The researchers conducted this study to investigate whether women with CHD were receiving appropriate advice on contraception.
Sixteen of the 46 women had never discussed contraception with a health professional. Nine of these women were sexually active and were using condoms. Seven of these women chose to start hormonal contraception following consultation. Ten of the 30 women who had previously discussed contraception with their general practitioner or family planning clinic had received inappropriate advice. Of these 30 women, 24 needed contraception.
Many of these women receive either no advice or inappropriate advice about contraception. Suitable effective reversible methods are denied by health professionals concerned about the safety of hormonal contraceptives in women with ‘heart problems’. Preconception advise and birth control information should be given to all female patients with CHD, as correct information will avoid the potential risks of an unplanned pregnancy.
The study concluded that monthly regional combined clinic staffed by a cardiologist and family planning doctor provides the ideal opportunity to educate patients and health professionals alike. A good practice is then disseminated across specialties and into the community, encouraging multidisciplinary guidelines and referral pathways to be developed.
Reference: https://srh.bmj.com/content/33/1/17
