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Contraception after heart surgery.

M Y Abdalla1, E el Din Mostafa

  • 1Obstetrics & Gynaecology Department, Faculty of Medicine, Ain Shams University.

Contraception
|January 1, 1992
PubMed
Summary
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Intrauterine contraceptive devices (IUCDs) were the most common contraception method for women undergoing cardiac surgery. While generally well-tolerated, some side effects were noted, with few pregnancies occurring overall.

Area of Science:

  • Cardiology
  • Gynecology
  • Reproductive Health

Background:

  • Contraception use among women with cardiac conditions requires careful consideration.
  • Understanding current practices is crucial for managing reproductive health in this population.

Purpose of the Study:

  • To identify and analyze the contraception methods utilized by women undergoing cardiac surgery.
  • To assess the safety and efficacy of these methods in this specific patient group.

Main Methods:

  • Retrospective analysis of 250 women post-mitral commissurotomy, 77 post-valve replacement, and 3 post-congenital heart surgery.
  • Data collection on contraception methods used, including intrauterine contraceptive devices (IUCDs), oral contraceptives, condoms, and natural methods.
  • Evaluation of side effects, complications, and pregnancy rates associated with different contraceptive methods.
Keywords:
AfricaAntibiotics--administraction and dosageArab CountriesBarrier MethodsCondomContraceptionContraception Continuation--statisticsContraceptive MethodsContraceptive UsageDeveloping CountriesDrugsEgyptFamily PlanningFamily Planning, Behavioral MethodsFemale SterilizationIudMarital StatusMediterranean CountriesMenstrual Cycle--changesMenstruationMethod AcceptabilityNatural Family PlanningNorthern AfricaNuptialityOral ContraceptivesPregnancyPregnancy OutcomesReproductionSterilization, SexualSurgeryTreatmentTubal LigationTubal OcclusionVaginal SpermicidesVaginal Suppository

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Main Results:

  • Intrauterine contraceptive devices (IUCDs) were the most frequently used method (51.5%).
  • Condoms were used by 10% of husbands, and 30% of women reported no contraception use.
  • IUCDs were generally well-tolerated, with manageable side effects like bleeding (35.2%) and leucorrhea (32.3%). Only one IUCD removal due to severe bleeding was reported.
  • Three pregnancies occurred among women using condoms.

Conclusions:

  • IUCDs are a common and generally safe contraception choice for women with cardiac conditions undergoing surgery.
  • Contraceptive counseling and method selection should be individualized for women with heart disease.
  • Further research into long-term outcomes and alternative methods is warranted.