[Contraception, therapeutic abortion, and pulmonary arterial hypertension]. - Université de Bretagne Occidentale Access content directly
Journal Articles La Presse medicale Year : 2010

[Contraception, therapeutic abortion, and pulmonary arterial hypertension].

Abstract

Despite therapeutic advances, maternal mortality is high in pulmonary arterial hypertension (PAH). PAH treatment may interfere with the proposed method of contraception. Moreover, some treatments (endothelin receptor antagonists, anti-vitamin K) are teratogenic. If pregnancy is strictly not recommended in PAH, few specific contraceptive guidelines are available. The contraceptive method must be discussed on a case by case basis with the patient, the reference team for PAH, and the gynecology department.The advantages of the intrauterine device (IUD) with progesterone (reliability, simplicity, compliance, few contraindications and interactions, possibility of use in the nulliparous patient, reimbursement by the healthcare system) make it a good contraceptive choice in these circumstances. Therapeutic abortion is a situation of contraceptive failure, it must always be performed in hospitals. It must lead to effective contraceptive advice.
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Dates and versions

hal-00929840 , version 1 (14-01-2014)

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Irène Frachon, Stéphanie Pozzi Gaudin, Catherine Jezequel, Xavier Jaïs, Christophe Gut-Gobert, et al.. [Contraception, therapeutic abortion, and pulmonary arterial hypertension].. La Presse medicale, 2010, 39 Suppl 1, pp.1S46-50. ⟨10.1016/S0755-4982(10)70007-5⟩. ⟨hal-00929840⟩
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