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What are the appropriate contraceptive methods and their cautions/contraindications for women with cardiac disease?
What are the appropriate contraceptive methods and their cautions/contraindications for women with cardiac disease?
This review provides guidance on appropriate contraceptive methods and their contraindications for women with cardiac disease to prevent pregnancy-related cardiac decompensation.
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Supports proactive contraception counseling in cardiac patients; leaves open method-specific outcomes in prospective studies.
Key content The importance of effective contraception in women with cardiac disease is discussed. Circulatory changes in pregnancy can cause unmasking and decompensation of pre‐existing cardiac disease. Information is provided for obstetricians, cardiologists and other healthcare professionals that will enable them to counsel women with cardiac disease appropriately about contraceptive options. Learning objectives To appreciate the physiological changes that occur during pregnancy and why this can lead to decompensated heart disease. To gain an understanding of the most appropriate contraceptive methods for women with cardiac disease. To appreciate the cautions and contraindications for commonly used contraceptives in women with cardiac disease.
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Jakes et al. (2018) studied this question.
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