Barriers to Use of Long-Acting Reversible Contraceptives in Adolescents

被引：0
作者：
Browne, Meredith [1 ]
Barrett, Stevi [2 ]
Icenhour, Laura [3 ]
Reich, Suzanne [4 ]
Gimpert, Rebecca [5 ]
Esinhart, Tiffany [3 ]
机构：
[1] Wake Forest Baptist Med Ctr, Obstet & Gynecol, Winston Salem, NC 27157 USA
[2] Digest Hlth Specialists, Gastroenterol, Winston Salem, NC 27103 USA
[3] Carolinas Healthcare Syst, Emergency Med, US Acute Care Solut, Charlotte, NC 28210 USA
[4] Wake Forest Sch Med, Dept PA Studies, Med Ctr Blvd, Winston Salem, NC 27157 USA
[5] Carolinas Healthcare Syst, Hosp Med, Carolinas Hospitalist Grp, Charlotte, NC 28203 USA
来源：
PHYSICIAN ASSISTANT CLINICS | 2018年 / 3卷 / 03期
关键词：
LARC; Contraception; IUD; Implant; Adolescence;
D O I：
10.1016/j.cpha.2018.02.003
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Long-acting reversible contraceptives (LARCs), the intrauterine device and implant, are recommended as the first line of contraception by the American College of Obstetrics and Gynecology and the American Academy of Pediatrics for adolescents in the United States because of their low failure rate and high compliance, but the United States has high teen pregnancy rates. Barriers to more prevalent use include patient and provider misconceptions regarding infection, infertility, and insertion. Overall, the risk of adverse outcomes with LARC use is low and fertility is maintained after removal. Addressing misconceptions will lead to increased use of LARCs and decreased unintended pregnancies.
引用
收藏
页码：339 / +
页数：15
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