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Herbert B. Peterson, MD, Discussant

JAMA. 1998;279:1651-1658.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR DELBANCO: Mrs B is a 40-year-old, married nurse who has 3 children. She and her husband have decided not to have more children and are considering how to prevent pregnancy in the future. Her insurance is through a managed care organization.

Mrs B experienced menarche at age 12 years. She is generally healthy, does not smoke, and has been pregnant 5 times. She has 3 healthy children and had a spontaneous miscarriage, in addition to a voluntary abortion when she was younger. Mrs B has used several methods of contraception. During college she tried an intrauterine device (IUD), but had difficulty and had it removed. Subsequently, she used a diaphragm until her mid-30s. Only 1 of her children was planned, and she feels that the other pregnancies may have resulted from imperfect use of the diaphragm. After the birth of her youngest child, she . . . [Full Text of this Article]

MRS B: HER UNDERSTANDING AND PERCEPTIONS

DR Z: HER UNDERSTANDING AND PERCEPTIONS

AT THE CROSSROADS: QUESTIONS TO DR PETERSON

Choosing a Contraceptive—General Considerations

Tubal Sterilization and Vasectomy

Oral Contraceptives

Intrauterine Devices

Depot Medroxyprogesterone Acetate and Levonorgestrel Implants

Emergency Contraception

Preventing STDs

Summary

QUESTIONS AND DISCUSSION

Dr. Peterson is Chief, Women's Health and Fertility Branch, Division of Reproductive Health, Centers for Disease Control and Prevention, and Clinical Professor, Department of Gynecology and Obsterics, Emory University School of Medicine, Atlanta, Ga; and Clinical Professor, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC.

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A 40-Year-Old Woman Considering Contraception, 1 Year Later
Delbanco and Hartman
JAMA 1999;281:374-374.
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