EMERGENCY CONTRACEPTION - Contraceptive Technology：紧急避孕药的避孕技术.pptVIP

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EMERGENCY CONTRACEPTION - Contraceptive Technology：紧急避孕药的避孕技术.ppt

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EMERGENCY CONTRACEPTION - Contraceptive Technology：紧急避孕药的避孕技术

Contraception for Obese Women James Trussell, PhD Office of Population Research Princeton University Summary Obese women have lower fertility than do other women, but it is not zero Unplanned pregnancies occur and are more dangerous than for other women Contraception has added importance for obese women Obesity is increasing rapidly Hence, obese women are an increasing concern for you Objectives Summarize the scope of the obesity problem in the United States Summarize the added health risks associated with obesity Suggest good contraceptive options for obese women Obesity Is an Epidemic:Obesity Trends Among Adults in the United States Definitions Obesity: having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): a measure of an adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters. BMI = 703 x Wt (pounds)/Ht (inches)2 Degrees of Obesity Underweight: BMI 18.5 Healthy weight: BMI between 18.5 and 24.9 Overweight: BMI between 25 and 29.9 Obese: BMI ≥ 30 Morbidly or extremely obese: BMI ≥ 40 Examples of BMI = 30 (Obese) Percent Obese by State: 1990 Percent Obese by State: 1992 Percent Obese by State: 1994 Percent Obese by State: 1996 Percent Obese by State: 1998 Percent Obese by State: 2000 Percent Obese by State: 2004 Percent Obese by State: 2005 Obesity Among Women Ages 20-60Data from 2003-2004 NHANES Consequences of Obesity Increases risk of major causes of death, including cardiovascular disease, numerous cancers, and diabetes Markedly reduces life expectancy Increases osteoarthritis, gall bladder disease, sleep apnea, respiratory impairment, social stigmatization; decreases mobility Consequences of Obesity Study of 100 consecutive adults receiving injections in the UK 12 had a ventrogluteal site depth of more than 35 mm, the maximum depth of a green needle 26 had a ventrogluteal depth of more th