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Diseases affecting contraceptive practice in middle age

Published online by Cambridge University Press:  27 September 2011

Robert J. Beard
Affiliation:
New Sussex Hospital for Women, Brighton

Extract

There are many factors which affect the choice of contraceptive practice in middle age. Co-existing disease is only one and in some ways is the least important. Childbirth itself poses a considerable risk to the health of the mother in as much as maternal mortality rises steeply with age especially after 45 years (Fig. 1); similarly perinatal mortality increases with age (Fig. 2). Together these two factors make the need for careful contraception all the more important. Fertility is reduced with age and this unfortunately lulls some couples into a false sense of security and they may take unnecessary risks.

Type
III. Fertility control in middle age
Copyright
Copyright © Cambridge University Press 1979

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References

Butler, N.R. & Bonham, D.G. (1963) Perinatal Mortality. First Report of the British Perinatal Mortality Survey. Livingstone, Edinburgh.Google Scholar
Department of Health and Social Security (1972) Report on Confidential Enquiries into Maternal Deaths in England and Wales, 1967–1969. HM Stationery Office, London.Google Scholar
Kasonde, J.M. & Bonnar, J. (1976) The effect of sterilization on menstrual blood loss. Br. J. Obstet. Gynaec. 83, 572.CrossRefGoogle ScholarPubMed
Ledger, W.J. & Child, M.A. (1973) The hospital care of patients undergoing hysterectomy: an analysis of 12,026 patients from the Professional Activity Study. Am. J. Obstet. Gynec. 117, 423.CrossRefGoogle ScholarPubMed
Lee, P.N. (ed.) (1976) Statistics of Smoking in the United Kingdom. Research Paper No. 1, 7th edn. Tobacco Research Council, London.Google Scholar
Lieberman, B.A., Belsey, E., Gordon, A.G., Wright, C.S.W., Letchworth, A.T., Noble, A.D. & Niven, P.A.R. (1978) Menstrual patterns after laparoscopic sterilization using a spring-loaded clip. Br. J. Obstet. Gynaec. 85, 376.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1973) Mortality Statistics (cause), England and Wales. HM Stationery Office, London.Google Scholar
Office of Population Censuses and Surveys (1974) Morbidity Statistics from General Practice, Second National Study 1970–1971. HM Stationery Office, London.Google Scholar
Office of Population Censuses and Surveys (1976) Mortality Statistics (cause), England and Wales. HM Stationery Office, London.Google Scholar
Office of Population Censuses and Surveys (1978) Legal Abortion in England and Wales. HM Stationery Office, London.Google Scholar