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Contraception for women with medical disorders

机译：对患有医学疾病的妇女避孕

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Many women in the reproductive years have chronic medical conditions that are affected by pregnancy or in which the fetus is placed at increased risk. In most of these women, ongoing medical management of their conditions is greatly improved, even compared with a decade or two ago. However, their condition may still be seriously exacerbated by the physiological changes of pregnancy, and close monitoring of a carefully planned pregnancy is optimal. This requires effective and safe contraceptive use until pregnancy is desired and the medical condition is stabilised. Many contraceptives will also have adverse effects on some medical conditions, and there is now a considerable awareness of the complexities of some of these interactions. For this reason the World Health Organization has developed an excellent, simple and pragmatic programme of guidelines on a four point scale (the WHO "Medical Eligibility Criteria": WHO-MEC), summarising risk of specific contraceptive methods in women with specified chronic medical conditions. The general approach to contraceptive management of many of these conditions is addressed in this article.
机译：育龄时期的许多妇女患有受怀孕影响或使胎儿处于较高风险中的慢性医学疾病。在大多数这些妇女中，与十年或两年前相比，目前对其状况的医疗管理已大大改善。但是，怀孕的生理变化可能仍会严重加重她们的病情，因此，密切监视精心计划的怀孕是最佳选择。这需要有效和安全的避孕药具使用，直到需要怀孕并且病情稳定为止。许多避孕药也将对某些医疗状况产生不利影响，现在人们对其中某些相互作用的复杂性有了相当的认识。因此，世界卫生组织制定了一套出色，简单而实用的四分制指南准则（WHO“医疗资格标准”：WHO-MEC），总结了患有特定慢性疾病的妇女使用特定避孕方法的风险。本文讨论了许多情况下避孕管理的一般方法。

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