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  • Book
    Rebecca H. Allen, Carrie A. Cwiak, editors.
    Summary: Women with chronic medical problems are at higher risk for complications during pregnancy and, therefore, they are especially in need of appropriate preconception and contraception care. Furthermore, many women with chronic medical problems do not obtain adequate preconception and contraception care. Despite published guidelines by the Centers for Disease Control and Prevention, there is a substantial gap in medical practice regarding the use of contraception in women with co-existing medical problems. Contraception for the Medically Challenging Patient fills the gap that currently exists in the knowledge of correct contraceptive prescribing practice and shows that inappropriate contraindications can easily become a barrier to effective contraception use among women. Chapters highlight obsolete views about appropriate candidates for contraception and address the complex contraceptive needs of today's medically challenging patients with HIV/AIDS, uterine fibroids, or cardiac, neurologic or thyroid disease. The book gives attention to recommendations on the use of contraception in women with medical problems such as diabetes, obesity, epilepsy, and lupus, among others, and provides comprehensive information regarding the effects that certain drugs may have on contraceptive hormone levels. While national guidelines do exist for contraceptive eligibility, this book discusses in more detail the evidence behind the guideline recommendations and the nuances that clinicians confront in daily practice.

    Contents:
    Patient Assessment and Counseling
    Contraceptive Management of Women with Cardiac Disease
    Contraception Use in Women with Hypertension
    Contraception and Diabetes
    Contraception for Women with Mental Health Conditions
    Contraception for Women Living with HIV
    Contraceptive Options for Women with Headache Disease
    Contraception for Women with Epilepsy
    Contraception for Women with a History of Solid Organ Transplantation
    Obesity and Bariatric Surgery
    Hematologic Abnormalities
    Thrombophilia and Thromboembolic Disease
    Gynecologic Conditions
    Oncocontraception.- Contraception for Women with Endocrine Abnormalities
    Bone Health and Hormonal Contraception
    Contraception for Women with Rheumatologic Disease
    Family Planning with Gastrointestinal Disorders
    Contraception in the Perimenopause
    Medication Interactions.
    Digital Access Springer 2014