Managing Complications in Pregnancy and Childbirth: - IAWG

Vaginal bleeding in early pregnancyS-13It is important to counsel women who have had an unsafe abortion. Ifpregnancy is not desired, certain methods of family planning (Table S-3, page S-13) can be started immediately (within 7 days) provided:• There are no severe complications requiring further treatment;• The woman receives adequate counselling and help in selectingthe most appropriate family planning method.TABLE S-3Family planning methodsType of ContraceptiveHormonal (pills, injections,implants)CondomsIntrauterine device (IUD)Voluntary tubal ligation• Immediately• ImmediatelyAdvise to Start• Immediately• If infection is present or suspected, delayinsertion until it is cleared• If Hb is less than 7 g/dL, delay until anaemiaimproves• Provide an interim method (e.g. condom)• Immediately• If infection is present or suspected, delaysurgery until it is cleared• If Hb is less than 7 g/dL, delay until anaemiaimproves• Provide an interim method (e.g. condom)Also identify any other reproductive health services that a woman mayneed. For example some women may need:• tetanus prophylaxis or tetanus booster;• treatment for sexually transmitted diseases (STDs);• cervical cancer screening.ECTOPIC PREGNANCYAn ectopic pregnancy is one in which implantation occurs outside theuterine cavity. The fallopian tube is the most common site of ectopicimplantation (greater than 90%).