Hypertension and Contraception Why Long Acting Reversible Contraception
Hypertension and Contraception: Why Long Acting Reversible Contraception (LARC) is Best Authors: Alyce Sutko, MD/MPH, PGY 3, Emily Godfrey, MD/MPH, Imara West, MPH, Laura Mae Baldwin, MD University of Washington Family Medicine Residency Program Goal Results Describe prescribing practices for family medicine providers amongst healthy women and women with HTN Limitations Small sample size Background Unable to analyze race, partity, and marriage status HTN is the most frequently recorded diagnosis for ambulatory care visits and is the leading cause of maternal mortality in the US LARC is the safest and most effective form of contraception for women with HTN Methods Electronic medical records were used to compare contraceptive method between healthy women and women with HTN (women aged 15 -49, history of menopause or hysterectomy excluded) Conclusions Women with HTN are equally likely to be prescribed pills, patch, ring as the healthy women while recommendations are to avoid these methods in women with HTN Very low use of LARC among women with HTN: only 3% using IUD and 0% with implant, whereas healthy cohort has 10% using IUD and 3% using implant * Low rates of documented contraception use will be validated through manual validation of charts, currently planned EMR lacks formal contraception documentation, contraceptive method may be poorly documented or documented in different areas in chart
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