BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE"

Transcription

1 BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE SUBJECT: Pregnancy Testing and Counseling Protocol P&P # APPROVED BY: EFFECTIVE DATE: Mark Lundberg MD Health Officer REVISION DATE: 2/20/2010 Phyllis Murdock Director Public Health Purpose: To provide women and their partners with the information and support needed to make an informed decision in a safe and non-judgmental environment regarding their reproductive health care when pregnancy is suspected or confirmed. To diagnose early pregnancy, to diagnose a health problem that may have negative consequences on a client s health, fertility, or may be life threatening (eg ectopic pregnancy). To facilitate appropriate medical care including prenatal and pregnancy termination. To provide information needed to enable clients to make an informed decision most compatible with their emotional, spiritual and physical well-being and beliefs. Policy: Clinic PHA s, LVN s and RN s will perform pregnancy testing and when the pregnancy test is positive, offer information about all pregnancy options in an unbiased manner. Staff will also provide client education regarding methods of birth control as appropriate and in an unbiased manner. Procedure: Test information: Pregnancy tests work by measuring a hormone called human Chorionic Gonadotropin (hcg) produced by pregnant women. After a fertilized egg implants in the uterus, the hcg from the conception enters the woman s blood stream and soon appears in her urine. It is sometimes possible to detect hcg before a woman s next period is expected but usually tests are used after a woman misses her menses. As pregnancy progresses, more hcg is produced and it becomes easier to confirm positive test results. Ovulation occurs approximately two weeks before a woman s period. Pregnancy testing is done using a urine test. False positive results can occur after a recent miscarriage or pregnancy, or if the woman is on hcg injections for dieting or fertility. High levels from these injections can last for up to a month following treatment. False positives can occasionally occur from protein in the urine of women with diabetes, kidney disease or on various forms of weight loss programs, particularly high protein diets or ones where clients are fasting.

2 False negative results when the woman is pregnant can occur in about 10% of clients. ** A pelvic examination is recommended when pregnancy test results are not compatible with history or physical symptoms, gestational age is questionable or medications and/or drugs have been used that affect pregnancy test results. ** If the patient requests a blood test for pregnancy inform them that the early urine pregnancy test can be as reliable as serum pregnancy test and they will have to pay for a serum test. The blood test is generally ordered when a clinician wants to rule out an ectopic pregnancy. The result won t be available until the next day. Signs and Symptoms of pregnancy: Late period, breast tenderness, fatigue, nausea/vomiting, weight gain, frequent urination, slight increase in temperature, increase in vaginal discharge, protruding lower abdomen after 12 weeks, fetal movements after 18 weeks. Patient assessments: Clinic staff meets with the patient, review the patient health history for prior medical conditions, pregnancy symptoms, contraceptive status, last normal menstrual cycle, menstrual regularity, medication, birth control or drug use. Staff confirms whether or not she is seeking a pregnancy test. Clinic staff performs the test; results are given privately to the patient. Staff must clearly define the terms positive and negative to the patient, stating clearly if she is or is not pregnant. Clinic staff presents options that are discussed in an unbiased manner. Information on all options should be provided to each patient so that she will have relevant resources should she change her mind. Positive Test Results: 1. Clients with a positive pregnancy test will be told they have a positive test that means they are pregnant and will be asked how they feel about the test results. 2. Define the limitations of the test as appropriate, for example if she has recently had a baby, miscarriage, or abortion. The woman s medical history should be reviewed. If the review is done by the PHA, the PHA will review the abnormal findings with the clinician/nursing staff who will then provide guidance. 3. Gestational age of pregnancy as determined by menstrual history will be determined with the woman. 4. Women with poorly defined dates, with bleeding and/or pelvic pain, on drugs affecting pregnancy test results, and near menopause may be scheduled for a pelvic examination to determine the length of the pregnancy. 5. If the pregnancy is planned, offer congratulations and ask her how she feels about the pregnancy. Provide client with a referral with all options in case she changes her mind in the future. Clients who elect to continue the pregnancy should receive a referral for early initiation of prenatal care and given a positive pregnancy packet. They should also be asked if they want to be contacted by the Prenatal Care Guidance

3 Registered Nurse. A brief review of packet materials and good health practices during early pregnancy is provided: eg, good nutrition, initiation of prenatal vitamins, avoidance of smoking, drugs and exposure to x-rays. If the client has a medical problem or is taking a medication that may prove harmful to a pregnancy this is an opportunity to discuss the issue with one of the clinicians. If the client needs case management services a referral to the TCM program will be completed. 6. If the pregnancy is unplanned and the patient decides to continue the unplanned pregnancy: Explore her feelings, ask how she feels, and validate her concerns. Discuss the full range of options, including continuing her pregnancy, adoption and abortion to give her a chance to consider all her alternatives. Provide her a referral list including all options should she change her mind later. Referral to the Prenatal Care Guidance and case manager will be offered, same information as for planned pregnancy. Inform the client that she can come back to the clinic for information if she wishes, and that the Prenatal Care Guidance nurse can work with her as needed. 7. If the patient is undecided: Encourage open discussion of the woman s feelings she may be overwhelmed and confused. Provide the chance for her to talk about the various reasons and life situations she is dealing with. Offer that she can speak with the Prenatal Care Guidance nurse to address her concerns. Provide the patient with options including the time constraints for a first or second trimester abortions if she is considering that choice. Calculate how many weeks have passed since her last normal period. 8. If the patient wants an abortion: Discuss her rationale on how she came to this decision, validate her concerns, discuss full range of options, and provide written information. Discuss possible risks of the abortion procedure; bleeding, infection, cramping and discomfort. Inform her of the approximate cost. Discuss birth control options, specifically; what is her plan for contraception after the abortion. Points to remember when counseling a patient considering abortion: Use open ended questions, listen carefully with compassion. Don t judge or try to make decisions for the patient. Provide objective information and support. Be aware of your own biases. Do not rush the woman to make a decision. Allow the opportunity to discuss her other issues as time permits. Present the option of a second counseling session with the Prenatal Care Guidance nurse. Do not enter a counseling session with the conclusion that the patient will have an abortion, instead, focus on the fact that she is pregnant and has

4 three options including abortion, carrying the pregnancy to term and keeping the baby or placing the baby up for adoption. 9. If the patient decides to give the baby for adoption: Discuss with the patient the reasons for making this decision. Has she looked into this option and does she know what it entails? Provide her with information she needs to understand the procedure. Provide the client with referral information for Adoption Choices of Northern California. Discuss full range of options including abortion and keeping the pregnancy in order to give her a chance to consider all alternatives. Provide her a referral list that includes all options in case she wants to change her mind later. Discuss how she will feel carrying the pregnancy to term and then giving the baby up. Include the positive and negative feelings she is experiencing as a result of making this decision. Encourage her to begin prenatal care as soon as possible and remind her that she can return for further counseling with the Prenatal Care Guidance Nurse as well as complete the referral for the Prenatal Care Guidance nurse to begin working with the patient. This will assure the patient is able to receive prenatal care and will have follow up information. Suggest she begin taking prenatal vitamins daily, encourage her to avoid smoking, alcohol and any drugs, encourage avoiding starting any medication until she checks with her clinician first. 10. Negative Test Results: The routine phrase to use is: The results of your pregnancy test are negative, which means that you are probably not pregnant. * A clinician evaluation will be conducted when the pregnancy test is negative but the client experiences shoulder pain, spotting, bleeding, abnormal discharge and/or fever or if she has normal signs and symptoms of pregnancy. If a woman is disappointed and wants to become pregnant; acknowledge her disappointment and help her plan next steps. Review her medical history, including menstrual cycle and medications. If she is less than 2 weeks from the time she expected her period, encourage her to return for retesting. Also, define limitations of urine test and explain the possibility of false negative responses that may require retesting. If the client is trying to conceive: Ask the patient how long she has been trying to conceive. Determine when in the cycle she usually has intercourse. It is important to know if the couple is having intercourse during the fertile time and number of times they intercourse at this time. Review how to determine the fertile time. Refer to infertility services if the woman has a history that may indicate she could have a fertility problem, her partner has never had a child, has a history that could indicate a fertility problem or has not had a semen analysis or if the client is over 30 years of age and has been trying to conceive for at least 6 months. Staff should consider referring this client to a clinician who will determine appropriateness of infertility referral at that point. If the client has been trying to conceive for less than a year encourage her to continue trying and discuss stressors in her life that may adversely affect the

5 process. Illness, stopping hormonal contraceptives, changes in diet and/or exercise, also may delay a woman s period. If it has been over one year, offer a referral for infertility services. Encourage her to start prenatal vitamins and use them for 3 months or more before she conceives, and avoid smoking, drugs and alcohol. Offer preconception counseling. If the client is not trying to conceive; evaluate causes for delayed menses including the possibility of false negative test results. Ask her to return to the clinic in 2 weeks for a repeat pregnancy test. If the test is negative at that time, the client must be referred to a clinician for evaluation. Review her current contraceptive method, how long she has used it, does she have any problems using it. If she has a method she does not like, discuss alternatives. Provide written information regarding the available contraceptive methods. Schedule a visit with the clinician if she wishes to. Assess STI risks, offer testing for at risk women, encourage use of condoms and foam, review safe sex practices. 10. Preconception Care and Counseling: Although most of the patients seen at clinic are concerned with preventing or postponing a pregnancy, it is important to address healthy pregnancy through education and counseling in the family planning setting. The purpose is to optimize a woman s health to reduce medical risks during a pregnancy for a healthy pregnancy and birth outcome. Almost half of pregnancies are unplanned. These pregnancies are at higher risk due to risky behaviors, unhealthy diets and exposure to substances while the women are unaware of their pregnancy. F-Pact pays for preconception counseling; the woman can schedule a visit for this. Teachable moments occur when the woman is at the clinic for pregnancy testing. Preconception care can be thought of as interventions used throughout a woman s childbearing years, even when there is no plan for pregnancy. This also involves focus on spacing of pregnancy. A short period of interconception (time between pregnancies) is considered to be 18 months or less. It is advised that women space pregnancies by at least two years to allow their body and next pregnancy to be optimum. A reproductive life plan can be discussed which allows the woman to set her own goals and plans regarding planning her family. This is based on her values, current resources and knowledge of family planning, reproductive health and preconception care. Questions to ask: Do you want to have a baby at some point in your life, if so when might you want to have the baby? I see you are not using your method- are you thinking about having a baby? What are you currently doing to prepare for a future pregnancy? What can I do today to help you achieve your plan?

6 As a Public Health clinic this gives the client the opportunity to use our women s wellness assets and a complete history and physical determine needed services such as: pap, STI testing, preventive health messages on : smoking cessation, substance misuse/abuse, weight loss, nutrition/exercise/stress management, domestic violence, child sexual abuse screening. Folic acid and/or prenatal vitamins are discussed with the patient and she should be informed these need to be taken at least three months before conceiving. Discuss the importance of receiving regular prenatal care throughout the pregnancy. Discuss non-chronic health issues such as gum inflammation/infection, untreated cavities/decay. There can be serious pregnancy related complications associated with dental disease such as preterm delivery, preeclampsia, and low birth weight. Provide educational materials about tooth-brushing and mouthwash. References: Integrating Preconception Care Into Your Practice: CFHC 2009 March of Dimes: Preconception Care most recent guideline American Journal of Obstetrics and Gynecology 2008 Patient Education and Counseling Protocol Los Angeles Harbor UCLA Medical Center, Anita Wilson MD Update 5, 2009

7

Safe & Unsafe. abortion

Safe & Unsafe. abortion Safe & Unsafe Facts About abortion WHAT IS THE DIFFERENCE BETWEEN UNSAFE AND SAFE ABORTION? What is unsafe abortion? Unsafe abortion is a procedure for terminating an unplanned pregnancy either by a person

More information

Support information for women, their partners and families. Early Pregnancy Loss (Miscarriage)

Support information for women, their partners and families. Early Pregnancy Loss (Miscarriage) Support information for women, their partners and families Early Pregnancy Loss (Miscarriage) The experience of early pregnancy loss can bring about a mix of thoughts and feelings. You are welcome to speak

More information

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD the IUD. the IUD. the the IUD. the IUD. the IUD. the IUD. the IUD. the IUD.

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD the IUD. the IUD. the the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. your guide to Helping you choose the method of contraception that is best for you I the IUD 2 3 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put into your uterus (womb).

More information

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. your guide to

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. your guide to your guide to Helping you choose the method of contraception that is best for you IUD he the the the 2 3 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put into your

More information

Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion.

Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion. Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion. After the abortion I started re-thinking my birth control method. I am looking

More information

abortion abortion abortion abortion abortion abortion abortion on abortio abortion ortion abortion abortion abortion abortion abortio

abortion abortion abortion abortion abortion abortion abortion on abortio abortion ortion abortion abortion abortion abortion abortio Abortion Your questions answered abortio bortion ion ortion on abortio 2 Are you pregnant but not sure you want to have the baby? Do you need more information about your pregnancy choices? Unplanned pregnancy

More information

the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD your guide to

the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD your guide to your guide to Helping you choose the method of contraception that is best for you IUD IUD the e IUD IU IUD the IUD 2 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put

More information

Copper intra-uterine device (IUD)

Copper intra-uterine device (IUD) Oxford University Hospitals NHS Trust Copper intra-uterine device (IUD) Page What is an inter-uterine device? 3 How does it work? 4 Would an IUD be suitable for me? 5 Are there any risks or complications?

More information

Information for you Abortion care

Information for you Abortion care Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect

More information

OUTCOME: Provide general counseling and local resource information for prenatal care, adoption and pregnancy termination options.

OUTCOME: Provide general counseling and local resource information for prenatal care, adoption and pregnancy termination options. REVISED: (ORIGINAL: 1/04) Non-Directive Counseling Guidelines for Clinics I. PURPOSE: County Health Department (CHD) clinic staff are to offer pregnant women the opportunity to be provided with non-directive

More information

Positive Pregnancy Test. Information Packet

Positive Pregnancy Test. Information Packet Health Service Human Services Building 600 Lincoln Avenue Charleston, Illinois 61920-3099 Office: (217) 581-3013 Fax: (217) 581-3899 Positive Pregnancy Test Information Packet You were just informed that

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to

More information

TERMINATION OF PREGNANCY- MEDICAL

TERMINATION OF PREGNANCY- MEDICAL TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal

More information

Aetna Life Insurance Company

Aetna Life Insurance Company Aetna Life Insurance Company Hartford, Connecticut 06156 Amendment Policyholder: Group Policy No.: Effective Date: UNIVERSITY OF PENNSYLVANIA POSTDOCTORAL INSURANCE PLAN GP-861472 This Amendment is effective

More information

Preconception Clinical Care for Women Medical Conditions

Preconception Clinical Care for Women Medical Conditions Preconception Clinical Care for Women All women of reproductive age are candidates for preconception care; however, preconception care must be tailored to meet the needs of the individual. Given that preconception

More information

Birth Control Options

Birth Control Options 1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth

More information

Patient information leaflet for Termination of Pregnancy (TOP) / Abortion

Patient information leaflet for Termination of Pregnancy (TOP) / Abortion Patient information leaflet for Termination of Pregnancy (TOP) / Abortion Families Division Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please

More information

Delaying First Pregnancy

Delaying First Pregnancy Delaying First Pregnancy Introduction The age at which a woman has her first pregnancy affects the health and life of a mother and her baby. While pregnancy can present health risks at any age, delaying

More information

LOVE! Healthier me! Steps to a. Show Your. My top 3 goals for this year are 1 2.

LOVE! Healthier me! Steps to a. Show Your. My top 3 goals for this year are 1 2. Show Your LOVE! Steps to a Life offers many opportunities Take time to think about your goals for school, for your job or career and for your health Your physical and mental health are important in helping

More information

PILLS & RING INFORMATION AND INSTRUCTIONS ON COMBINED HORMONAL CONTRACEPTION INCLUDING BIRTH CONTROL PILLS & NUVA RING

PILLS & RING INFORMATION AND INSTRUCTIONS ON COMBINED HORMONAL CONTRACEPTION INCLUDING BIRTH CONTROL PILLS & NUVA RING PILLS & RING INFORMATION AND INSTRUCTIONS ON COMBINED HORMONAL CONTRACEPTION INCLUDING BIRTH CONTROL PILLS & NUVA RING What is combined hormonal contraception? Birth control which contains two hormones

More information

abortion your questions answered

abortion your questions answered abortion your questions answered About Marie Stopes International Marie Stopes International is a specialist reproductive healthcare organisation and a registered charity working in both the UK and overseas.

More information

ABORTION WHAT YOU NEED TO KNOW

ABORTION WHAT YOU NEED TO KNOW ABORTION WHAT YOU NEED TO KNOW ABORTION What you need to know Everyone who is pregnant has decisions to make. It might be unexpected. You might have many different feelings. It may be news that you re

More information

University College Hospital. Miscarriage Women s Health

University College Hospital. Miscarriage Women s Health University College Hospital Miscarriage Women s Health 2 Introduction The purpose of this leafl et is to: Describe what a miscarriage is and why it happens What it means for your health What treatment

More information

WASHINGTON STATE DEPARTMENT OF HEALTH FAMILY PLANNING AND REPRODUCTIVE HEALTH ON-SITE MONITOR TOOL FOR TITLE X AGENCIES

WASHINGTON STATE DEPARTMENT OF HEALTH FAMILY PLANNING AND REPRODUCTIVE HEALTH ON-SITE MONITOR TOOL FOR TITLE X AGENCIES WAHINGTON TATE DEPARTENT OF HEALTH FAILY PLANNING AND REPRODUCTIVE HEALTH ON-ITE ONITOR TOOL FOR TITLE X AGENCIE CLINICAL ERVICE: The sub-recipient provides family planning services to clients that are

More information

Understanding Fertility

Understanding Fertility Understanding Fertility 6 Introduction The word fertile means the ability to become pregnant or to cause pregnancy. Basic knowledge of both the male and female reproductive systems is important for understanding

More information

Iowa s Maternal Health, Child Health and Family Planning Business Plan

Iowa s Maternal Health, Child Health and Family Planning Business Plan Iowa s Maternal Health, Child Health and Family Planning Business Plan CHILD HEALTH Who we are... A public-private partnership that... Promotes access to regular preventive health care services for children

More information

Chlamydia THE FACTS. How do people get Chlamydia?

Chlamydia THE FACTS. How do people get Chlamydia? What is Chlamydia? Chlamydia is a common bacterial infection that is sexually transmitted and often causes no symptoms. If not treated, chlamydia can damage reproductive organs and make it difficult for

More information

MHRI IUD Protocol. Migraine with aura Current DVT or PE History of or current breast cancer Active viral hepatitis Severe cirrhosis or liver tumors

MHRI IUD Protocol. Migraine with aura Current DVT or PE History of or current breast cancer Active viral hepatitis Severe cirrhosis or liver tumors Table of Contents A. Indications B. Contraindications C. Prior to Insertion D. Insertion E. Follow-Up Visit F. Removal G. Re-Insertion H. Complications/Side Effects I. Appendices MHRI IUD Protocol A. Indications

More information

Uterine fibroids (Leiomyoma)

Uterine fibroids (Leiomyoma) Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids

More information

High quality follow up support and care

High quality follow up support and care High quality follow up support and care How do you think the benefits of high quality follow up care? Client satisfaction Safe and effective continuation of the method What are the tasks involved in routine

More information

Patient & Family Guide Pre-Existing Diabetes and Pregnancy

Patient & Family Guide Pre-Existing Diabetes and Pregnancy Patient & Family Guide Pre-Existing Diabetes and Pregnancy Center for Perinatal Care Meriter Hospital 202 S. Park Street Madison, WI 53715 608.417.6667 meriter.com 09/12/1000 A Meriter Hospital and University

More information

A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care

A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care 1 A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care Presentation by Kay A. Johnson, MPH, EdM Research Assistant Professor,

More information

Department of Gynaecology Early medically induced termination of pregnancy. Information for patients

Department of Gynaecology Early medically induced termination of pregnancy. Information for patients Department of Gynaecology Early medically induced termination of pregnancy Information for patients Medically induced termination of pregnancy In this procedure the termination of pregnancy is brought

More information

Heavy menstrual bleeding and what you can do about it!

Heavy menstrual bleeding and what you can do about it! Heavy menstrual bleeding and what you can do about it! The intrauterine system as an alternative to hysterectomy. What is heavy menstrual bleeding? Do I have it? A woman s menstrual periods are considered

More information

progestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly

progestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge

More information

Abortion Aftercare. Tel: 0845 359 6666 Tel: (01) 874 0097. www.smpclinic.co.uk

Abortion Aftercare. Tel: 0845 359 6666 Tel: (01) 874 0097. www.smpclinic.co.uk Abortion Aftercare Your Guide to Advice & Information Following an Early Medical or Surgical Abortion Tel: (01) 874 0097 REPUBLIC OF IRELAND (R.O.I) 2 Aftercare Line Tel: (01) 874 0097 REPUBLIC OF IRELAND

More information

Intrauterine Device (IUD) THE FACTS

Intrauterine Device (IUD) THE FACTS Intrauterine Device (IUD) Quick Facts Effectiveness in Preventing Pregnancy: Use: Of 100 women using IUDs for a year, about one may become pregnant. IUDs are better at preventing pregnancy than condoms,

More information

What Are Fertility Awareness Methods?

What Are Fertility Awareness Methods? CHAPTER 17 Fertility Awareness Methods Key Points for Providers and Clients Fertility awareness methods require partners' cooperation. Couple must be committed to abstaining or using another method on

More information

the abortion pill by David Hager, M.D.

the abortion pill by David Hager, M.D. the abortion pill by David Hager, M.D. A positive pregnancy test is one of the most life-changing moments for a woman. Never is it more important to base your decisions on accurate information. Try to

More information

Sterilisation for women and men: what you need to know

Sterilisation for women and men: what you need to know Sterilisation for women and men: what you need to know Published January 2004 by the RCOG Contents Page number Key points 1 About this information 2 What are tubal occlusion and vasectomy? 2 What do I

More information

implant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im

implant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im your guide to the contraceptive implant Helping you choose the method of contraception that is best for you contra ontraceptive im contraceptive implant mpl ceptive contraceptive contracepti ntraceptive

More information

injections injections injections injections injections injection injections injections injections tions njections injections injections injections

injections injections injections injections injections injection injections injections injections tions njections injections injections injections your guide to contraceptive Helping you choose the method of contraception that is best for you ions ections injection njections injection tions 2 Contraceptive Contraceptive contain a progestogen hormone

More information

Baby Steps To A Healthy Pregnancy

Baby Steps To A Healthy Pregnancy Preconception Middlesex-London Health Unit 50 King Street, London, ON N6A 5L7 519-663-5317 Published 2015. Copyright of the Middlesex London Health Unit. All rights reserved. Baby Steps To A Healthy Pregnancy

More information

Information on termination of pregnancy (abortion) A series of information leaflets on termination of pregnancy services in Greater Glasgow & Clyde

Information on termination of pregnancy (abortion) A series of information leaflets on termination of pregnancy services in Greater Glasgow & Clyde Information on termination of pregnancy (abortion) A series of information leaflets on termination of pregnancy services in Greater Glasgow & Clyde Your first doctors appointment The assessment clinic

More information

Lesson Seventeen: Uncovering the Facts about Adoption, Abortion and Teen Parenthood

Lesson Seventeen: Uncovering the Facts about Adoption, Abortion and Teen Parenthood Lesson Seventeen: Uncovering the Facts about Adoption, Abortion and Teen Parenthood Student Learning Objectives: The students will be able to... 1. Identify who can legally consent to have an abortion,

More information

Prenatal screening and diagnostic tests

Prenatal screening and diagnostic tests Prenatal screening and diagnostic tests Contents Introduction 3 First trimester routine tests in the mother 3 Testing for health conditions in the baby 4 Why would you have a prenatal test? 6 What are

More information

Abnormal Uterine Bleeding FAQ Sheet

Abnormal Uterine Bleeding FAQ Sheet Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between

More information

The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures

The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures by R. Louise Floyd, DSN, RN; Brian W. Jack, MD; Robert Cefalo, MD, PhD; Hani Atrash, MD, MPH; Jeanne Mahoney, BSN,

More information

About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:

About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include: Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other

More information

Preterm Labour. Signs & Symptoms. Learn about the signs of preterm labour and what to do if it happens.

Preterm Labour. Signs & Symptoms. Learn about the signs of preterm labour and what to do if it happens. An important message for pregnant women, their partners and families Preterm Labour Signs & Symptoms Learn about the signs of preterm labour and what to do if it happens. What is preterm labour? A normal,

More information

Lesbian Pregnancy: Donor Insemination

Lesbian Pregnancy: Donor Insemination Lesbian Pregnancy: Donor Insemination (Based on an article originally published in the American Fertility Association 2010 National Fertility and Adoption Directory. Much of this information will also

More information

Acute pelvic inflammatory disease: tests and treatment

Acute pelvic inflammatory disease: tests and treatment Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory

More information

General and Objectives Clinical Skills for. Nursing Students in Maternity and Gynecology. Nursing Department

General and Objectives Clinical Skills for. Nursing Students in Maternity and Gynecology. Nursing Department General and Objectives Clinical Skills for Nursing Students in Maternity and Gynecology Nursing Department Objectives and clinical skills of Antenatal unit Provide antenatal care to woman during normal

More information

Cervical cancer screening with the HPV test and the Pap test in women ages 30 and older

Cervical cancer screening with the HPV test and the Pap test in women ages 30 and older Cervical cancer screening with the HPV test and the Pap test in women ages 30 and older When to get tested and how to make sense of your test results If you are 30 years or older and your Pap test is normal

More information

Clinical Interruption of Pregnancy (Medical/Surgical Abortion)

Clinical Interruption of Pregnancy (Medical/Surgical Abortion) Clinical Interruption of Pregnancy (Medical/Surgical Abortion) Approximately one fifth of all pregnancies in the United States end in abortion (Ventura et al., 2009). According to the CDC (2011a), there

More information

pregnant pregnant pregnant pregnant pregnan pregnant ant pregnant pregnant pregnant egnant pregnant pregnant pregnant pregnant pregna

pregnant pregnant pregnant pregnant pregnan pregnant ant pregnant pregnant pregnant egnant pregnant pregnant pregnant pregnant pregna Pregnant and don t know what to do? A guide to your options pregna regnant ant pregnan egnant 2 3 Are you but not sure you want to have the baby? Do you need more information about the options available

More information

Getting Pregnant: The Natural Approach Revealing the Secrets to Increase Your Fertility

Getting Pregnant: The Natural Approach Revealing the Secrets to Increase Your Fertility Getting Pregnant: The Natural Approach Revealing the Secrets to Increase Your Fertility Page 1 Contents Introduction 3 Part I Understanding Fertility and Infertility Chapter 1: What is Fertility? 4 - Signs

More information

3/31/2015. Objectives. Alcohol. Long term effects. Substance abuse increases the risk of: Substance Abuse in Pregnancy

3/31/2015. Objectives. Alcohol. Long term effects. Substance abuse increases the risk of: Substance Abuse in Pregnancy Objectives Substance Abuse in Pregnancy Basics of screening and counseling Minako Watabe, MD Obstetrics and Gynecology Ventura County Medical Center 1) Discuss the risks of alcohol, tobacco, and drug use

More information

From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors

From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors Uterine Fibroid Tumors A woman s fibroisis condition usually associated with estrogen dominance. Uterine

More information

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002 Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during

More information

Chlamydia. Looking after your sexual health

Chlamydia. Looking after your sexual health Chlamydia Looking after your sexual health 2 Chlamydia Chlamydia is one of the most common sexually transmitted infections (STIs). It is very easy to treat and cure. Up to one in 10 sexually active young

More information

Endometriosis. Information and advice. Page 12 Patient Information

Endometriosis. Information and advice. Page 12 Patient Information Endometriosis Information and advice Page 12 Patient Information Contents page What is Endometriosis?... page 3 Symptoms page 5 Treatments.. page 7 Further information and support.. page 9 Contact us page

More information

Pregnancy and Substance Abuse

Pregnancy and Substance Abuse Pregnancy and Substance Abuse Introduction When you are pregnant, you are not just "eating for two." You also breathe and drink for two, so it is important to carefully consider what you put into your

More information

Alcohol and Reproduction

Alcohol and Reproduction The facts about... Alcohol and Reproduction Five key things you need to know Even small amounts of alcohol can interfere with our reproductive systems. The more you drink, the greater the effect it can

More information

Copper-Bearing Intrauterine Device

Copper-Bearing Intrauterine Device CHAPTER 9 Copper-Bearing Intrauterine Device This chapter describes primarily the TCu-380A intrauterine device (for the Levonorgestrel Intrauterine Device, see p. 157). Key Points for Providers and Clients

More information

Developed by: California Department of Public Health (CDPH) Sexually Transmitted Diseases (STD) Control Branch. In collaboration with:

Developed by: California Department of Public Health (CDPH) Sexually Transmitted Diseases (STD) Control Branch. In collaboration with: Best Practices for the Prevention and Early Detection of Repeat Chlamydial and Gonococcal Infections: Effective Partner Treatment and Patient Retesting Strategies for Implementation in California Health

More information

Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome Polycystic Ovarian Syndrome What is Polycystic Ovarian Syndrome? Polycystic ovary syndrome (or PCOS) is a common condition affecting 3 to 5% of women of reproductive age. It is linked with hormonal imbalances,

More information

Why your weight matters during pregnancy and after birth

Why your weight matters during pregnancy and after birth Information for you Published in November 2011 (next review date: 2015) Why your weight matters during pregnancy and after birth Most women who are overweight have a straightforward pregnancy and birth

More information

Red Flags that should not be ignored

Red Flags that should not be ignored Pregnancy that should not be ignored If a pregnant woman tells you she is experiencing any of the following symptoms during pregnancy, assist her to contact her emergency care professional right away.

More information

Family Planning for Women and Couples following Fistula Repair

Family Planning for Women and Couples following Fistula Repair Family Planning for Women and Couples following Fistula Repair Fistula Care at EngenderHealth 440 Ninth Avenue, 13th Floor New York, NY, USA 10001 Tel: 212-561-8000 E-mail: fistulacare@engenderhealth.org

More information

This is Jaydess. Patient Information. What is Jaydess? How does Jaydess work?

This is Jaydess. Patient Information. What is Jaydess? How does Jaydess work? , Patient Information This is Jaydess We hope that this brochure will answer your questions and concerns about Jaydess. What is Jaydess? Jaydess is an intrauterine device consisting of a hormone capsule

More information

Deciding whether to become a parent

Deciding whether to become a parent Deciding whether to become a parent This information is an extract from the booklet, Relationships, sex and fertility for young people affected by cancer. You may find the full booklet helpful. We can

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis Endometriosis WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The lining of the uterus is called the endometrium. Sometimes, endometrial tissue grows elsewhere in the body. When this happens

More information

Issue Brief. Teen Pregnancy, Parenting, And Dating Violence. Links Between Teen Dating Violence and Teen Pregnancy

Issue Brief. Teen Pregnancy, Parenting, And Dating Violence. Links Between Teen Dating Violence and Teen Pregnancy Issue Brief N O. 8 J U L Y 2 0 0 9 Teen Pregnancy, Parenting, And Dating Violence D ating violence and teen pregnancy are intricately linked. Research indicates that teen girls who are in abusive relationships

More information

MEDICALLY MONITORED ACUTE TREATMENT SERVICES. Brief Guide for Providers

MEDICALLY MONITORED ACUTE TREATMENT SERVICES. Brief Guide for Providers MEDICALLY MONITORED ACUTE TREATMENT SERVICES Brief Guide for Providers Introduction: Pregnant women are a priority population for substance abuse treatment services. The Bureau of Substance Abuse Services

More information

Gynaecology FAQ s. Correspondence address: 204 Fulham Road London SW10 9PJ Email: enquiries@missayida.com Tel: 02077514489

Gynaecology FAQ s. Correspondence address: 204 Fulham Road London SW10 9PJ Email: enquiries@missayida.com Tel: 02077514489 Gynaecology FAQ s Why is the cervical screening test important? Cervical cancer is not uncommon. In recent years the number of cases has fallen due to cervical screening tests. However, there are still

More information

A potential treatment for your abnormal uterine bleeding

A potential treatment for your abnormal uterine bleeding TRUCLEAR System A potential treatment for your abnormal uterine bleeding Do You Suffer from Abnormal Uterine Bleeding? What is a Hysteroscopy? What is the TRUCLEAR Procedure? What Happens Before Your

More information

Promoting Family Planning

Promoting Family Planning Promoting Family Planning INTRODUCTION Voluntary family planning has been widely adopted throughout the world. More than half of all couples in the developing world now use a modern method of contraception

More information

Abnormal Uterine Bleeding

Abnormal Uterine Bleeding Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has

More information

LIPPES LOOP TRADEMARK. your intrauterine contraceptive

LIPPES LOOP TRADEMARK. your intrauterine contraceptive LIPPES LOOP TRADEMARK your intrauterine contraceptive LIPPES LOOP Patient Information This brochure provides information on the use of In trauterine Contraceptive Devices (lud s). There are other birth

More information

GLOSSARY. A Abstinence: having no vaginal, anal, or oral sex. It is the only method that is 100% effective in preventing pregnancy and STI s.

GLOSSARY. A Abstinence: having no vaginal, anal, or oral sex. It is the only method that is 100% effective in preventing pregnancy and STI s. WOMEN S HEALTH GLOSSARY We encourage you to learn the meanings behind these words for your personal health and to fully understand the words being used during your appointments at the Falcon Health Center.

More information

A Guide for Hospitals and Health Care Providers Perinatal Substance Use: Promoting Healthy Outcomes

A Guide for Hospitals and Health Care Providers Perinatal Substance Use: Promoting Healthy Outcomes A Guide for Hospitals and Health Care Providers Perinatal Substance Use: Promoting Healthy Outcomes Virginia Legal Requirements and Health Care Practice Implications Perinatal Care To promote healthy maternal

More information

Illinois Insurance Facts Illinois Department of Insurance

Illinois Insurance Facts Illinois Department of Insurance Illinois Insurance Facts Illinois Department of Insurance Women s Health Care Issues Revised August 2012 Note: This information was developed to provide consumers with general information and guidance

More information

So you think you might be pregnant?

So you think you might be pregnant? So you think you might be pregnant? British Pregnancy Advisory Service British Pregnancy Advisory Service Contents What are the signs of pregnancy? 4 Where can I get a pregnancy test? 6 Who can I talk

More information

Client Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS

Client Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS Client Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS You want to take testosterone to masculinize your body. Before taking it, there are several things you need to know about.

More information

what is an abortion where can I go for help? SAMPLE do my parents have to know?

what is an abortion where can I go for help? SAMPLE do my parents have to know? where can I go for help? what is an abortion? ask brook about abortion do my parents have to know? ask brook about abortion Finding out that you re pregnant might just be the news that you ve been waiting

More information

One Key Question. Better Integration of Preventive Reproductive Health Services into Primary Care

One Key Question. Better Integration of Preventive Reproductive Health Services into Primary Care One Key Question Better Integration of Preventive Reproductive Health Services into Primary Care Helen K. Bellanca, MD MPH Michele Stranger Hunter, MS, MEd Oregon Foundation for Reproductive Health Disclosure

More information

CONSENT TO PARTICIPATE IN THE IN VITRO FERTILIZATION-EMBRYO TRANSFER PROGRAM

CONSENT TO PARTICIPATE IN THE IN VITRO FERTILIZATION-EMBRYO TRANSFER PROGRAM CONSENT TO PARTICIPATE IN THE IN VITRO FERTILIZATION-EMBRYO TRANSFER PROGRAM I, after consultation with my physician, request to participate in the In Vitro Fertilization (IVF)-Embryo Transfer (ET) procedures

More information

it right? activity (page 4) to highlight ethical issues associated with IVF

it right? activity (page 4) to highlight ethical issues associated with IVF IN VITRO FERTILIZATION I V F In some cases, a sperm is directly injected into an egg IVF: THE MEETING OF SPERM AND EGG IN GLASS Louise Brown, the first test tube baby was born in 1978. Since then, there

More information

Blood Pressure Management and Your Pregnancy

Blood Pressure Management and Your Pregnancy Patient Education Blood Pressure Management and Your Pregnancy This handout explains: How your blood pressure is checked during pregnancy. What preeclampsia is, including risk factors, treatments, and

More information

Combination Birth Control Pills - FAQ

Combination Birth Control Pills - FAQ Combination Birth Control Pills - FAQ How does the birth control pill work? prevents ovulation thickens cervical mucus, which makes it hard for sperm to enter the uterus thins the lining of the uterus,

More information

Aftercare information

Aftercare information Aftercare information It is essential that you read this information carefully and take it home with you for future reference and reassurance. If you experience anything you are concerned about and cannot

More information

A Guide to Hysteroscopy. Patient Education

A Guide to Hysteroscopy. Patient Education A Guide to Hysteroscopy Patient Education QUESTIONS AND ANSWERS ABOUT HYSTEROSCOPY Your doctor has recommended that you have a procedure called a hysteroscopy. Naturally, you may have questions about

More information

Medical criteria for IUCD s Based on the WHO MEC (2004- Annexure 3) system a woman s eligibility for IUCD insertion falls in 4 categories. These categ

Medical criteria for IUCD s Based on the WHO MEC (2004- Annexure 3) system a woman s eligibility for IUCD insertion falls in 4 categories. These categ CLIENT ASSESSMENT Ensure that the woman is not pregnant Determine the length and direction of uterus. Ensure that she does not have gonorrhea and chlamydia, and is not a high risk case of STI s Identify

More information

Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies

Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies First Antenatal Contact with the GP Obtain medical and obstetric history. Measure

More information

Alcohol Screening and Brief Interventions of Women

Alcohol Screening and Brief Interventions of Women Alcohol Screening and Brief Interventions of Women Competency #2 Midwest Regional Fetal Alcohol Syndrome Training Center Competency 2: Screening and Brief Interventions This competency addresses preventing

More information

Unplanned Pregnancy Family Planning Alliance

Unplanned Pregnancy Family Planning Alliance Unplanned Pregnancy Family Planning Alliance Rochelle Hamilton Sexologist; Manager BRaSH Clinic; MHSc; Clinical Tutor Post Grad Medical Program Deakin University Unplanned/Unintended Pregnancy In Australia

More information

All methods of birth control are MUCH SAFER than being pregnant! If 100 women use each method for a year, how many of them get pregnant?

All methods of birth control are MUCH SAFER than being pregnant! If 100 women use each method for a year, how many of them get pregnant? The Correct Use of Birth Control: In order for any method of birth control to be effective, it must be used correctly ALL THE TIME. This means: One condom every time you have sex One pill every day One

More information

STANDARD APRN PROTOCOL FOR IUD INSERTION: Levonorgestrel (LNG) Releasing Intrauterine System

STANDARD APRN PROTOCOL FOR IUD INSERTION: Levonorgestrel (LNG) Releasing Intrauterine System STANDARD APRN PROTOCOL FOR IUD INSERTION: Levonorgestrel (LNG) Releasing Intrauterine System DEFINITION The LNG-releasing intrauterine systems (Mirena, Liletta and Skyla ) are on the market. The LNG-releasing

More information

Yes, I know I have genital herpes:

Yes, I know I have genital herpes: Counseling Messages for Herpes Simplex Type II (HSV-II) Genital herpes Always take the time to attend to the participant s feelings and emotional state; for some people, this is the most devastating news

More information