Why Is It So Hard to Get Effective Birth Control in the US (1)
About eight years ago, I met a young woman.
I'll call her Sophia. And she showed me her newborn in her lap.
And she said to me, "This wasn't my plan."
She described how her unplanned pregnancy forced her to drop out of community college,
how she then lost her job
and was now living with her mother in Texas.
Sophia had already had two unplanned children before this third child was born.
All three of Sofia's pregnancies occurred while she was on the pill.
It was a birth control method that just didn't work for her, but it was the only method she'd ever been offered.
translation
sentence:
大约八年以前，我遇到了一个年轻的女士。
我会以索菲亚来代称她
她向我展示了两腿中的新生儿。
并跟我说 “这并不是我计划中的一部分。”
她描述了她未计划的怀孕是如何迫使她从社区大学中退学，
失去工作，
并和她母亲一起住在德州。
在第三个孩子之前，索菲亚已经有了两个未计划的孩子。
索菲亚的三次怀孕都在她吃避孕药的时候发生。
这种避孕方式明显对她无效，但是这是她可以使用的唯一一种避孕方法。
phrase:
drop out -> 退出（学校、组织或计划）
on the pill -> 吃避孕药
word:
unplanned英 [ˌʌnˈplænd]美 [ˌʌnˈplænd]
adj. 意外的；在计划外的；未经筹划的
pregnancy [ 复数 pregnancies ]英 [ˈpreɡnənsi]美 [ˈpreɡnənsi]
n. 怀孕（期），妊娠（期）
Sophia's pregnancies weren't just unplanned.
She actively planned not to become pregnant and took precautions against it.
But the only method she was ever offered failed her.
In the US each year, nearly half of all pregnancies are unplanned.
I know it's an astonishing number to get your head around.
And over the span of ten years,
it's been estimated that six out of ten typical birth-control pill users will become accidentally pregnant.
This is not just about uninformed teens.
Most unplanned pregnancies occur to women who are in their 20s.
In fact, about half of all unplanned pregnancies occur to women who are actually using birth control, like Sophia.
Most people know about pills and condoms.
translation
sentence:
索菲亚的怀孕并不只是计划外的。
她刻意计划避免怀孕并使用了预防措施。
但她仅有的一种方法并不奏效。
在美国每年，将近一半的怀孕都不是计划中的。
我知道这个数字听起来很惊人。
并且在过去的10年内，
有人预估十分之六的避孕药使用者会意外的怀孕。
这并不仅仅是不懂事的年轻人。
大部分意外怀孕发生在20多岁的女士身上。
事实上，接近一半的意外怀孕发生在使用避孕药的女士身上，就像索菲亚。
大部分知道避孕药和避孕套。
phrase:
get your head around -> 理解；接受
word:
precaution [ 复数 precautions ]英 [prɪˈkɔːʃ(ə)n]美 [prɪˈkɔːʃn]
n. 预防措施，防备；避孕措施（precautions）
astonishing英 [əˈstɒnɪʃɪŋ]美 [əˈstɑːnɪʃɪŋ]
adj. 惊人的，令人惊讶的
v. 使惊奇，使惊讶（astonish 的现在分词）
estimate ( estimating, estimated, estimates )英 [ˈestɪmət; ˈestɪmeɪt]美 [ˈestɪmət; ˈestɪmeɪt]
v. 估计；判断，评价
n. 估计，估价；估价单；看法，判断
uninformed英 [ˌʌnɪnˈfɔːmd]美 [ˌʌnɪnˈfɔːrmd]
adj. 无知的；未被通知的；未受教育的；不学无术的
There are actually 18 FDA-approved methods of birth control,
each with different efficacy and side effect profiles,
some of which are 20 times more effective than others.
The reason you don't know about this is simple.
Outside of specialty family planning clinics that are few and far between,
health care organizations don't educate people about all their birth control options and don't make them easily available.
But this is what Upstream, the nonprofit I cofounded, does.
We train community health centers, hospital practices, primary care facilities,
the places where the vast majority of people get their health care,
to put patient centered needs first and provide best in class contraceptive care as a part of basic primary health care.
translation
sentence:
实际上有18个FDA批准的避孕方式，
每一个都有不同的效果和副作用，
有些方法的效果是其他的20倍。
你不知道它们的原因很简单。
除了稀少的计划生育诊所，
医疗中心并不提供关于避孕方法的科普也不轻易提供这些服务。
但这正是上游，我建立的非营利组织，所做的事情。
我们为社区诊所，医院，保荐机构，
大部分人看医生的地方，
提供科普，并把最好的避孕服务像基本医疗一样提供，做到了把患者的需求放到第一位。
phrase:
side effect -> 副作用
specialty family planning clinics -> 专科计划生育诊所 few and far between -> 罕见的、稀少的
health care organizations -> 保健组织
community health centers -> 社区卫生中心
vast majority -> 绝大多数
health care -> 医疗保健
best in class -> 同类中最好的
word:
approve ( approving, approved, approves )英 [əˈpruːv]美 [əˈpruːv]
v. 同意，赞成；批准，通过；核准；喜欢，赞赏；<古>证明，显示；使（废品或公共土地）升值
profile英: [ˈprəʊfaɪl] 美: [ˈproʊˌfaɪl]
n. 轮廓；简介；形象；外形
v. 扼要介绍；概述；写简介
upstream英 [ˌʌpˈstriːm]美 [ˌʌpˈstriːm]
adv. 向（在）上游；逆流地
adj. 向（在）上游的；逆流而上的
nonprofit英 [ˌnɒnˈprɒfɪt]美 [ˌnɑːnˈprɑːfɪt]
adj. 非营利的；不以营利为目的
co-found英: [kəʊ'faʊndə] 美: [koʊ'faʊndə]
v. 共同创立
practice英 [ˈpræktɪs]美 [ˈpræktɪs]
n. 实践，实际操作；通常的做法，惯例；练习；练习课，固定的训练时间；（医生、律师或其他专业人士的）业务，事务所；诉讼手续，诉讼程序
v. 练习；经常做，养成……的习惯；信奉（宗教）；（医生、律师等）执业，从业
facility [ 复数 facilities ]英 [fəˈsɪləti]美 [fəˈsɪləti]
n. 设施，设备；卫生间；天赋，才能；（机器等的）特别装置，（服务等的）特色；（用作某种用途的）场所
contraceptive [ 复数 contraceptives ]英 [ˌkɒntrəˈseptɪv]美 [ˌkɑːntrəˈseptɪv]
n. 避孕用具；避孕药；避孕方法
adj. 避孕的