Contraception Your Questions Answered

Download or read book Contraception: Your Questions Answered E-Book written by John Guillebaud and published by Elsevier Health Sciences. This book was released on 2017-06-16 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: From reviews of the previous edition: 'Provides a wealth of information ... graphically illustrates the need for practitioners to be thoroughly knowledgeable.' Toni Belfield, Director of Information, Family Planning Association. The world's population is increasing dramatically. At levels over 7 billion, rising annually by over 83 million (with births outstripping deaths by a factor of c. 2.4) the toll this imbalance takes on the environment, developing economies and resources (healthcare, education, rates of poverty) and the lives of women in the poorer parts of the world is increasingly unsustainable. Even in the developed world there is still an unacceptably high rate of unplanned pregnancies, demonstrating that appropriate education at both local and global levels about the full range of available contraception is essential. Using a highly accessible question-and-answer format, John Guillebaud and Anne MacGregor seek to ensure everything needed for good family planning practice is here in this book. Now in its seventh edition and online via ExpertConsult, Contraception: Your Questions Answered remains the market-leading, one-stop resource for family planning professionals worldwide. - Question and answer format - Important information boxes - Unwanted side effects boxes - Frequent patient questions at the end of relevant chapters - Management advice - Follow-up advice This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods. - Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either: - Tricycling, the 84/4 regimen, or totally continuous use (365/365), - OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days - New methods, and their importance or otherwise: - Intrauterine system: Jaydess® - Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press - 24/4 combined hormonal contraceptives: Zoely®, Eloine® - Diaphragm: Caya® - Updates - Quick starting and bridging (the Proving not Pregnant Protocol) - Emergency contraception (EC), how advice differs for ulipristal acetate EC - Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine) - Intermittent quizzes for CPD portfolio purposes - Now on ExpertConsult