{"title":"Mode of action of oral contraceptives.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22024151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Distribution - on or off prescription (of oral contraceptives)?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Restrictions on sale of oral contraceptives (OCs) in Australia are based on their classification as Schedule 4 poisons; as such they are \"restricted substances\" and obtainable only on a prescription. In general only a medical practitioner can prescribe OCs and only a chemist or a licensed person can dispense them. Doctors at Family Planning Clinics and Hospital Outpatient Departments may also supply OCs. There are arguments for and against a relaxation of restrictions controlling the distribution of OCs, many of these views were stated in submissions to the Royal Commission on Human Relationships. At present in Australia, a nurse must work under the supervision of a medical practitioner when providing family planning services. A doctor may delegate certain functions to nursing staff but remains ultimately responsible. The Royal Commission \"suggests that steps should be taken to enable nurse practitioners to take a wider role in prescribing oral contraceptives.\" They also think \"that the pill should be available only through a person trained to give information and advice on its proper use. (They) would not necessarily restrict the categories of such persons; they might include nurses, or other specially trained personnel, at family planning clinics, specially trained social workers, pharmacists, and possibly others. It would be important to establish proper standards for training these personnel and for their competence to be recognized by the Commonwealth and States under appropriate legislation. This would require cooperation. The Family Planning Associations or other recognized training bodies could be authorized to issue certificates of competence to persons who have received the appropriate training; this would in turn authorize those persons to prescribe OCs. When more is known about the OC it is hoped that it will be possible to make it available without restriction.</p>","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22023446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sex of children born after oral contraceptive use.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22024154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Which pill to choose if breastfeeding.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For women who are breast-feeding, the combined oral contraceptive is contraindicated because estrogen may suppress lactation, reducing the quantity and quality of breast milk with a decreased percentage of proteins and fats. The progestogen-only pill (minipill) may be used instead as the clinical impression has been that minipills have no adverse effect on lactation performance. However, some women have commented to Family Planning Association doctors that they found their babies became \"fussy\" correlating to the start of therapy with the progestogen-only pill. Small amounts of steroids are secreted in breast milk. \"At dose levels used in oral contraceptives, steroids present in breast milk probably have no adverse effects on nursing infants. At higher doses, however, steroids in milk have been suspected of contributing to neonatal jaundice and of causing vaginal epithelial changes indicative of estrogenic influence.\" A lactating woman should be changed from the progestogen-only pill to the combined oral contraceptive only when she weans the baby. It is not necessary to wait for a period to start the 1st cycle.</p>","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22024156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Survey of oral contraceptive usage.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22023309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When to start the pill after pregnancy.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After a term pregnancy in a woman who is not nursing, she should wait 2 weeks after delivery before she starts the pill because the 1st ovulation will not occur until at least 4 weeks postpartum, and usually later. Another reason for waiting 2 weeks, is a consequence of the increased risk of thromboembolism in the normal puerperium caused by changes in the blood-clotting factors; if oral contraception was commenced immediately postpartum it would further increase the possible risk of thromboembolism.</p>","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22024157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescents and the pill.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For the sexually active adolescent girl without medical contraindications who is sufficiently motivated to adapt to daily pill-taking, orals are the most effective contraceptive method. Some medical specialists have advised that oral contraceptives should not be a routine method of contraception for young girls who have not established a regular menstrual pattern for 1 or 2 years, due to the risk of amenorrhea after discontinuing the pill. The legal position must also be considered; for instance, the age of consent in Australia varies between 13-17 years. The Family Planning and the Law Symposium held in Melbourne in 1976 confirmed the ambiguity of the law on fertility control and minors. The current advice to family planning doctors is: 1) No doctor in Australia has yet been prosecuted for prescribing the pill to a minor. 2) It is preferable to prescribe to girls over 16 years but doctors have no confirmation of client's ages. 3) Parents ringing up about their child's attendance at Family Planning Association Centres are not entitled to information. Doctors observe normal discretion about their clients. 4) Girls who come to ask for the pill are usually already involved in a sexual relationship. \"Studies of cervical cancer and its precursors in users of oral contraceptives have produced varied results. Most found no links between the use of orals and the risk of developing malignant or premalignant neoplasms, but several have reported a positive relationship and several a negative relationship.\" There may not be any link between the early use of oral contraceptives and subsequent neoplasia, however, there may be an association between early coitus and subsequent cervical neoplasia. In individual cases, the known risks of unwanted pregnancy must be weighed against the potential risks of taking the pill.</p>","PeriodicalId":84725,"journal":{"name":"Family planning information service","volume":"1 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22024159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}