Book contents
- Contraception
- Contraception
- Copyright page
- Contents
- List of contributors
- Foreword
- Preface
- 1 Whatwomen want from their contraceptives… and what we can offer
- 2 Mythsand misconceptions about sex and con(tra)ception
- 3 Thehistory of contraception
- 4 Physiologyof the menstrual cycle and natural family planning
- 5 Theoestrogen component of currently used steroidal contraceptives
- 6 Therisk of oestrogens in contraceptives
- 7 Progestogensused in contraceptives
- 8 Thecontraceptive consultation
- 9 Menarcheand associated problems
- 10 Adolescence:contraception in the teenage years
- 11 Contraceptionin the20-somethings
- 12 Contraception in the 30-somethings
- 13 Contraceptionin the 40-somethings
- 14 Contraception in the50-somethings
- 15 Whatis the risk of cancer with hormonal contraception?
- 16 Newdevelopments in female sterilization
- 17 Malesterilization
- 18 Emergency contraception
- 19 Sexuallytransmissible infections and pelvic pain: what you really need to know
- 20 Medicaltermination of pregnancy
- 21 Surgicaltermination of pregnancy
- 22 Primary care treatment of subfertility and what every health professional needs to know about assisted reproductive technology
- 23 Sexualassault
- 24 Future developments incontraception
- Index
21 - Surgicaltermination of pregnancy
Published online by Cambridge University Press: 05 August 2013
Book contents
- Contraception
- Contraception
- Copyright page
- Contents
- List of contributors
- Foreword
- Preface
- 1 Whatwomen want from their contraceptives… and what we can offer
- 2 Mythsand misconceptions about sex and con(tra)ception
- 3 Thehistory of contraception
- 4 Physiologyof the menstrual cycle and natural family planning
- 5 Theoestrogen component of currently used steroidal contraceptives
- 6 Therisk of oestrogens in contraceptives
- 7 Progestogensused in contraceptives
- 8 Thecontraceptive consultation
- 9 Menarcheand associated problems
- 10 Adolescence:contraception in the teenage years
- 11 Contraceptionin the20-somethings
- 12 Contraception in the 30-somethings
- 13 Contraceptionin the 40-somethings
- 14 Contraception in the50-somethings
- 15 Whatis the risk of cancer with hormonal contraception?
- 16 Newdevelopments in female sterilization
- 17 Malesterilization
- 18 Emergency contraception
- 19 Sexuallytransmissible infections and pelvic pain: what you really need to know
- 20 Medicaltermination of pregnancy
- 21 Surgicaltermination of pregnancy
- 22 Primary care treatment of subfertility and what every health professional needs to know about assisted reproductive technology
- 23 Sexualassault
- 24 Future developments incontraception
- Index
Summary
In the event of an unplanned pregnancy, a woman should have the choice of a surgical or medical method at any gestation and be counselled on the procedure itself, possible risks and expected care. A benefit of a surgical procedure is that any method of contraception can be provided in conjunction with the procedure (in the case of long-acting reversible contraception (LARC)) or post procedure (all other reversible methods). Sterilization should be tempered by the increased risk of regret and failure. Pre-assessment consultation is undertaken to assess gestation, identify multiple pregnancy and make an individual risk assessment for physical and mental health issues for any given individual. Routine screening for blood group and Rhesus factor and also screening for chlamydia and gonorrhoea as well as a venous thromboembolism risk assessment should be offered to everyone. Rhesus-negative women should be given anti-D.
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- ContraceptionA Casebook from Menarche to Menopause, pp. 192 - 198Publisher: Cambridge University PressPrint publication year: 2013