A review of contraceptive methods for women with cardiac disease 2018

Question 1

For which cardiac conditions in the COCP not appropritte

Answer 1

UK Mec 4
Stage 2 HTN <160/100
IHD
Previous ischaemic stroke
Migrane with aura

UK Mec 3
Stage 1 HTN
140-150/90-99

Question 2

What arrhythmia are which UKMEC for COCP?

Answer 2

UKMEC 4
AF

UKMEC 2
Prolonged QT

Question 3

Rates of ectopic pregnancy
any contraception
LG-IUD
Cu-IUD

Answer 3

3-4.5/1000
1/1000
0.2/1000

Question 4

Risk of pregnancy being ectopic with LG-IUD and Cu-IUD

Answer 4

5%
6%

Question 5

Consideration of IUD in cardiac diseae

Answer 5

Risk of syncope,1.8% post-insertion bradycardia

Those at risk
UCKMEC 4 Fontan circulation, pulmonary vascular disease

Caution any class 3-4 WHO functional

Question 6

What proportion of women get pregnancy in 1st year of women using condoms (non perfect use)?

Answer 6

Condoms 18% (82% effective)
Female 22% (78% effective)

Question 7

How effective is fertility awareness method and withdrawal

Perfect & (non-perfect use)

Answer 7

Fertility awareness 24% (1-9%)

Withdrawal 22% (4%)