Injectable Contraception Depot-medroxyprogesterone acetate (Depo-Provera) is the most thoroughly studied progestin-only contraceptive. Although its approval for contraception in the United States is relatively recent (1992), it has been available in…
Vaginal and Transdermal Estrogen-Progestin Contraception The more options available for contraception, the more effective family planning is within a society. Vaginal and transdermal estrogen-progestin contraception have considerable appeal for some…
Oral Contraception Contraception is commonly viewed as a modern event, a recent development in human history. On the contrary, efforts to limit reproduction predate our ability to write about it….
Special Uses of Oral Contraception: Emergency Contraception The Progestin-Only Minipill Oral contraception is a phrase that appropriately denotes a vast body of knowledge (Chapter 2) pertaining to the combined estrogenprogestin…
Contraception in the United States Fertility decreases as societies become more affluent. This decrease is a response to the use of contraception and abortion. During her reproductive lifespan, the average…
Clinical Manifestations • Fatigue, IUGR, preterm deliv, perinatal mortality, pica, restless leg syn • Hb <6 g/dL a/w NRFHT, oligohydramnios, fetal death, CHF (Hb <4 g/dL) • Signs: Pallor (conjunctiva),…
Cancer Screening Guidelines • Cervical dysplasia: See below • Breast cancer: See below (Obstet Gynecol 2011;118:372) • Colorectal cancer: Begin age 50 yo. Consider 45 yo if AA. Younger if…
Hormones of Pregnancy • hCG is secreted by placental trophoblast. Detected in the mother’s bld 8 d after conception. Maintains corpus luteum progesterone production. Structurally similar to LH, FSH, &…
Cardiovascular Changes in Pregnancy Blood Volume • Plasma vol ↑ 45% from 6–32 w gest to 4700–5200 mL • RBC mass ↑ by 20–30% (from ↑ production of RBCs) •…
