TAILIEUCHUNG - Obstetrics and Gynecology Clinics of North America, 2007

The basic human right of self-determination is meaningless for women who do not have the ability to control reproduction. Devoting an issue of this journal to contraception makes sense at this time when the unintended pregnancy rate in the United States continues to hover at 50%. Every woman knows whether it is the right time for her to bear a child and for her and her family to commit the considerable personal and financial resources necessary for raising that child. But the impact of contraception transcends the importance of individual choice. It has dramatic implications for the health, well-being, and survival of communities | ELSEVIER VUADtRt OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA ELSEVIER SAUNDERS Obstet Gynecol Clin N Am 34 2007 xiii-xiv OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA Foreword William F. Rayburn MD Consulting Editor This issue of the Obstetrics and Gynecology Clinics of North America prepared by Guest Editor Eve Espey MD deals with a very timely update on contraception and family planning. Our specialty is influenced by social religious and political forces from outside the medical community. In no other field of medicine are these forces more obvious than in family planning. Most fertile women prefer to avoid pregnancy and they and their providers are confronted continuously by these forces. Women s health care physicians must counsel and prescribe contraception despite challenges such as continual change frequent confusion ignorance of legal legislative and judicial communities despite scientific evidence unbalanced media coverage and health care providers themselves. Access is not universal. Even in certain industrialized countries with more advanced contraception technologies women are denied easy access to family planning services. Roadblocks for indigent women to these services are frequently attributed to religious or political issues rather than any medical reason. When contraception is not used by presumably fertile partners approximately 90 of women will conceive within 1 year. Young women who do not want to become pregnant are advised to use contraception whenever they become sexually active regardless of their age. Women with certain medical conditions require special consideration of contraception choice. Contraceptive advice for the woman nearing menopause can be difficult because it is impossible to predict when fertility has ended. Oligomenorrhea 0889-8545 07 - see front matter 2007 Elsevier Inc. All rights reserved. doi xiv FOREWORD or increasing cycle length is associated .

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