Considerations for Contraception Following Spinal Cord Injury: A Systematic Review

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-05-01 DOI:10.46292/sci23-00081

Lauren M. Hall, Chinenye C. Nnoromele, Amber Trujillo Lalla, Claudia B. Hentschel, Chloe Slocum

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Abstract

Counseling and education on women's health, specifically contraception, following spinal cord injury (SCI) is an important component of care for women with SCI. While a plethora of available contraceptive options exists, research in this area is scarce. This systematic review assesses the quality and quantity of research on contraception for individuals with SCI. Literature searches of three medical databases were performed to identify articles that addressed contraception and family planning for women with SCI. Articles were then screened in a two-stage selection process and evaluated for content. Of 165 articles, 21 were identified that fit the inclusion criteria. The majority (66%) of articles were literature reviews or professional practice guidelines. Fourteen (66%) included information on short-acting hormonal oral contraception, 11 (52%) included information on long-acting reversible contraception, 15 (71%) included information on barrier methods, 6 (29%) included information on fertility awareness, 9 (43%) included information on permanent contraception, and one (5%) included information on emergency contraception. This systematic review demonstrates a paucity of evidence-based information on contraception tailored to women with SCI. It highlights a need for research and comprehensive guidelines on primary and emergency contraception in this population.

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脊髓损伤后避孕的注意事项：系统回顾

脊髓损伤（SCI）后的妇女健康咨询和教育，特别是避孕，是脊髓损伤妇女护理的重要组成部分。虽然有大量可用的避孕方法，但这方面的研究却很少。本系统性综述评估了有关 SCI 患者避孕的研究质量和数量。我们对三个医学数据库进行了文献检索，以确定涉及 SCI 女性避孕和计划生育的文章。然后对文章进行了两阶段筛选，并对内容进行了评估。在 165 篇文章中，有 21 篇符合纳入标准。大部分文章（66%）为文献综述或专业实践指南。14篇（66%）包含了短效激素口服避孕药的相关信息，11篇（52%）包含了长效可逆避孕药的相关信息，15篇（71%）包含了屏障避孕法的相关信息，6篇（29%）包含了生育意识的相关信息，9篇（43%）包含了永久性避孕药的相关信息，1篇（5%）包含了紧急避孕药的相关信息。本系统综述表明，针对患有 SCI 的女性的循证避孕信息非常缺乏。它强调了对这一人群进行初级避孕和紧急避孕方面的研究和全面指导的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.