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Management of women with abnormal uterine bleeding: Clinical practice guidelines of the French National College of Gynaecologists and Obstetricians (CNGOF).

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[Post-partum contraception: Guidelines for clinical practice].

B Raccah-Tebeka1, G Plu-Bureau2

  • 1Service de gynécologie-obstétrique, hôpital Robert-Debré, AP-HP, 75019 Paris, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|November 4, 2015
PubMed
Summary

Post-partum contraception guidelines emphasize timely counseling and method selection. Combined hormonal contraceptives are advised against before six weeks postpartum due to venous thromboembolism risk.

Keywords:
Combined hormonal contraceptivesContraceptionContraception estroprogestativeDispositif intra-utérinEstradiolEstrogenEstrogèneEstroprogestatifGrossesseImplantIntra-uterine devicePregnancyProgestatifProgestinThrombose veineuseVenous thrombosisVoie d’administration

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Area of Science:

  • Reproductive Health
  • Obstetrics and Gynecology
  • Family Planning

Background:

  • Unplanned pregnancies can occur postpartum, highlighting the need for effective contraception.
  • Understanding the timing of ovulation recovery and contraceptive efficacy is crucial for postpartum women.

Purpose of the Study:

  • To establish guidelines for postpartum contraception.
  • To review current evidence and recommendations for contraceptive choices after childbirth.

Main Methods:

  • Systematic review of publications from 1960-2015.
  • Inclusion of recommendations from international societies.

Main Results:

  • Contraceptive counseling post-delivery is recommended to prevent unintended pregnancies.
  • Combined hormonal contraceptives are not recommended within six weeks postpartum due to venous thromboembolism risk.
  • Progestin-only contraceptives and intrauterine devices (IUDs) are generally safe options in the early postpartum period.

Conclusions:

  • A broad range of contraceptive options are available for postpartum women.
  • Individualized contraceptive strategies should consider postpartum specificities and risks.