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【medical-news】医生在家庭计划生育受训方面通显
Natural -- also called fertility awareness-based -- methods of family planning may be just what some women are looking for, but most physicians do not learn about them during medical school or residency training, according to Victoria Jennings, Ph.D. and Helain Landy, M.D. of Georgetown University Medical Center. Their paper, appearing in the July issue of Contemporary Obstetrics & Gynecology, addresses this gap in training and its implications.
Physicians play an important role in helping a woman chose an appropriate contraceptive method. "Ideally a physician should be aware of the pros and cons of all available types of family planning so that she or he is able help a patient chose the method that is best for her needs," said Dr. Jennings, who is the director of Georgetown University's Institute for Reproductive Health. "An important component in helping a patient choose an appropriate contraceptive method is to consider her preferences as well as medical eligibility criteria," she said.
The existence of new highly reliable, easily taught natural family planning methods developed by Georgetown University's Institute for Reproductive Health may encourage physicians to present natural family planning options to their patients, says Dr. Jennings.
One of these new methods is the Standard Days Method - which uses CycleBeads -, a string of 32 color-coded beads that helps a woman keep track of her cycle, know which days she can get pregnant (days 8-19 represented by glow-in-the-dark white beads) and monitor the length of her menstrual cycle. Research has shown that the Standard Days Method is 95 percent effective in preventing pregnancy.
Another new method relies on the presence or absence of cervical secretions, but does not require the analysis and charting of secretions required to follow older natural methods. This new method, known as the TwoDay Method -, is 96 percent effective in preventing pregnancy.
All family planning methods have characteristics that may be perceived by some as advantages while others consider them disadvantages. For instance, Dr. Jennings says, the fact that natural family planning requires a woman to pay close attention to her body on a daily basis is attractive to many women, while others find it unacceptable. The authors suggest that physicians be closely attuned to the needs of their patients and that they present a wide range of options to women regarding birth control.
Dr. Jennings is a professor of obstetrics and gynecology. Dr. Landy is a professor and the chair of the department of obstetrics and gynecology, both at Georgetown University Medical Center.
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题目:医生在计划生育方面受训通显不足
根据Georgetown大学医学中心的Victoria Jennings 和 Helain Landy两位博士透露:自然的(通常也叫作一生育保健意识为基础的)家庭计划生育方法可能就是一些妇女所寻找的计划生育保健的方法,但是大部分医生在医学院学习或者地方医院受训期间都没有受过关于这个方面的培训.他们这篇论文发表在7月份名叫<当代妇产科学的争论>的杂志,论述了医生培训的现实差距以及它暗示的意义.
医生在帮助妇女选择一种合适的避孕方法当中扮演着一个十分重要的角色."在理想的情况下,一个医生应该要意识到各种可得的计划生育方法的优缺点以便于他或她能够帮助病人选择一种最适合病人的方法,"Georgetown 大学生殖健康研究所主任Jenings博士说,"在帮助病人选择一种合适的避孕方法其中很重要的就是要考虑符合合理的医学标准之外,还需要考虑病人的喜好.
Jennings博士说:"Georgetown大学生殖健康研究所研究发展的一些现存新的高效的而且又简单易学的家庭计划生育方法可能会鼓励医生提出一些自然计划生育的方案给他们的病人."
标准天数法就是这些新的方法中的一种,它用一串有32颗颜色代码的珠子
来帮助妇女来跟踪她们的月经周期,知道哪一天她能怀孕(白色的珠子在黑暗中闪光表示受孕期9-19天)并且可以检测自己月经周期的长度.研究表明标准天数法在预防怀孕的有效率有95%.
另外一种新的方法依靠宫颈分泌物的出现和消失来判断,但是不需要根据传统的自然方法来分析和记录宫颈分泌物分泌情况.这种新的方法名叫2天法,预防怀孕的有效率为96%.
所有的家庭计划生育的方法都有这样一个特点,就是有些人认为它们有优点同时另外一些人认为他们有缺点.例如,Jennings博士说:"自然家庭计划生育需要妇女在日常生活中非常关心注意自己的身体,这一个事实对很多妇女是有吸引力的,但是与此同时,其他人会发现它不可接受.笔者建议医生要密切注意调整他们病人的需要以及他们要提供给妇女关于生育控制的方法很宽的选择空间.
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作者:admin@医学,生命科学 2011-02-16 05:16
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