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Provider Preconception Resources

Resources
  • Before, Between & Beyond Pregnancy- National Preconception Curriculum and Resources Guide for Clinicians

    • Key Articles and Guidance http://www.beforeandbeyond.org/?page=key-articles-and-studies
    • Article on Women with Psychiatric Conditions http://www.beforeandbeyond.org/uploads/Women%20with%20psychiatric%20conditions%20and%20preconception%20health.pdf
  • CDC Reproductive Life Plan Tool for Health Professionals

    • http://www.cdc.gov/preconception/documents/RLPHealthProviders.pdf
  • CDC Contraceptive Medical Eligibility Criteria

    To identify methods of contraception that will maximize contraceptive effectiveness while minimizing contraceptive associated risks due to patient medical condition or the medications used to treat it

    • CDC MEC Website
      http://www.cdc.gov/reproductivehealth/UnintendedPregnancy/USMEC.htm
    • Color-Coded CDC Contraceptive Medical Eligibility Table
      (difficult to view on small device)
      http://www.cdc.gov/reproductivehealth/UnintendedPregnancy/Docs/USMEC-Color-62012.docx
  • Genetic considerations for a woman's pre-conception evaluation - National Guidelines Clearinghouse, AHRQ

    http://www.guidelines.gov/content.aspx?id=25640

  • Intimate Partner Violence Resources

    • Intimate Partner Violence During Pregnancy, A Guide for Clinicians
      • CDC IPV Website
        http://www.cdc.gov/reproductivehealth/violence/IntimatePartnerViolence/
      • PowerPoint: includes section on screening
        http://www.cdc.gov/reproductivehealth/violence/intimatepartnerviolence/slides/acogcdc_ipv.pps
  • Mental Health Resources

    • If a Veteran requires immediate assistance with a mental health issue, confidential support is available 24 hours a day, 7 days a week, 365 days a year through the Veterans Crisis Line (1-800-273-8255 and Press 1)
    • Massachusetts General Hospital Center for Women's Mental Health Website
      http://www.womensmentalhealth.org/
    • Military Sexual Trauma
      • VA Mental Health - Military Sexual Trauma Website
        http://www.mentalhealth.domain/msthome.asp
  • Medication Risk Resources

    • FDA Approved Drug Labeling ("package insert"; prescribing information for health professionals)
      • What it includes:
        • FDA Pregnancy category letter
        • Outcomes of studies in pregnant animals
        • Outcomes of available human studies and human pregnancy experience
      • Where to find labeling:
        • Drugs@FDA website: FDA website with most recent drug labeling, previous versions and other drug related documents. If label is no longer available, try DailyMed.
          http://www.accessdata.fda.gov/scripts/cder/drugsatfda/
        • DailyMed website: The website for a marketed drug is required to include the most recent FDA approved drug labeling
          http://dailymed.nlm.nih.gov/dailymed/about.cfm?CFID=15447140&CFTOKEN=6c1b91a8b6cf43ac-E1489BDF-F389-5463-F40E52861E063BC9&jsessionid=8430bef3e858fec97ed85e14146752041071
    • REPROTOX®
      • What it includes:
        • Summaries on the effects of medications, chemicals, infections, and physical agents on pregnancy, reproduction, and development (animal and human studies)
        • Regular updating
        • VA has a national subscription providing access for all VA employees
      • Where to find it:
        • REPROTOX® website http://va.reprotox.us
        • VA medical facilities should list REPROTOX® either in CPRS Tools or in Online Resources
  • Vaccinations

    • CDC: Clinical Care for Women: Immunization
      http://www.cdc.gov/preconception/careforwomen/immunization.html
  • VA National Formulary

    • http://www.pbm.domain/nationalformulary.asp
    • Hormonal Contraceptive Agents Table:
      • Note: The etonogestrel implant, levonorgestrel-bearing intrauterine device (IUD), and copper IUD are available to women Veterans through Prosthetics services. Since the products are not procured through Pharmacy, they are not listed on the VA National Formulary. Updated December 2012.

      Key: EE = ethinyl estradiol; LNG = levonorgestrel; NE = norethindrone; MPA = medroxyprogesterone acetate

      SubclassEstrogen ProgestinReference DrugsEquivalent Products
      Monophasic pills with 20 mcg EE20 mcg EE 0.1 mg LNGAlesse and equivalentAlesse
      Aviane
      Lutera
      Orsythia
      Falmina
      Levlite and equivalentLessina
      Levlite
      Sronyx
      Monophasic pills with 30 mcg EE30 mcg EE 0.15 mg LNGNordette and equivalentAltavara
      Levlen
      Levora
      Marlissa
      Nordette
      Portia
      30 mcg EE 0.15 mg desogestrelOrtho-Cept and equivalentApri
      Desogen
      Emoquette
      Ortho-Cept
      Reclipsen
      Solia
      Monophasic pills with 35 mcg EE (or equivalent)35 mcg EE 0.25 mg norgestimateOrtho Cyclen and equivalentMono-Linyah
      MonoNessa
      Ortho Cyclen
      Previfem
      Sprintec
      35 mcg EE 1 mg NEOrtho-Novum 1/35 and equivalentAlyacen 1/35
      Cyclafem 1/35
      Dasetta 1/35
      Necon 1/35
      Norinyl 1+35
      Triphasic pills30/40/30 mcg EE 0.05/0.075/0.12 5 mg LNGTriphasil and equivalentEnpresse
      Levonest
      Myzilra
      Tri-Levlen
      Triphasil
      Trivora
      35 mcg EE 0.5/0.75/1 mg NEOrtho-Novum 7/7/7 and equivalentAranelle
      Alyacen
      Cyclafem 7/7/7
      Dasetta
      Leena
      Necon 7/7/7
      Notrel 7/7/7
      Ortho-Novum 7/7/7
      35 mcg EE 0.18/0.215/0.25 mg norgestimateOrtho Tri-Cyclen and equivalentOrtho Tri-Cyclen
      Tri-Linyah
      TriNessa
      Tri-Previfem
      Tri-Sprintec
      Extended Cycle Pills (84 active pills / 7 insert pills)30 mcg EE 0.15 mg LNGSeasonale and equivalentIntrovale
      Jolessa
      Quasense
      Seasonale
      Progestin-only OC pills0.35 mg NEMicronor and equivalentErrin
      Jolivette
      Micronor
      Nor-QD and equivalentCamila
      Heather
      Nora-BE
      Nor-QD
      Vaginal Ring15 mcg EE 0.12 mg etonogestrelNuvaringNuvaring
      Injectable150 mg MPA (IM)Depo-Provera and equivalentDepo-Provera
      MPA
      Emergency Contraception0.75 mg LNGNext ChoiceNext Choice
      1.5 mg LNGPlan B One-StepPlan B One-Step
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