Contraception for Women of Above 35 years and Adolescents

Subject: Community Health Nursing I

Overview

Even though many women are delaying motherhood until later in their reproductive years, many pregnancies are still unwanted. Older women who become pregnant unintentionally face difficulties because obstetrical risks are higher at this stage of a woman's life. Even when risk factors are taken into account, women over 35 have a higher chance of stillbirth than those in their 20s and early 30s. Unintentional pregnancy and its hazards are reduced by using contraception. Compared to women aged 20 to 24, women over 35 are more than three times as likely to forego using contraception. Over the past ten years, women over 35 have modified their contraceptive preferences. Although sterilization is still the most popular method of contraception for women over 35, reversible hormonal treatments, such as withdrawal and rhythm methods, have gained popularity recently. or

  • Birth control pills: Healthy women over 35 who don't smoke, have normal blood pressure, and have no history of cardiovascular disease can use oral contraception without risk.
  • Rings and patches: Other estrogen-based birth control methods include the Ortho Evra skin patch and the NuvaRing, which is inserted into the vagina like a diaphragm on a three-on, one-off schedule.
  • Alternatives for progestogens: These options include Depo Provera injections, implants, and IUDs. All of them use the hormone progesterone to prevent pregnancy, and some (Depo-Provera) can be used for months or even years.
  • Options without hormones include copper IUDs, spermicides, diaphragms, cervical caps, and condoms, but none of these are as effective as hormonal contraception. Almost no women over 35 use barrier techniques.
Things to remember

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