.; DavilaY.; BabendureJ.B.;

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    College of Nursing and Health Innovation Arizona State University Phoenix AZ United States;

    School of Nursing University of Texas Medical Branch Galveston TX United States;

    School of Nursing University of Texas Medical Branch Galveston TX United States;

    College of Nursing and Health Innovation Arizona State University Phoenix AZ United States;

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  • 正文语种 eng
  • 中图分类 护理学;
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