EMAK Century Club
Joined: 26 Nov 2006 Posts: 572
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Posted: Thu May 03, 2007 2:12 pm Post subject: Contraception for women aged over 40 years |
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1 - Women should be informed that although a natural decline in fertility occurs from the age of 37 years, effective contraception is required to prevent unplanned pregnancy (Grade B).
2 - Women should be informed that the risks of congenital and chromosomal abnormalities, spontaneous abortion, pregnancy complications, and of maternal morbidity and mortality increase for women over the age of 40 years (Grade B).
3 - A clinician should take a clinical history to allow assessment of contraceptive options, taking account of cardiovascular and cerebrovascular disease and neoplasia, which increase with increasing age (Good Practice Point).
4 - Women aged over 40 years can be advised that no contraceptive method is contraindicated by age alone (Grade C).
5- Women aged over 40 years should be advised of the risks and non-contraceptive benefits of all contraceptive methods (Grade C).
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Ref: FFPRHC Guidance (January 2005) |
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