Menu Expand
Fertility Control - ECAB

Fertility Control - ECAB

Shirish N Daftary

(2012)

Additional Information

Book Details

Abstract

With the objective of limiting the individual family size to just one or two children, most women spend the larger part of their reproductive years attempting to avoid an unwanted or unplanned pregnancy. Effective fertility control is important in a woman’s life to give her the choices of planning her family and to empower her to accomplish her goals in life besides, those of mere childbearing and childrearing. As with many other preventative medical interventions, the efficacy of contraceptive measures cannot be directly assessed; only failures can be quantified. The Pearl index is a statistical tool in this context, for measuring the effectiveness of the fertility control method and estimation of the number of unintended pregnancies per 100 woman-years of exposure. It is also used to compare the birth control methods with a lower Pearl index denoting a lower chance of getting unintentionally pregnant. Fertility Control has come up with comparative study of different controlling techniques, along with the clinical experiences of its eminent authors.


Table of Contents

Section Title Page Action Price
Front Cover Front Cover
Front Matter ia
Elsevier Clinical Advisory Board:Obstetrics & Gynecology ic
Copyright ie
About the Authors if
Contents ih
ECAB Clinical Update InformationFertility Control i
Introduction 1
Hormonal Contraception: Contraceptive Options, Oral Contraception, ClinicalConcerns, Myths, Misinformation 5a
ABSTRACT 5a
KEYWORDS 5b
HISTORY 6
CONTRACEPTIVE EFFICACY 8
CONTRACEPTIVE OPTIONS 8
Oral Contraception 9
Introduction 9
Formulations 10
Mechanism of Action 11
Side Effects 11
Evaluation of Abnormal Uterine Bleeding in Women Using Hormonal Contraception 11
Contraindications 12
Absolute 12
Relative contraindications 13
Noncontraceptive Benefits of Oral Contraception 13
Effects of Oral Contraception on Laboratory Parameters 14
Major Clinical Concerns 15
Cancer risks 15
Cardiovascular disease risks 16
Subarachnoid Hemorrhage and stroke 16
Blood pressure 16
Association of OCPs and common medical disorders 16
Drug Interaction and Oral Contraception 17
Decision for Prescribing the Pill 18
Selection of the OCP 18
How to Start the OCPs 18
Follow-up 19
Warning Signs 19
Prescribing Issues 20
Myths and Misinformation 20
Planning a Future Pregnancy 21
Special Applications 21
Extended-Cycle Combined Hormonal Contraception 21
SUMMARY 24
25
Case Studies Hormonal Contraception: Contraceptive Options, Oral Contraception, Clinical Concerns, Myths, Misinformation 28
CASE STUDY I 28
History 28
Discussion 29
CASE STUDY II 29
History 29
Evaluation 29
General Examination 29
Systemic Examination 30
Gynecological Examination 30
Investigations 30
Clinical Diagnosis 30
Management/Treatment Given 31
Discussion 31
CASE STUDY III 31
History 31
Personal, Medical, Surgical, and Family History 31
Menstrual History 32
Obstetric History 32
Evaluation 32
Physical Examination 32
Investigations 32
Clinical Diagnosis: Dysfunctional Uterine Bleeding 33
Treatment Options and Management Plans 33
Discussion 33
Take Home Message 34
Injectable and Surgical Contraception 35a
ABSTRACT 35a
KEYWORDS 35a
INJECTABLE CONTRACEPTIVES 35a
Mechanism of Action 36
Advantages 36
Disadvantages 36
CONTRACEPTIVE (STEROID) IMPLANTS 37
Introduction 37
Advantages 40
Disadvantages 41
Future Implants 41
Biodegradable Implants 42
INTRAUTERINE CONTRACEPTIVE DEVICES 43
History 43
Types of Intrauterine Contraceptive Devices 44
Mechanism of Action 45
Advantage 45
Noncontraceptive health benefits of the levonorgestrel-releasing IUD 45
Disadvantage 46
Levonorgesteral Intrauterine System (LNG-IUS) or Hormone IUD 48
VOLUNTARY STERILIZATION 49
Female Sterilization 50
Advantages 50
Disadvantages 51
Male Sterilization 51
Advantages 51
Disadvantages 52
Case Studies Injectable and Surgical Contraception 55
CASE STUDY I: INJECTABLE DMPA ADVISED 55
History 55
Management 55
CASE STUDY II: INSERTION OF CU-T 200 55
Contraception in Special Cases 59a
ABSTRACT 59a
KEYWORDS 59a
EMERGENCY CONTRACEPTION 61
Indications for Emergency Contraception 61
Mechanism of Action 63
LNG: The Dedicated Method of Choice 63
Dosage Schedule and Time Frame 63
Limitations 64
Safety of ECP 64
Side Effects 64
GLOBAL UPDATE 64
INDIAN UPDATE 66
POSTABORTION CONTRACEPTION 67
Concurrent Contraception 68
Conclusion 71
POSTPARTUM CONTRACEPTION 71
Available Options 71
CONTRACEPTIVE AWARENESS AND USAGE 75
INDIAN UPDATE 75
THE UNMET NEED OF CONTRACEPTION 76
Definition of Unmet Need 77
Measuring \"Unmet Need 78
Reasons for \"Unmet Need 80
Knowledge of Contraceptive Methods 81
Socioeconomic Differentials 82
Health Concerns 83
Perceived Risk of Pregnancy and Partner Opposition 83
IMPACT OF UNMET NEED ON FERTILITY 84
STRATEGIES TO REDUCE UNMET NEED 84
GLOBAL ISSUE 86
INDIAN SCENARIO 87
POLICIES AND PROGRAMS 88
SUMMARY 89
CASE STUDY I 91
History 91
Spontaneous conception 91
History of Present Pregnancy 91
Menstrual History 91
On Examination 92
Advise Postpartum 92
CASE STUDY II 93
History 93
Menstrual History 93
Obstetric History 93
Family History 93
Postpartum 94
CASE STUDY III 94
History 94
Menstrual History 94
Obstetric History 94
On Examination 95
Diagnosis 95
CASE STUDY IV 95
History 95
In Labor 96
History of Present Pregnancy 96
Past History 96
On Examination 96
Advice Postpartum 97
Summary 100
HORMONAL ORAL CONTRACEPTIVES 101
Oral Contraceptive Pills 101
Hormonal Injectable Contraceptives 101
Hormonal Implants 101
Hormonal Patches 102
Hormonal Emergency Contraceptives 102
NONHORMONAL CONTRACEPTIVES 102
Condom 102
Diaphragm 102
Copper IUDs 102
Cycle-based Fertility Awareness 103
PERMANENT METHODS 103
Male Sterilization 103
Female Sterilization 103
CONTRACEPTION IN SPECIAL CASES 103
Postabortion Contraception 103
Postpartum Contraception 104
Emergency Contraception 104
THE FUTURE 104
ECAB ClinicalUpdate: Obstetrics &GynecologyForthcoming Books 106