Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach

Miller, Hyman; Do, Samantha C.; CRUZ, Giovanna; Panelli, Danielle M.; Leonard, Stephanie A.; Girsén, Anna; LEE, Christine J.; Khandelwal, Abha; Shaw, Kate A.; Bianco, Katherine

doi:10.1016/j.xagr.2022.100100

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Evidence suggests improved clinical outcomes among those who are screened for mood disorders, with the largest improvement seen among those who are appropriately treated or referred to mental healthcare clinicians [6]. Improving understanding of safe contraception use among those with mental health conditions could provide patients and providers more time to optimize these conditions prior to pregnancy, which may reduce perinatal morbidity and mortality [13 ▪ ].…”

Section: Mental Health Conditions and Reproductive Outcomesmentioning

confidence: 99%

Mental health conditions and contraception: current landscape, reproductive health and obstetric outcomes, and clinical guidance

Miller,

Kruger,

Panelli

2024

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review This review presents the epidemiology of mental health conditions among reproductive aged people, common adverse reproductive outcomes, the hormonal profile of contraception and its relationship with psychiatric outcomes, and updated information for clinicians providing contraceptive counselling for this population. Recent findings There is variability among contraceptive behaviours and patterns across those who have mental health conditions, impacting reproductive, psychiatric, and perinatal outcomes. The endocrinology of hormonal contraceptives is well understood, however, the impacts of steroidal hormones on mental health outcomes continue to be less understood. Overall, hormonal contraceptives are safe to use among those with mental health conditions, and among those using selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors. Additional considerations are needed when prescribing contraception among people who may be at risk of poor adherence, who use certain classes of antidepressants, antipsychotics, antiepileptics, and who are <6 weeks postpartum. Summary Barriers to effective contraceptive use should be addressed and myths on negative psychiatric impacts of hormonal contraceptives should be dispelled. Healthcare clinicians should seek out opportunities to become proficient in contraception counselling to improve health outcomes among people with mental health conditions.

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Section: Mental Health Conditions and Reproductive Outcomesmentioning

confidence: 99%

Mental health conditions and contraception: current landscape, reproductive health and obstetric outcomes, and clinical guidance

Miller,

Kruger,

Panelli

2024

Current Opinion in Obstetrics &Amp; Gynecology

Self Cite

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show abstract

“…Vale reforçar que a seleção da contracepção deve considerar os fatores intrínsecos da paciente, a segurança e a eficácia dos contraceptivos, além de envolver uma abordagem multidisciplinar ao longo da fase reprodutiva da mulher. 197 …”

Section: Aterotrombose Na Gravidez Contracepção Infertilidade Síndrom...unclassified

“…It is worth noting that the selection of a contraceptive method should consider the patient’s intrinsic factors, as well as the safety and efficacy of the contraceptive, in addition to involving a multidisciplinary approach throughout a woman’s reproductive life. 197 …”

Section: Atherothrombosis In Pregnancy Contraception Infertility Anti...mentioning

confidence: 99%

Posicionamento sobre Doença Isquêmica do Coração – A Mulher no Centro do Cuidado – 2023

Oliveira¹,

Almeida²,

Rassi³

et al. 2023

Arquivos Brasileiros De Cardiologia

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Contraceptive counseling and choices in pregnancies with maternal cardiac disease

Shao,

Cassidy,

Alanizi

et al. 2023

The Journal of Maternal-Fetal & Neonatal Medicine

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Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach

Cited by 3 publications

References 24 publications

Mental health conditions and contraception: current landscape, reproductive health and obstetric outcomes, and clinical guidance

Mental health conditions and contraception: current landscape, reproductive health and obstetric outcomes, and clinical guidance

Posicionamento sobre Doença Isquêmica do Coração – A Mulher no Centro do Cuidado – 2023

Contraceptive counseling and choices in pregnancies with maternal cardiac disease

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