Includes minipill, desogestrel, depot medroxyprogesterone acetate (DMPA), and implant. Its use can be started immediately, even if there is infection or trauma, after procedures performed in the
The use of the method is generally not recommended, unless other more suitable methods are not available or accepted or there are serious difficulties in adherence.
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first or second trimester of pregnancy. Its use can be started the same day the uterine evacuation is performed, the next day or after the confirmation of the complete uterine evacuation. In the case of implantation, if adequate counseling or decision-making cannot be guaranteed, it is recommended to defer placement and provide a temporary contraceptive method in the meantime. Emergency hormonal contraception. Giving emergency birth control pills ahead of time could help prevent future unwanted pregnancies. It is recommended to offer this type of treatment at the time of discharge. Condoms There are no restrictions for its use and it can be simultaneous to the beginning of post-interruption sexual intercourse. It is the only method that protects against HIV and other STIs.
Diaphragms and cervical caps. They can be used immediately in cases of abortions occurring in the first trimester. In the cases of the second trimester, it is advisable to wait approximately six weeks, until the neck returns to its normal size. Spermicides. They can be used immediately and simultaneously with the restart of sexual intercourse. Surgical contraception. This category includes tubal ligation and vasectomy. In cases of abortions produced in the first trimester of pregnancy, tubal ligation is similar to an interval procedure, and in the second trimester, to a postpartum procedure. It can be done immediately after stopping treatment, except in cases of severe infection or blood loss; in that case it is necessary to
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Eligibility criteria for the use of contraceptive methods in post-abortion. Combined oral contraceptive
Continue practice until the infection is completely cured or the injury is healed. Be aware of the importance of providing appropriate counseling and obtaining informed consent, which is often not possible at the time of urgent care. Also inform about the possibility of vasectomy, in cases where there is a partner.