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12.10

Contraceptives

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 12, Sexual and Reproductive Health.

Clinical Description

For more information, refer to the contraceptive manual

CLIENT ASSESSMENT

  • History
  • Age, LMP, parity, number of living children
  • Medical history/ chronic illness (to assess eligibility criteria for method chosen)
  • Desire for more children or limit
  • Desired timing for birth of next child
  • Number of sexual partners
  • Physical examination
  • Patient education on the different methods

COUNSELLING

Counsel patient on the following

  • Type of contraceptive method
  • Effectiveness of each method
  • Duration of use
  • Advantages and disadvantages
  • When and where to seek help in times of complications
  • When and where to get it removed or changed
  • Return of fertility
  • Address myths

Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.

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