Journal
ADVANCES IN CHRONIC KIDNEY DISEASE
Volume 27, Issue 6, Pages 499-505Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1053/j.ackd.2020.05.009
Keywords
Contraception; Preconception; Counseling; Pregnancy; Chronic kidney disease; IUD; OCP
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Unplanned pregnancies account for a large number of encountered pregnancies. One of the reasons for this is the lack of counseling surrounding contraception and subsequently lack of contraception use. A conversation during a regular CKD office visit of simply asking a woman what her plans are regarding pregnancy can lead to further discussion on timing of pregnancy and contraception and eventually safer outcomes for both the mother and fetus. Individual preference, as well as comorbid conditions, should be taken into account when deciding on optimal contraceptive methods. One must remember that contraception counseling and initiation of contraception should not be wrapped up in a single office visit, and there must be continued follow-up to ensure that the woman is using the contraceptive method correctly to prevent any future unplanned pregnancy. (C) 2020 by the National Kidney Foundation, Inc. All rights reserved.
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