Listen up, teenage girls of the Yukon-Kuskokwim Delta region: birth control is a really, really useful thing! Yes, I am talking to you, teenage primip being induced at 42 + 1/7 wks for postdates and oligohydramnios, crying between pushes. And you too, 18-yr-old girl admitted for a septic abortion at 8 weeks EGA, getting IV doxycycline and unasyn.
Last night, I had a very long talk with the 18-yr-old about the pros and cons of all the birth control methods available in the universe and gave her a detailed educational handout with tiny pictures of everything we discussed. This morning, she told the nurse, "I want my birth control. When can I have it?". Asked which method she had chosen, she replied, "The poke." Poking could describe either the depo provera injection that's good for 3 months, or the implanon implants that are good for 3 years. Luckily, she chose the fantastically low maintenance implanon which was inserted posthaste just before she was discharged home.
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