By vgreene, 1 June, 2017 Consider diaphragm w spermicide cervical cap Effectiveness 83 diaphragm 78 cap 2 Category if nulliparous 1 if parous 2 Generally safe low risk w the following exceptions 1
By vgreene, 1 June, 2017 HIV as spermicide use may disrupt cervical mucosa increasing viral shedding and HIV transmission 3
By vgreene, 1 June, 2017 Complicated valvular heart dz (eg, pulmonary HTN, SBE hx, risk for afib) [2]
By vgreene, 1 June, 2017 Unsuitable anatomy post partum until uterine involution complete 6wk after 2nd trimester ab if cervical prolapse diaphragm if distorted cervical anatomy cap
By vgreene, 1 June, 2017 Medical conditions that might make pregnancy an unacceptable health risk include 1