Kafukufuku Watsopano Akuwonetsa Kuti Kutaya Mimba Koyambirira Kwapaintaneti Ndikotetezeka

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Kuchotsa mimba ndikomveka ku United States pakadali pano, pomwe anthu okonda mbali zonse ziwiri za mkanganowu akuwayimbira milandu. Ngakhale kuti ena ali ndi maganizo olakwika pa nkhani yochotsa mimba, malinga ndi maganizo a zachipatala, kuchotsa mimba koyambirira kwachipatala-komwe kawirikawiri kumachitidwa mpaka masabata asanu ndi anayi pambuyo pa kutenga pakati ndi kuperekedwa ndi mndandanda wa mapiritsi awiri (mifepristone ndi misoprotol) - kawirikawiri amaganiziridwa ngati mankhwala. njira yotetezeka. Zili choncho chifukwa m'chipatala, kukhala ndi vuto lalikulu lochotsa mimba chifukwa chachipatala n'kosowa kwambiri, ndipo kumakhala kotetezeka kuwirikiza ka 14 kuposa kubereka.

Palibe zambiri zomwe zidadziwika m'mbuyomu, zokhudzana ndi chitetezo chaching'ono chochotsa mimba kunyumba komwe kunkapezeka kudzera pa telemedicine. Kuchotsa mimba kwamtunduwu ndiko njira yokhayo kwa amayi omwe ali m'mayiko omwe njira yake ndi yoletsedwa (kupatula kupita kudziko lina). Kafukufuku watsopano wofalitsidwa mu BMJ akuwonetsa kuti kuchotsa mimba kwachipatala koyambirira kunyumba komwe kumachitika mothandizidwa ndi asing'anga kutali ndikotetezeka monganso kuchipatala. (Apa, fufuzani chifukwa chake amayi ambiri akufufuza kuchotsa mimba kwa DIY.)

Umu ndi momwe kafukufukuyu adagwirira ntchito. Ochita kafukufuku adayang'ana zodzidziwitsa za amayi 1,000 ku Ireland ndi Northern Ireland omwe adachotsa mimba mwachangu kudzera pa telemedicine. Zomwe zachitika pa kafukufukuyu zidaperekedwa ndi bungwe la Women on Web, lomwe lili ku Netherlands lomwe limathandiza amayi kuchotsa mimba adakali kunyumba ngati akukhala m'mayiko omwe malamulo ochotsa mimba amaletsa kwambiri. Ntchitoyi imagwira ntchito pofanizira amayi omwe akufunika kuchotsa mimba ndi madokotala omwe amawapatsa mankhwala amayiwo atayankha mafunso okhudza momwe alili. Nthawi yonseyi, amalandira thandizo pa intaneti ndipo amalangizidwa kuti akapite kuchipatala ngati akumana ndi zovuta kapena zachilendo.

Mwa azimayi 1,000 omwe adawayeza, 94.5% adakwanitsa kuchotsa mimba kunyumba. Amayi ochepa adakumana ndi zovuta. Amayi asanu ndi awiri adanena kuti adapatsidwa magazi, ndipo amayi 26 adanena kuti adalandira maantibayotiki pambuyo pa ndondomekoyi. Pazonse, azimayi 93 adalangizidwa ndi WoW kuti akapeze chithandizo chamankhwala kunja kwa ntchitoyo. Palibe imfa yomwe idanenedwa ndi abwenzi, abale, kapena atolankhani. Izi zikutanthauza kuti azimayi ochepera 10 pa 100 alionse ankafunika kuonana ndi dokotala pamasom’pamaso, ndipo osachepera 1 pa 100 alionse anali ndi mavuto aakulu. (FYI, ichi ndichifukwa chake mitengo yochotsa mimba ndiyotsika kwambiri kuyambira pomwe Roe v. Wade).

Kuchokera apa, olembawo adatsimikiza kuti chitetezo cha omwe amadzichotsera okha kuchipatala koyambirira ndi ofanana ndi omwe ali mchipatala. Komanso, pali ubwino wokhala ndi njira yeniyeni. "Azimayi ena atha kusankha kutaya mimba pogwiritsa ntchito telemedicine yapaintaneti chifukwa amatha kugwiritsa ntchito mankhwalawa m'nyumba zawo, kapena atha kupindula ndi chithandizo chazachinsinsi cha telemedicine ngati sangakwanitse kupita kuchipatala chifukwa chothandizidwa ndi abwenzi kapena banja lomwe silikugwirizana nawo," akufotokoza. Abigail RA Aiken, MD, MPH, Ph.D., wolemba wamkulu phunziroli, pulofesa wothandizira komanso wothandizirana naye ku LBJ School of Public Affairs ku University of Texas ku Austin. (Kuti mumve zambiri za momwe kuchotsa mimba kumakhudzira amayi enieni, werengani momwe mayi wina adalimbikira nkhondo kuti akonde thupi lake lobereka pambuyo pobereka.)

Poganizira kuti Planned Parenthood adangokakamizidwa kuti atseke malo ake ku Iowa ndipo sizovuta kwenikweni kuchotsa mimba ngati mukufuna imodzi m'maiko ena chifukwa chalamulo lomwe boma lalamula, telemedicine itha kutenga nawo gawo pothandiza kuchotsa mimba ku US . Koma pali vuto limodzi: Ntchito monga WoW sizikupezeka kuno ku U.S.

"Kusiyana kwakukulu ndikuti azimayi aku Ireland ali ndi mwayi wopeza chithandizo chomwe chimaonetsetsa kuti amachotsa mimba zawo mosamala komanso moyenera popereka chidziwitso cholongosoka, gwero lodalirika la mankhwala, ndi upangiri ndi chithandizo asanachotse mimba, nthawi, komanso pambuyo pake," Aiken akufotokoza. "Zokambirana zamtsogolo zakuchotsa mimba ku U.S. ziyenera kuphatikiza mitundu ya telemedicine ngati njira yokhazikitsira ufulu wathanzi komanso ufulu wobereka."

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