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MD Creinin

Publications and source records attributed to MD Creinin.

3 recordsLinked to original sources

Medical Abortions in Adolescents: Should Pediatricians Perform Them?

This chapter discusses medical abortion as an alternative to surgical abortion, as well as its safety, efficacy, and availability to adolescent patients. Medical abortion is viewed by many patients as a less traumatic and more private way to achieve pregnancy termination, and the issues of privacy and confidentiality are even more emphasized with adolescents. The author presents medical abortion methods currently approved in the U.S., discusses the attitudes and preferences of adolescent vs. adult patients, and argues that, assuming proper training and patient selection, this method of abortion can be safely and effectively administered by pediatricians caring for their adolescent patients.

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Emergency Contraception: More Than A Morning After Pill.

Emergency contraception (postcoital contraception, the "morning-after pill") has been available for almost 30 years but remains vastly underutilized. As many as 50% of undesired pregnancies could be prevented with the use of emergency contraception. Currently used regimens include ethinyl estradiol/norgestrel (the Yuzpe regimen) and copper-containing IUDs. The limiting side effects with the Yuzpe regimen are nausea and vomiting. Potential agents of the future include mifepristone and levonorgestrel, which do not include estrogen and thereby minimize nausea and vomiting. More widespread education of physicians and patients about the safety and benefits of emergency contraceptive treatment is necessary.

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Intrauterine Devices: Separating Fact From Fallacy.

IUDs currently available in the US provide safe and effective contraception. History has falsely led patients and clinicians alike to believe that IUDs are unsafe. For a woman in a long-standing, mutually monogamous relationship, no method of reversible contraception is more effective. The main risk associated with an IUD is infection; this is usually related to insertion, and the risk lasts for approximately 20 days. Currently available IUDs work by various mechanisms to prevent fertilization. The copper-containing IUD is also a highly effective form of emergency contraception. It is important for clinicians to re-educate themselves and their patients about the importance of the IUD as an option for contraception.

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