Contraceptive shot who are ideal candidates ??

 

Who are ideal candidates for  DMPA ??  DMPA is a good choice for women for following women:

Want a very convenient contraceptive and prefer injections to voluntary sterilization, an IUD, or implants.

Are troubled by estrogen side effects of oral contraceptive. Do not want to take a pill each day or to use a contraceptive just before sexual relations.

Can accept changes in menstrual bleeding patterns want their use of a contraceptive to be a private matter that no one else needs to know about.

Women who are Lactating

Women living in rural areas.

Women who cannot discuss contraceptive choices with their partner, due to societal restrictions.

Women on Anti Tuberculosis treatment

Women suffering from Focal Migraines.

Women over the age of 35, who smoke.

Women with Mental disability.

Use in postpartum period:

Depo-provera has no adverse effects on initiator, duration and quality of lactation. Studies demonstrated that lactating women on injection Depo-Provera tend to breast feed for longer periods than the control group.

During Postpartum progesterone only injectable contraceptive can be recommended. Both DMPA and NET-EN have no negative influence on milk production or on duration of lactation and infants whose mothers have received DMPA while breastfeeding seem to develop normally, both physically and mentally. The amount of steroid transferred in the milk is negligible.

DMPA after childbirth:   For breast feeding women DMPA is a good choice. If the woman chooses to rely on the Lactational Amenorrhea Method (LM), then one should start injectables when her menses return, or when the woman is no longer fully or nearly fully breast feeding, or at 6 months postpartum, whichever comes first. But one should remember that in breast feeding women, bleeding in the first 56 days (8 weeks) after child birth is not considered as menstrual bleeding because it is not preceded by ovulation. Risk of pregnancy during Lactational amenorrhea is very low (less than 2% in the first 6 months postpartum in fully breast feeding). It is less than or equal to 7% in the first 12 months. But once if the child is breast feeding menstrual resumes after childbirth she has to use another method. If the fully or nearly fully breast feeding woman remains amenorrhoeic, her risk of pregnancy is about the same as her risk with other modern contraceptive methods.

Use in HIV:

Women who are infected with HIV, have AIDS, or are on antiretroviral (ARV) therapy can safely use progestin-only injectables. HCP should urge there women to use condoms to stop spread of HIV along with progestin-only injectables.