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Fertility Control Principles in Medical Care Medical Records & Statistics Physiologic Changes Diagnostic Procedures Ultrasound Examination Drug Therapy Environment & Pregnancy Abuse in Pregnancy Work & Pregnancy Extremes of the Reproductive Age Managed Care Liability Effect of Managed Care on Obsetrics Genetic Principles Genetic Mechanisms Teratology Molecular Genetics Spontaneous Abortions Prenatal Diagnosis Genetic Counseling Biochemical Screening Ethical & Legal Issues Red Cell Isoimmunizatioin & Fetal Hemolytic Disease In Utero Therapy of the Fetus Multiple Gestation Maternal & Fetal Management during Critical Illness Consequences of Alcohol Abuse during Pregnancy Bites and Stings Radiation Injury Electrical Injury Drowning & Near Drowning Poisons in Pregnancy Heavy Metals Vitamins & Minerals Normal Fetal Growth Maternal Malnutrition & Obesity Deficiencies of Minerals & Truce Elements Metabolism & Pregnancy Disorders of Amino Acid Metabolism Maternal Hyperphenylalaninemia Disorders of Nucleic Acid Metabolism Disorders of Metals & Metalloproteins Disorders of Carbohydrate Metabolism Disorders of Lepid Metabolism Heritable Disorders of Connective Tissue Endocrinology of Pregnancy Endorphins in Fetomaternal Physiology Disorders of the Pituitary & Hypothalamus Thyroid Diseases Disorders of the Parathyroid Glands & Vitamin D Androgen Disorders in Pregnancy Diabetes Mellitus & Pregnancy The Pineal Gland Abnormal Hormone Production Acquired Immune Deficiency Syndrome Immunologic Disorders Major Histocompatibility Complex Alloimmunity & Pregnancy Loss Automimmunity Pregnancy & the Connective Tissue Diseases Rheumatic Diseases: The Arthropathies Allergic Diseases General Aspects History of Infectious Diseases Approach to Infectious Diseases Hospital-Acquired Infections Chemotherapy of Bacterial Infection Immunization & Antimicrobial Prophylaxis Obstetric Bacteremia & Septic Shock Abscesses & Local Infections in Pregnancy Bacterial Diarrhea & Food Poisoning Gram-Positive Cocci Gram-Negative Cocci Aerobic Baterial Infections Anerobic Baterial Infections Mycobacterial, Ectoparasites, Spirocheta Actinomycetes, Fungi, Related Torch Infections Viral Infections

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The control of fertility in the female with medical disease has attracted only limited attention in the medical literature. The occurence of a medically contraindicated pregnancy, for example, in cases of maternal cardiac disease, represents a failure of the medical community to appropriately counsel and treat. However, the same also applies to other medical disorders affecting women during their reproductive years. Although medical texts frequently address the possibility of terminiation in medically contraindicated pregnancies, only limited reference is made to the far more important apspects of preconceptional counseling. Correct family planning advice to female with medical disease is important. It has to include discussions of contraindications of pregnancy and the particular choice of a contraceptive in the presence of a specific disease situation. Good medical care in very early gestation may be of particular importance in certain diseases because it may prevent injury to the fetus. Consequently, planned conception in patients with medical disease will often improve maternal as well as fetal outcome.

Main Topic: Preconceptional Counseling : Choice of Contraceptive

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# pages: 12
Pub. Date: 1998

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