title: [Contraception, therapeutic abortion, and pulmonary arterial hypertension].
abstract: Despite therapeutic advances, maternal mortality is high in pulmonary arterial hypertension (PAH). PAH treatment may interfere with the proposed method of contraception. Moreover, some treatments (endothelin receptor antagonists, anti-vitamin K) are teratogenic. If pregnancy is strictly not recommended in PAH, few specific contraceptive guidelines are available. The contraceptive method must be discussed on a case by case basis with the patient, the reference team for PAH, and the gynecology department.The advantages of the intrauterine device (IUD) with progesterone (reliability, simplicity, compliance, few contraindications and interactions, possibility of use in the nulliparous patient, reimbursement by the healthcare system) make it a good contraceptive choice in these circumstances. Therapeutic abortion is a situation of contraceptive failure, it must always be performed in hospitals. It must lead to effective contraceptive advice.
authors: Université Européenne de Bretagne, and Université de Brest, Brest, France. irene.frachon@chu-brest.fr
authors: Irène
authors: I
authors: Frachon
authors: Stéphanie Pozzi
authors: SP
authors: Gaudin
authors: Catherine
authors: C
authors: Jezequel
authors: Xavier
authors: X
authors: Jaïs
authors: Christophe
authors: C
authors: Gut-Gobert
authors: Sandrine Roger
authors: SR
authors: Christophe
authors: Marc
authors: M
authors: Humbert
authors: Christophe
authors: C
authors: Leroyer
mesh_terms: D000032:Abortion, Therapeutic / Q000379:methods; D003267:Contraception / Q000379:methods; D005193:Family Planning Services; D005260:Female; D005865:Gestational Age; D006801:Humans; D006976:Hypertension, Pulmonary / Q000401:mortality / Q000517:prevention & control*; D008428:Maternal Mortality; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality / Q000517:prevention & control*; D013245:Sterilization, Reproductive / Q000379:methods