Document Detail


Contraception for women with chronic medical conditions.
MedLine Citation:
PMID:  17472868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic medical conditions can complicate maternal and fetal health during pregnancy, making unintended or mistimed pregnancy problematic. The use of highly effective reversible contraceptives is important for women with health issues, yet sometimes those same illnesses make the contraceptives themselves less effective or less safe. We review the evidence surrounding contraceptive use by women with six common medical conditions: systemic lupus erythematosus, diabetes mellitus, anticonvulsant use for epilepsy or mood disorder, HIV infection, migraine headache, and obesity. In some instances it is not possible to make a risk-free contraceptive choice, yet pregnancy may be even riskier. Good clinical judgment and patient counseling must be exercised.
Authors:
Stephanie B Teal; David M Ginosar
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology clinics of North America     Volume:  34     ISSN:  0889-8545     ISO Abbreviation:  Obstet. Gynecol. Clin. North Am.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-05-02     Completed Date:  2007-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709551     Medline TA:  Obstet Gynecol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-26, ix     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Colorado at Denver and Health Sciences Center, Denver, CO 80262, USA. stephanie.teal@uchsc.edu
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MeSH Terms
Descriptor/Qualifier:
Anticonvulsants / contraindications,  therapeutic use
Counseling / methods*
Diabetes Complications
Drug Interactions
Family Planning Services*
Female
HIV Infections / complications
Health Status*
Humans
Lupus Erythematosus, Systemic / complications
Migraine Disorders / complications
Obesity / complications
Pregnancy
Pregnancy Complications / prevention & control*
Pregnancy, Unwanted
Risk Factors
Chemical
Reg. No./Substance:
0/Anticonvulsants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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