中国药业2025，Vol.34Issue(8)：124-127,4.DOI:10.3969/j.issn.1006-4931.2025.08.029
药师参与用药咨询门诊对左炔诺孕酮避孕失败患者妊娠选择及母婴结局的影响
Pharmacological Intervention and Reflection on the Impact of Levonorgestrel Contraceptive Failure on Maternal and Infant Outcomes
摘要
Abstract
Objective To provide a reference for further optimizing medication consultation for pregnant patients.Methods Retrieve pregnancy medication consultation data from a certain hospital's medication consultation clinic,pregnancy related medication consultation for 9 patients with failed levonorgestrel contraception from January 2021 to May 2023 were selected,telephone followed-up to understand patients'pregnancy choices and outcomes,combined with literature analysis.Results The average age of the 9 patients with contraceptive failure due to levonorgestrel was(29.33±3.60)years old.Six cases using levonorgestrel for 1 day after sexual intercourse.Six cases with other risk factors(vaccination or take medicine).After receiving pharmaceutical advice from the pharmacy consultation clinic,9 patients initially considered continuing their pregnancy,with 1 patient subjectively choosing to terminate the pregnancy at the beginning.Eventually,5 cases were successfully delivered with good maternal and infant conditions(Apgar score≥9 points),3 patients(1 case each of ectopic pregnancy,embryonic arrest,and vaginal bleeding)terminated their pregnancy.Literature shows that pregnant women who fail contraception after taking levonorgestrel or unintentionally use the drug after pregnancy are advised to continue the pregnancy.Conclusion Pharmacists'participation in medication consultation clinics can play an important role in patients'pregnancy selection and evaluation of unintended pregnancy outcomes.关键词
意外妊娠/药师/左炔诺孕酮/药学服务/用药风险/避孕失败/妊娠结局Key words
unintended pregnancy/pharmacist/levonorgestrel/pharmaceutical care/medication risk/contracetion failure/pregnancy outcome分类
医药卫生引用本文复制引用
肖灿,刘湘,龙靓,谢希..药师参与用药咨询门诊对左炔诺孕酮避孕失败患者妊娠选择及母婴结局的影响[J].中国药业,2025,34(8):124-127,4.基金项目
湖南卫生健康委卫生科研课题[D202313019675]. （）
