Contraception for high risk patients

Semin Perinatol. 2020 Aug;44(5):151268. doi: 10.1016/j.semperi.2020.151268. Epub 2020 Jun 20.

Abstract

In the context of medically complicated pregnancies, a "high risk patient" is an individual who is at increased risk for having a complicated pregnancy. These patients often experience limited contraceptive counseling and access, despite the fact that most effective contraceptive methods are associated with less risk than that of pregnancy. Free evidence-based resources are available to assist healthcare providers in discerning fact from myth about the risks of contraception. This review covers all available contraceptive methods, with particular focus on the benefits, risks, and attributes most relevant to high risk patients as well as the benefits and risks of initiating contraception post-pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Condoms
  • Contraception / adverse effects
  • Contraception / methods*
  • Contraceptive Agents / administration & dosage
  • Contraceptive Devices, Female
  • Contraceptive Effectiveness*
  • Contraceptives, Oral / therapeutic use
  • Contraindications, Drug
  • Delayed-Action Preparations
  • Drug Implants
  • Female
  • Humans
  • Injections, Intramuscular
  • Injections, Subcutaneous
  • Intrauterine Devices
  • Long-Acting Reversible Contraception
  • Postpartum Period
  • Pregnancy
  • Pregnancy, High-Risk
  • Risk
  • Risk Assessment
  • Sterilization, Reproductive
  • Transdermal Patch

Substances

  • Contraceptive Agents
  • Contraceptives, Oral
  • Delayed-Action Preparations
  • Drug Implants