Contraception

 

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Useful information, links and forms about contraception and contraception services at HMG

  • Combined Hormonal Contraceptive New Guidelines - coming soon....
  • IUD Self Assesment Form - coming soon...

image of contraceptive pills

 

Standard Operating Procedure for starting Sayana Press Contraception during Covid-19

  • Patient phones CNC to request alternative to depo contraception or requests Sayana Press (SP)
  • CNC books telephone consultation with contraception clinician
 

Consultation Steps

1. Initial appointment with clinician - outcome is patient is keen to explore/ start SP

 

2. Send prescription for SP and purple sharps box –via EPS and arrange video consultation to go through the procedure in next few days

  • NB. Do not delay the starting of SP or if there is a delay use POP for bridging purposes (needs to be started before previous depo runs out i.e. 14 weeks )
  • Ask patient to download booklet ready for video consultation
  • Counsel patient and record this in Emis NB. scarring of skin over injection site see Sayana Press guidance
  • Clinician books a double telephone consultation for patient for step 3
 

3. VIDEO consultation to start SP

  • Both patient and clinician have booklet ready to go through - patients must not give the injection by themselves but to wait for the clinician video call to observe together
  • Make sure patient has cotton wool ready , knows site to be used for injection , private area in house, good light/ WIFI
  • Go through procedure as per booklet and document all fluid expelled and none left in reservoir ( suggest patient holds it up to light and shoes clinician on video )
  • Complete Emis notes with batch number and date of next injection - see emis contraception template -depo, send another EPS for the next injection
  • Suggest patient registers for text reminders through Sayana Press website and knows date of next injection
 

2nd Injection

  • Book double appointment with contraception clinician
  • Have injection ready
  • At this appointment try video call and patients show clinician how to inject themselves
  • Any subsequent follow up injections can now be self-injected and if happy no clinician appointment needed
 

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