7.5.0.0 Con­tra­cep­tion

A major bar­ri­er to ef­fec­tive pre­con­cep­tion care is the fact that the ma­jor­i­ty of preg­nan­cies are un­planned. Plan­ning preg­nan­cy is crit­i­cal in women with pre­ex­ist­ing di­a­betes due to the need for pre­con­cep­tion glycemic con­trol to pre­vent con­gen­i­tal mal­for­ma­tions and re­duce the risk of other com­pli­ca­tions. There­fore, all women with di­a­betes of child­bear­ing po­ten­tial should have fam­i­ly plan­ning op­tions re­viewed at reg­u­lar in­ter­vals. This ap­plies to women in the im­me­di­ate post­par­tum pe­ri­od. Women with di­a­betes have the same con­tra­cep­tion op­tions and rec­om­men­da­tions as those with­out di­a­betes. The risk of an un­planned preg­nan­cy out­weighs the risk of any given con­tra­cep­tion option.