Contraception and cardiovascular disease.

Abstract:

:Contraceptive counselling should begin early in females with heart disease, preferably directly after the start of menstruation. In coming to a decision about the method of contraception, the following issues should be considered: (i) the risk of pregnancy for the mother and the consequences of an unplanned pregnancy; (ii) the risks of the contraceptive method; (iii) failure rates; (iv) the non-contraceptive benefits; (v) the availability; (vi) the individual's preferences; (vii) protection against infection; and (viii) costs. In some women with heart disease, the issues may be complex and require the input of both a cardiologist and an obstetrician (or other feto-maternal expert) to identify the optimal approach. No studies have been performed in women with heart disease to investigate the relative risks and benefits of different contraceptive methods.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Roos-Hesselink JW,Cornette J,Sliwa K,Pieper PG,Veldtman GR,Johnson MR

doi

10.1093/eurheartj/ehv141

subject

Has Abstract

pub_date

2015-07-14 00:00:00

pages

1728-34, 1734a-1734b

issue

27

eissn

0195-668X

issn

1522-9645

pii

ehv141

journal_volume

36

pub_type

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