Tutorial on Contraception in General Practice
Some common problems:
Outline your initial management of the following patients who come to see you:
- 1) A 15 year old girl requesting the pill.
- 2) A 23 year old mother of two children who no longer wants the pill but is asking you for contraceptive advice.
- 3) A post-natal breast-feeding mum asking for the pill again.
- 4) A 17 year old who comes to see you in Monday evening surgery. She had unprotected sex on Friday night and is very worried about the possibility of becoming pregnant or contracting AIDS.
- 5) A 28 year old married mother who had a coil fitted 3 months ago and has had two prolonged heavy periods.
- 6) A 27 year old couple who have two children and would like to know about sterilisation.
For each of the following methods of contraception:
- 1) The combined pill
- 2) The progesterone only pill
- 3) The injectable contraceptive
- 4) The Implanon implant
- 5) The intra-uterine device
- 6) The cap
- 7) The sheath
You should be aware of the following:
- a) Absolute contraindications
- b) Relative contraindications
- c) Mode of action
- d) Reliability (safety from pregnancy)
- e) Possible problems
- f) Warnings you must give the patient
- g) Management of the initial consultation
- h) Frequency of subsequent consultations
- i) Action at each subsequent consultation
- j) Advice prior to planned pregnancy
- k) Advice in the event of pregnancy due to failure of the method
- l) How long can the method be used
What opportunistic health care advice can you impart at the time of providing contraceptive care?
How are you paid for providing contraceptive care?
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