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Before, Between & Beyond Pregnancy- National Preconception Curriculum and Resources Guide for Clinicians
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CDC Reproductive Life Plan Tool for Health Professionals
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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
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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
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CDC MEC Website
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Genetic considerations for a woman's pre-conception evaluation - National Guidelines Clearinghouse, AHRQ
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Intimate Partner Violence Resources
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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
- VA Mental Health - Military Sexual Trauma Website
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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
- 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.
- What it includes:
- 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
- What it includes:
- FDA Approved Drug Labeling ("package insert"; prescribing information for health professionals)
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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
Subclass Estrogen Progestin Reference Drugs Equivalent Products Monophasic pills with 20 mcg EE 20 mcg EE 0.1 mg LNG Alesse and equivalent Alesse Aviane Lutera Orsythia Falmina Levlite and equivalent Lessina Levlite Sronyx Monophasic pills with 30 mcg EE 30 mcg EE 0.15 mg LNG Nordette and equivalent Altavara Levlen Levora Marlissa Nordette Portia 30 mcg EE 0.15 mg desogestrel Ortho-Cept and equivalent Apri Desogen Emoquette Ortho-Cept Reclipsen Solia Monophasic pills with 35 mcg EE (or equivalent) 35 mcg EE 0.25 mg norgestimate Ortho Cyclen and equivalent Mono-Linyah MonoNessa Ortho Cyclen Previfem Sprintec 35 mcg EE 1 mg NE Ortho-Novum 1/35 and equivalent Alyacen 1/35 Cyclafem 1/35 Dasetta 1/35 Necon 1/35 Norinyl 1+35 Triphasic pills 30/40/30 mcg EE 0.05/0.075/0.12 5 mg LNG Triphasil and equivalent Enpresse Levonest Myzilra Tri-Levlen Triphasil Trivora 35 mcg EE 0.5/0.75/1 mg NE Ortho-Novum 7/7/7 and equivalent Aranelle 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 norgestimate Ortho Tri-Cyclen and equivalent Ortho Tri-Cyclen Tri-Linyah TriNessa Tri-Previfem Tri-Sprintec Extended Cycle Pills (84 active pills / 7 insert pills) 30 mcg EE 0.15 mg LNG Seasonale and equivalent Introvale Jolessa Quasense Seasonale Progestin-only OC pills 0.35 mg NE Micronor and equivalent Errin Jolivette Micronor Nor-QD and equivalent Camila Heather Nora-BE Nor-QD Vaginal Ring 15 mcg EE 0.12 mg etonogestrel Nuvaring Nuvaring Injectable 150 mg MPA (IM) Depo-Provera and equivalent Depo-Provera MPA Emergency Contraception 0.75 mg LNG Next Choice Next Choice 1.5 mg LNG Plan B One-Step Plan B One-Step