II. Indications: Highly reliable Contraception

  1. Chronic Anticoagulant use (Warfarin)
  2. Congenital Heart Disease for which pregnancy is very high risk of complication
    1. Eisenmenger's Syndrome
    2. Primary Pulmonary Hypertension
    3. Cardiomyopathy
    4. Congestive Heart Failure
    5. Marfan's Syndrome

III. Management

  1. Avoid Oral Contraceptives due to thrombosis risk
  2. Intrauterine Device (Copper-T IUD or Mirena)
  3. Consider Depo Provera

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