emergency contraception Flashcards

1
Q

Levonorgestrel is it safe in breastfeeding

A

he same progestrogen found in the IUS (Mirena). It is a progestrogen only pill. Thus it is safe in breastfeeding, and for women in whom oestrogens are contraindicated

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2
Q

when should you not use levonorgestrel in what disease

A

liver disease

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3
Q

side effects of levonorgestrel

A

Menstrual irregularities
For most women the next period will be normal, but it can be 2-7 days late.
There may be irregular bleeding during the next menstrual cycle
Nausea
Vomiting
Breast tenderness

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4
Q

if someone vomits within 2hr of taking this pill what should you do

A

If vomiting occurs within 2 hours of administration, another pill should be given. If vomiting continues, consider IUD, or consider another dose, with an antiemetic (domperidone recommended).

Another form of contraception – e.g. COCP or POP can be started immediately

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5
Q

how long do both the COCP and POP need to be used

A

A barrier method of contraception needs to be used for 7 days (COCP), or 3 days for POCP.

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6
Q

how long does levonorgestrel need to be taken within

A

72hr

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7
Q

Ulipristal Acetate needs to be taken within how many hours after intercourse

A

120

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8
Q

can you breastfeed when you have taken ullipristal

what else is it contraindicated in

A

Contraindicated in uncontrolled asthma
Avoid breast-feeding for 36 hours (precautionary, no evidence) maybe a week
LNG and copper coil are both safe with breast-feeding
Severe liver disease

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9
Q

IUD can be used how many days after unprotected sex

A

5 days

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