Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1983

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Oral contraception and cardiovascular complications. [Anticoncepcionais

orais e complicacoes cardiovasculares.]

AUTHORS

Murad V

SOURCE

Arquivos Brasileiros de Cardiologia. 1983 Mar;40(3):215-21.

ABSTRACT

The effects of oral contraceptives (OCs) on the cardiovascular system depends on the age of the patient; length of

OC use; the quantity and type of estrogen and type of progestagen in the OC; individual predisposition; and the

association with other risk factors producing a synergistic effect. Mortality for cardiovascular complications is 3 to 4

times greater in women who use OCs for a period of 1 to 59 months, and increases to 9.7 times after 60 months.

There are 3 principal complications associated with the use of OCs: arterial hypertension, acute myocardial

infacrtion, and thromboembolism. The use of a pill with a lower level of estrogen (50 mcg) decreases by 25%, but

does not eliminate, the risk of thromboembolism, but does not decrease the incidence of arterial hypertension and

acute myocardial infarction. Predisposing factors, clinical courses, mechanisms of action, and treatment of arterial

hypertension, thromboembolism, and acture myocardial infarction are discussed. Some well-established

recommendations for OC use are presented, including: 1) begin using an OC with a low level of estrogen; 2) women

over 35 should not use OCs, particularly if they are obses, hypertensive, or smokers; 3) use of tobacco should be

avoided; 4) the patient using OCs should not abuse alcoholic beverages; 5) suspending OC use for a short period

after 2 or 3 years of use represents little in terms of preventive medicine and only increases the chance of unwanted

pregnancy; 6) OCs should not be used in the presence or suspicion of pregnancy because of the potential danger of

congenital anomalies; 7) OCs should not be used by women who develop diabetes during pregnancy; 8) suspend

OCs 1 month before elective abdominal or pelvic surgery; 9) all patients using OCs should be examined every 6

months. Oral contraception constitutes the most effective and safest method of birth control. Some of its

complications are serious and associated with significant morbidity. Nevertheless, if contraindications and

recommendations are observed, the incidence of complications can be reduced to a minimum. (PubHealth.info

Document ID: CONT5T 2060-06)

PubHealth.info NOTE: The author(s) of this article titled, "Oral contraception and cardiovascular complications.

[Anticoncepcionais orais e complicacoes cardiovasculares.]", is(are) Murad V. The source of this article is

"Arquivos Brasileiros de Cardiologia. 1983 Mar;40(3):215-21.". This article was published in 1983 in Portuguese

language(s). (PubHealth.info® Document ID: CONT5T 2060-06. All rights reserved with PubHealth.info) PIN: 22060

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