1. Significance and development of reproductive health
The Origin of Reproductive Health Reproductive health is a new concept put forward internationally in recent years, which involves world-wide issues such as population control, social sustainable development and women's rights and interests, thus attracting extensive attention from the international community. 1The concept of reproductive health was included in the Programme of Action at the International Conference on Population and Development held in Cairo, Egypt in September 1994, which indicated that the concept of reproductive health was generally accepted by the international community.
2. The definition and connotation of women's reproductive health in China.
(1) Women's reproductive health, including different physiological stages of women's whole life cycle, should be healthy, safe and happy.
(2) Women have fertility and should have the right to regulate fertility.
(3) Women should get high-quality health care services during pregnancy and delivery to ensure the safety of mother and baby.
(4) Women have the right and obligation to bring up their children and get all kinds of social health care services for them.
(5) Women can have a normal, harmonious and safe sex life without worrying about unwanted pregnancy and possible sexually transmitted diseases.
(6) Reproduction is the core of women's health, and good contraceptive technical services and reproductive-related medical care services should be provided, including safe induced abortion in the case of unplanned pregnancy.
Second, popularize female reproductive health knowledge.
First, women are forbidden to take birth control pills.
1, women with acute or chronic hepatitis and nephritis should not use it. Because all contraceptives that enter the body are metabolized in the liver and excreted by the kidneys, once used by women with acute and chronic hepatitis and nephritis, it will increase the burden on the liver and kidney.
2. Women with heart disease or cardiac insufficiency cannot use it. Estrogen in birth control pills can make water, sodium and other substances in the body stay, which will increase the burden on the heart.
3. Women with hypertension should not use it. A few women's blood pressure will rise after taking medicine.
4. Women with diabetes and family history of diabetes should not use it. Because taking birth control pills may slightly increase blood sugar and turn recessive diabetes into dominant diabetes, which will have adverse effects on female diabetic patients.
5, breast benign tumors, uterine fibroids and various malignant tumors should not be used by women, so as not to have adverse effects on tumors.
6. Women with past or present vascular embolic diseases (such as cerebral thrombosis, myocardial infarction, vasculitis, etc.). ) cannot be used. Estrogen in birth control pills may increase blood coagulation and aggravate cardiovascular disease.
7. Women with chronic headache, especially migraine and vascular headache, should not use it, otherwise it will aggravate the symptoms.
8. In the past, women with too little menstrual flow had better not use it. Long-term use of contraceptives will shrink the endometrium and reduce menstrual flow.
9, lactating women should not be used. Contraceptive pills will reduce milk secretion, reduce the quality of milk, and even enter the milk, which will have adverse effects on lactating children, so it is not suitable for lactating women.
Second, informed choice of contraceptives.
1. Choice of contraceptive methods during marriage: It is necessary to prepare children immediately during marriage. Newlyweds can choose temporary contraceptive methods that can quickly restore their fertility, such as male condoms, compound oral contraceptives, family visiting contraceptives, etc. Men should pay special attention to the correct use of condoms because of their lack of sexual experience. Newlyweds should not use safe period contraception, because women's ovulation period is unstable due to the influence of life, mood and physical condition during their newlyweds.
2. Choice of contraceptive methods for postpartum and lactating women: The possibility of pregnancy also increases after the first menstrual period after childbirth and after adding milk replacer and complementary food to the baby. The following contraceptive measures should be taken immediately: simple progesterone contraceptive needles, such as Dipopvera and Dipogostone, should be injected 1 injection every three months, and the injection time of 1 injection should be within the first five days of menstrual cycle; Subcutaneous implantation; Intrauterine contraceptive device.
Third, the analysis of adolescent health knowledge.
Adolescent health care
(1) Physical, psychological and social characteristics Adolescence (15 ~ 16 years old) is a critical period for women's physical and mental development. The main characteristics of adolescence include the development of reproductive organs, menarche and secondary sexual characteristics, as well as the corresponding psychological, emotional and behavioral changes. The psychological characteristics of adolescence are: ① changeable mood, easy to be impulsive, excited or depressed, full of longing and imagination for the future; (2) the personality is improved, and the sense of adulthood, self-awareness and moral awareness are enhanced; Look to the future, respect tradition, worship authority and attach importance to learning; (3) When sexual consciousness germinates, people begin to be interested in the opposite sex, hoping to show that they are attracted to the opposite sex, hoping to get in touch with the opposite sex, eager to know about sexual knowledge, and begin to fall in love; (4) Keep some psychological characteristics and childishness in childhood, and consider the problem incompletely, which is easy to be arrogant and impatient.
Because of the above psychological characteristics, thoughts are most easily influenced by society and environment. The behavior of parents, teachers and elders is often an example for them to learn and follow, and various mass media have a great influence on them.
(2) Adolescent girls' health, behavior and psychological problems.
① Abnormal menstruation, some common clinical phenomena related to menstruation and adolescent functional uterine bleeding, are caused by the newly established unstable ovarian function. Followed by dysmenorrhea, menstrual nosebleeds. Primary amenorrhea (18 years old without menstrual cramps) is rare, but it causes great psychological pressure on girls. In addition, not paying attention to hygiene during menstruation, participating in strenuous physical labor, swimming, etc. will all cause pelvic infection, which will aggravate dysmenorrhea and irregular menstruation. Ovarian tumors and hirsutism in adolescent girls are not uncommon.