**Author details**

*Menstruation: 4/28.*

*ing to conceive.*

232 Family Planning

*Case 5: IUD.*

*oral contraception.*

*Menarche to the 14 years.*

*Planning: use a condom.*

*Case 6: Irreversible.*

*to metallic chromium. Menarche at age 12.*

**8. Conclusions**

impairments.

*Plan: Remove the implant, preconceptional counseling.*

*Personal and family history without interest.*

*Menstruation: 7/26, abundant since always.*

*Two vaginal births, 2 and 4 years ago. Menstruation: 4/27, are not very abundant.*

*The implant is palpable and removed successfully. We advise her to wait for her period before attempt-*

*Female 34 years old. She does not want more children at the moment, but she does not want irreversible contraception since she does not know if she will want children in the future. She does not want to take* 

*The most appropriate method? In this case we could offer the administration of an IUD, since it is reversible, but can last up to 5 years. We explain her that there is no conclusive evidence that long-term use of IUD leads to impaired fertility. Many other factors influence fertility, like aging or smoking.*

*A 42-year-old woman who visits her doctor after a 7-day menstrual delay. Demand planning advice. Personal history: Hypothyroidism under treatment, varicose syndrome, smoking 15 cig / day. Intolerant* 

*Planning: coitus interruptus, because her husband does not "tolerate" the condom. Gynecological* 

*Which contraceptive method is the most appropriate? Given her age, having two children, the personal* 

None of the contraceptive methods described (OCCs, POP, emergency contraception, implants, rings, Cu IUD or LNG IUD) is associated with impaired fertility. A temporary delay in fertility can occur with COCs, but this does not alter 1 year conception rates significantly. Injectable contraceptives are associated with delays in fertility buy not with fertility

*Two pregnancies and vaginal births, babies of 3900gr and 4100gr at 31 and 38 years.*

*Conduct to follow: pregnancy test is performed, being negative. Menstruation at 3 days.*

*history, for this couple the best method of contraception would be vasectomy or tubal ligation.*

*review less than 1 year ago with ultrasound and cytology, without alterations.*

Blanca Patricia Bautista Balbás<sup>1</sup> \*, Luis Alfredo Bautista Balbás<sup>2</sup> and Alicia Pouso Rivera<sup>3</sup>


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**Chapter 12**

Provisional chapter

**Postpartum Family Planning: Methods to Decrease**

DOI: 10.5772/intechopen.73534

Postpartum Family Planning: Methods to Decrease

Postpartum women are at high risk for unintended pregnancies and subsequent adverse perinatal outcomes often due to insufficient pregnancy intervals. There is a high burden of unmet family planning need caused by factors including inadequate education on postpartum contraception, limited access to healthcare professional in the immediate postpartum period, and lack of access to contraceptive options. This chapter will discuss the different contraceptive methods that can be utilized and their respective efficacies, venous thromboembolism (VTE) risk, and impact on lactation. Tubal ligation, lactation amenorrhea, barrier methods, the copper intrauterine device (IUD), and progestin-only pills (POP) have no clinically significant impact on VTE risk or lactation for the majority of women postpartum. Depot medroxyprogesterone acetate (DMPA) injection, implants, and levonorgestrel (LNG) IUDs are considered to have no impact on breastfeeding based on limited clinical evidence. Contraceptive methods that contain estrogens may increase a woman's risk for VTE in the peri-partum period and should be deferred approximately 30 days postpartum. Sterilization and long acting reversible contraceptives (LARC), including IUDs and contraceptive arm implants, have been proven to be the most reliable and cost-effective methods, which also have high rates of patient satisfaction and continuation. Women have a range of safe contraceptive choices they can use to prevent pregnancy or to space their pregnancies. Health care systems should empower women to become educated about and gain access to postpartum contraception so as to address unintended pregnancy disparities among this group of women. Above all, counseling should be

patient-centered when choosing the right method for the woman.

Keywords: postpartum contraception, lactation amenorrhea, venous thromboembolism,

© 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and eproduction in any medium, provided the original work is properly cited.

© 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

distribution, and reproduction in any medium, provided the original work is properly cited.

**Unintended Pregnancies**

Unintended Pregnancies

http://dx.doi.org/10.5772/intechopen.73534

LARC, unintended pregnancy

Abstract

Jessica Maria Atrio, Isha Kachwala and Karina Avila

Jessica Maria Atrio, Isha Kachwala and Karina Avila

Additional information is available at the end of the chapter

Additional information is available at the end of the chapter


Provisional chapter
