Chapter 16
Who Can and Cannot Use Diaphragms
Safe and Suitable for Nearly All Women
Nearly all women can use the diaphragm safely and effectively
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Medical Eligibility Criteria for
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1. Have you recently had a baby or second-trimester spontaneous or induced abortion? If so, when?
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2. Are you allergic to latex rubber?
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3. Do you have HIV infection? Do you think you are at high risk of HIV infection? (Discuss what places a woman at high risk for HIV—for example, her partner has HIV. [see Who Is At Risk, in Chapter 22 – STIs, Including HIV].)
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* Backup methods include abstinence, male and female condoms, spermicides, and withdrawal. Tell her that spermicides and withdrawal are the least effective contraceptive methods. If possible, give her condoms. For complete classifications, see Appendix D – Medical Eligibility Criteria for Contraceptive Use. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. Also, point out any conditions that would make the method inadvisable, when relevant to the client. |