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Contraception and preconception counseling in special populations

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Pages 559-568 | Published online: 10 Jan 2014
 

Abstract

While all women of reproductive age should be counseled regarding their contraception options, appropriate contraceptive management is critical for patients with underlying medical conditions where pregnancy may engender certain maternal and/or fetal risks. Whereas management of conditions such as mental illness, obesity, autoimmune disease, solid organ transplant and gynecological malignancies is complex and often requires expert consultation, effective contraceptive management in these groups can reduce risks and improve outcomes. It is critical, therefore, that clinicians who are caring for such patients understand contraceptive options in such women. In this article, preconception counseling, contraception options and obstetrical risks that these conditions may impose upon pregnancy are reviewed.

Financial & competing interests disclosure

Lisa Gittens-Williams and Natalie Roche are consultants on the issues of women’s health. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Notes

Data taken from Citation[9].

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