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Indonesian program enrolls 3 million in 3 years; 84% of new acceptors chose the pill or IUD. 印尼项目3年内招收300万人;84%的新接受者选择口服避孕药或宫内节育器。
Pub Date : 1975-02-01
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引用次数: 0
Indonesian program enrolls 3 million in 3 years; 84% of new acceptors chose the pill or IUD. 印尼项目3年内招收300万人;84%的新接受者选择口服避孕药或宫内节育器。
Pub Date : 1975-01-01 DOI: 10.2307/2948255
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引用次数: 0
Younger women in Taiwan want smaller families, fewer sons; birth control use is found widespread. 台湾的年轻女性想要小家庭,少生儿子;人们普遍使用避孕措施。
Pub Date : 1975-01-01 DOI: 10.2307/2948189
Studies in Taiwan indicate that the practice of birth control increased, the preferred family size declined, and the preference for sons decreased from 1965 to 1973. The proportion of young women who were married decreased as did the birth rate between 1965 and 1972. Illegal abortion continued to be practiced; almost 250,000 induced abortions were obtained in 1973. 70% of community leaders and 90% of gynecologists favor liberalization of the restrictive abortion law. Fertility declined most for women 30 years old and older in the 1960's; between 1970 and 1972 fertility declined for women under 30. The preferred number of children decreased with education and urbanization. Contraceptive use increased for all age and educational groups during these years. Contraception seems to be used more for spacing than for limitation of births.
台湾的研究表明,从1965年到1973年,计划生育的做法增加了,偏爱家庭规模的人减少了,偏爱儿子的人减少了。1965年至1972年间,已婚年轻女性的比例下降,出生率也随之下降。非法堕胎继续存在;1973年有近25万例人工流产。70%的社区领袖和90%的妇科医生支持放宽限制性堕胎法。20世纪60年代,30岁及以上女性的生育率下降最多;1970年至1972年间,30岁以下女性的生育率下降。随着教育水平的提高和城市化进程的推进,择优子女的数量有所减少。这些年来,所有年龄和教育群体的避孕药具使用都有所增加。避孕措施似乎更多地用于间隔生育而不是限制生育。
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引用次数: 1
Minipill: miniprotection from ectopic pregnancy. 小药丸:防止异位妊娠的小保护。
Pub Date : 1975-01-01 DOI: 10.2307/2948192
The progestogen-only minipill appears to offer only minimal protection against ectopic pregnancy according to 3 reports. In 1 report, 2 ectopic pregnancies occurred among 135 women taking .35 mg norethisterone for a total of 1024 woman-months, and 2 other ectopic pregnancies occurred in a group of women who completed 650 woman-months, yielding and approximate rate of 2/100 woman per year of use. In another report, 3 ectopic pregnancies were found among a group of 535 women using minipills for 4594 woman-months. Of these, 1 woman had used .5 mg chlormadinone acetate daily, another .35 mg norethisterone, and the third, .5 mg megestrol acetate. These failure rates ranged from .6 to 1.2 ectopic pregnancies per 100 woman-years of use. There were 35 pregnancies among these women, 8.6% of which were ectopic. In another report, there were 3 ectopic pregnancies among 73 pregnancies. This proportion, 4.1%, was similar to that reported for pregnancies among IUD users. It was noted that side effects of progestogen-only contraception, e.g., spotting and breakthrough bleeding, lengthened cycle, and amenorrhea, are also symptoms of ectopic pregnancy. Physicians should consider ectopic pregnancy when patients are taking minipill contraceptives.
根据3份报告,仅含孕激素的小药丸似乎对异位妊娠只有最低限度的保护。在一份报告中,135名服用0.35 mg去甲睾酮的妇女中发生了2例异位妊娠,总共1024个妇女月,另外2例异位妊娠发生在一组使用了650个妇女月的妇女中,产出率约为2/100妇女/年。在另一份报告中,在535名服用迷你药丸4594个月的妇女中发现了3例异位妊娠。其中,一名妇女每天使用0.5毫克醋酸氯地酮,另一名每天使用0.35毫克去甲睾酮,第三名每天使用0.5毫克醋酸甲孕酮。这些失败率从每100名妇女使用年0.6到1.2异位妊娠不等。这些妇女中有35人怀孕,其中8.6%是异位妊娠。在另一份报告中,73例妊娠中有3例异位妊娠。这一比例为4.1%,与宫内节育器使用者报告的怀孕比例相似。报告指出,仅使用孕激素避孕的副作用,如点滴出血和突破性出血、月经周期延长和闭经,也是异位妊娠的症状。当病人服用小型避孕药时,医生应该考虑到异位妊娠。
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引用次数: 0
Tailoring benefit plans to couples' needs, desires may stimulate many to have smaller families. 根据夫妇的需求和愿望量身定制福利计划可能会刺激许多人拥有更小的家庭。
Pub Date : 1975-01-01 DOI: 10.2307/2948193
Various Asian countries have antinatalist incentive plans to encourage families to limit their childbearing. Several such economic plans in Taiwan, Singapore, and Korea are described. A new plan proposed by R.C. Treadway and R.W. Gillespie of The Population Council is described. Under this plan, families may choose the type of incentive they wish--subsidizing housing, cash, savings accounts, or commodities--for every year in which they have no child. No benefits are paid within 4 years of a birth. Couples remain in the program until the wife reaches 40. It is hoped that the program would encourage postponement and limitation of births. For the program to succeed, family planning education and facilities must be available and accessible.
许多亚洲国家都有反生育的激励计划,鼓励家庭限制生育。本文描述了台湾、新加坡和韩国的几个这样的经济计划。介绍了人口委员会的R.C. Treadway和R.W. Gillespie提出的一项新计划。根据这项计划,家庭可以选择他们希望的奖励类型——住房补贴、现金补贴、储蓄账户补贴或商品补贴——为他们没有孩子的每一年提供补贴。出生后4年内不支付任何福利。在妻子年满40岁之前,夫妻都将继续参加该计划。希望该计划能鼓励推迟和限制生育。为了使计划生育项目取得成功,计划生育教育和设施必须是可用的和可获得的。
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引用次数: 0
Pill users protected from benign breast ills, run no increased risk of breast cancer. 服用避孕药的人不会患乳腺良性疾病,也不会增加患乳腺癌的风险。
Pub Date : 1975-01-01 DOI: 10.2307/2948257
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引用次数: 0
Granny midwives can help with family planning in developing lands; in Iran they insert, remove IUDs. 奶奶助产士可以帮助发展中国家的计划生育;在伊朗,他们插入、取出宫内节育器。
Pub Date : 1975-01-01 DOI: 10.2307/2948182
Traditional midwives are active in most villages and many urban areas of Asia, Africa, and Latin America. They deliver babies, provide prenatal and postpartum care, teach folk methods of birth control, treat infertility, and enjoy the confidence of many women. Most official family planning programs make little or no use of these traditional midwives. Research should be conducted into the most effective ways of recruiting and rewarding midwives in family planning programs. They seem to function best when provided with adequate training, supervision, and incentives. Traditional midwives are participating in the national family planning programs in Pakistan, Indonesia, Malaysia, and the Philippines. Only in Iran do they participate in the medical aspects of family planning. Midwives in Iran do IUD insertions and their performance compares favorably with that of medical personnel.
传统助产士活跃在亚洲、非洲和拉丁美洲的大多数村庄和许多城市地区。她们接生,提供产前产后护理,传授民间节育方法,治疗不孕症,并享有许多女性的信心。大多数官方计划生育项目很少或根本不使用这些传统助产士。应该对计划生育项目中招聘和奖励助产士的最有效方式进行研究。在提供充分的培训、监督和激励的情况下,他们似乎能发挥最好的作用。传统助产士正在参与巴基斯坦、印度尼西亚、马来西亚和菲律宾的国家计划生育项目。只有在伊朗,妇女才参与计划生育的医疗方面工作。伊朗的助产士做宫内节育器插入,她们的表现比医务人员要好。
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引用次数: 0
Thousands of men in four Latin countries choose to have vasectomies; machismo is no barrier. 在四个拉丁国家,成千上万的男性选择做输精管切除术;大男子主义不是障碍。
Pub Date : 1975-01-01 DOI: 10.2307/2948183
The acceptability of vasectomy in 4 Latin American countries is repo rted. The unenthusiastic reception of vasectomy in Latin America is apparently due to a paucity of male sterilization programs and not to machismo. The 1st vasectomy program in Latin America was established in Bogota, Colombia, in 1970. This was followed by programs in Costa Rica (1971), El Salvador (1972), and Guatemala (1973). Upon expansion of the Colombian program from 1 city to 9 cities, the number of voluntary vasectomies increased from 100 to 560. 235 vasectomies were performed in the 1st 6 months of the Costa Rican program, and 278 were performed in the 1st 9 months of the Guatemalan program. During the 1st 2 years of the program in El Salvador, the monthly average of operations performed rose from 3 to 19. In El Salvador at least, vasectomy was acceptable to men aged 22-69 years, with 2-20 living children, and from all types of occupations.
报告了输精管结扎术在4个拉丁美洲国家的可接受性。在拉丁美洲,对输精管结扎术的冷淡显然是由于男性绝育项目的缺乏,而不是因为男子气概。拉丁美洲的第一个输精管结扎项目于1970年在哥伦比亚的波哥大建立。随后,哥斯达黎加(1971年)、萨尔瓦多(1972年)和危地马拉(1973年)也相继实施了这一计划。哥伦比亚的项目从1个城市扩大到9个城市后,自愿输精管结扎手术从100例增加到560例。在哥斯达黎加项目的前6个月进行了235例输精管切除术,在危地马拉项目的前9个月进行了278例输精管切除术。在萨尔瓦多实施该方案的头两年,每月平均进行的手术从3例增加到19例。至少在萨尔瓦多,年龄在22-69岁、有2-20名在世子女和从事各种职业的男子都可以接受输精管结扎术。
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引用次数: 0
Sex education, contraception are urgent for teens; premarital pregnancy, illegitimate births increasing. 青少年迫切需要性教育、避孕;婚前怀孕、私生子增多。
Pub Date : 1975-01-01 DOI: 10.2307/2948184
The problem of teenage pregnancy is widespread among many countries. In many Western countries, the proportion of births to teenagers that are illegitimate is very high. Studies from many countries show that teenagers tend, where abortion is legal, to use induced abortion as their only form of birth control.
少女怀孕的问题在许多国家都很普遍。在许多西方国家,青少年的非婚生子比例非常高。来自许多国家的研究表明,在堕胎合法的国家,青少年倾向于将人工流产作为唯一的避孕方式。
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引用次数: 0
Family planning, part of maternal health care, spurring record low infant, mother death rates in Cuba. 计划生育是产妇保健的一部分,使古巴的婴儿和母亲死亡率创历史新低。
Pub Date : 1975-01-01 DOI: 10.2307/2948213
Cuba has the lowest infant morality rate, 1 of the lowest maternal mortality rates, and 1 of the lowest birthrates of any Latin American or Caribbean country, largely because of its comprehensive maternal health care. Family planning is an integral part. All conventional contraceptives and sterilization are provided in the same manner as other ambulatory medical services through clinics, rural hospitals, or medical posts. Cuba has begun manufacturing its own nylon version of the Zipper ring and had imported a variety of other IUDs with the assistance of the Population Council and International Planned Parenthood Federation. IUDs are the leading method, condoms and the diaphragm are of 2nd order use, and oral contraceptives are less widely used although low-does combination pills are gaining acceptance. First trimester abortion is common and virtually all are done by suction evacuation in hospitals. Only a samll number of second trimester procedures are done, only on strictly medical grounds. Sterilization is done in hospitals, usually as a postpartum procedure. Prenatal care is universally available, leave with pay is given for childbirth, and the planned revision of the family law contemplates elimination of illegitimacy as a civil status.
古巴的婴儿死亡率最低,产妇死亡率最低,出生率在所有拉丁美洲或加勒比国家中最低,主要是因为其全面的产妇保健。计划生育是一个有机组成部分。通过诊所、农村医院或医疗站,以与其他流动医疗服务相同的方式提供所有传统避孕药具和绝育服务。古巴已开始制造自己的尼龙拉链环,并在人口理事会和国际计划生育联合会的协助下进口了各种其他宫内节育器。宫内节育器是最主要的避孕方法,避孕套和避孕膜次之,口服避孕药的使用较少,尽管低剂量的复方避孕药越来越被接受。妊娠早期流产很常见,医院里几乎所有的流产都是通过抽吸手术进行的。只有少数的妊娠中期手术是严格根据医学理由进行的。绝育手术在医院进行,通常作为产后手术。产前护理是普遍可得的,分娩时给予带薪假,计划修订的家庭法考虑消除作为一种公民身份的非婚生子女。
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International family planning digest
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