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Chapter-24 Contraception in Diabetic Women

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

Author
1. Jha Rita Kumari
ISBN
9789352703951
DOI
10.5005/jp/books/18049_25
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Patna Medical College, Patna, Bihar, India, Patna Medical College and Hospital, Patna, Bihar, India
Chapter keywords
Contraception advice, combined hormonal contraception, progesterone only pill, long-acting reversible contraception, weight gain, osteoporosis, depression

Abstract

Contraception advice is a component of good preventive healthcare and provider’s approach is a key factor. This is an era of informed choice by the patient but there is no doubt that patients are influenced in their choices by their clinician’s advice and attitude. Different methods of contraception are Combined Hormonal Contraception, Progesterone Only Pill, Long-acting Reversible Contraception, and Barrier and Natural Methods of Contraception. Special issues related to diabetes mellitus include weight gain, osteoporosis, and depression. In women with DM, weight gain associated with newer pills having lower doses of estrogen along with 3rd and 4th generation of progestogens is low. Drosperinone has a antimineralocorticoid action and decreases chances of weight gain. Women who use hormonal contraceptive are more likely to develop depression than normal. The risk is higher in teenagers who are on combined pills.

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