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    062578

    Hormonal contraception.

    Kleinman RL

    London, England, International Planned Parenthood Federation, 1990. 122 p. (IPPF Medical Publications)

    This booklet intended for family planning doctors primarily in developing countries updates the previous IPPF edition, with new information on oral contraceptives, chapters on the subdermal implant Norplant, post-coital contraception, injectables, and appendices on statistical methods and post-partum contraception. Each chapter contains text with a statement by the IMAP (International Medical Advisory Panel) of the IPPF. After brief introductions on historical background and reproductive physiology, the main part of the book concerns the use of combined oral contraceptives, their actions, beneficial and adverse effects, indications and contraindications, and several aspects of use such as community-based distribution. There are chapters on progestogen-only pills and on orals in chronic disease. Post-coital contraception is discussed, considering combined pills, progestagens, IUDs, Danazol, RU-486, which all have different time limits of effectiveness. Both DMPA and NET-EN injectables, by 3-month and monthly protocols are described, with a section on the controversy regarding their distribution. The chapter on Norplant comprises mostly the IMAP statement: more information would be needed for training in this method. The book ends with remarks on the use of hormonal contraceptives to enhance safe motherhood, taking into account the fact that the pill offers no protection against STDs.
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