Page 368 - كتاب تمريض نسا الاكتروني

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• Hypertension, atherosclerosis

Indication for the combined oral contraceptive:

Combined oral contraceptive is appropriate for women who:-

• Desire highly effective method of contraception.

• Has anemia from heavy menstrual bleeding.

• Has sever Menstrual cramping.

• Has History of ectopic pregnancy.

• Has strong history of ovarian cancer

Contraindication

The combined contraceptive is not used by women who:

• Has known or suspected pregnancy by history of positive pregnancy test.

• Abnormal vaginal bleeding between periods after intercourses.

• Has a benign or malignant liver tumor or acute or sever active liver gall-

bladder disease.

• Woman who has family history of hypertension, D. M, stroke, Heart disease,

osteoporosis, carcinoma of genital tract or breast.

Client instruction

1. The first pill should be taken on any of the first 5 days of menstrual cycle,

preferably on the first day, which is easier to remember.

2. A pill should be taken every day at the same time of day preferably at night
after meals for 21 days; withdrawal bleeding usually starts 2or3days after

stopping the tablets.

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