For Brianna Henderson, contraception is not about pregnancy prevention.
Two Texas mothers were diagnosed with a rare and potentially deadly heart after having a second child. In addition to avoiding other pregnancy that can threaten life, Henderson should not keep the contraception in jeopardy.
For more than 10 years, a small team of the Centers for Disease and Medicine has tried to do it, and has issued national guidelines for clinical trials on how to safely prescribe contraception to millions of women with millions of medical states, including heart disease, lupus, humble cell diseases and obesity. However, the Health and Human Services, who supervise the CDC, dismissed workers as part of the rapid reduction in the Trump administration’s federal labor force.
It also extinguished the larger reproductive health department of the CDC. The team says clinical, advocates and dismissed workers will be dangerous to women and babies’ health.
In an interview, the clinician said it was relatively simple to consult with the patient about contraception and prescription. However, women with a high risk of serious health complications require special treatment.
“We were actually the only source of safety monitoring in this country,” said a dismissed CDC employee who studied US medical qualification standards or guidelines known as MEC. “No one can actually do this.” KFF Health News agreed not to specify the name of other people who did not have the authority to talk to the media and the media and did not fear retaliation.
Steak is high for people like Henderson. She said about six weeks after her second baby, she said, “I’m racing.”
Henderson said, “I think I’m in hand.” I felt that I couldn’t breathe. “She finally went to the hospital and said,” I fell into heart failure. “
Henderson has been diagnosed with peripartum cardiomyopathy, a rare type of heart failure type that can occur after pregnancy or immediately after birth. The risk factors in this state include 30 years of age, from Africa, high blood pressure and obesity.
CDC Contraception To prevent pregnancy, let’s assume that a combined hormonal contraceptive that includes both estrogen and progestin can suggest “unacceptable health risks” to most women with surrounding asset myocardiums, also called PPCM. For some women who have been diagnosed, according to the guidelines, the contraception, commonly known as the DEPO-Provera brand name, also causes a risk of surpassing the benefits. Progestin -only pills or contraceptive implants inserted in the arm are the safest.
Henderson said her heart specialist should green her contraception. She uses more than 99% of progestin contraceptive implants that are effective in preventing pregnancy.
“I didn’t know that something could cause blood clots,” Henderson said. Heart failure is the main cause of the mortality rate of the United States and the rate of transfer rate, and the PPCM Up to 70% of heart failure cases In pregnancy.
In late March and early April, HHS layoffs strengthened the CDC’s reproductive health departments to strengthen several programs designed to protect women and infants, three layoffs said.
One worker said that about two -thirds of the departments and contractors in the department were cut through dismissal, retirement or other parts of other parts of the agency.
Some of the laid -offs were CDC staff, which was established almost 40 years ago to improve motherhood and early childhood health results by asking the detailed questions of women who have recently given up. The survey said, “It helped to inform and reduce the contributions that cause maternity mortality and duct rates.” The workers said by investigating other risk factors that could not be maternal and child’s health by allowing public officials to check the people who received before pregnancy and pregnancy.
The launch also removed the CDC workers who collected and analyzed data for modification and other reproductive treatment in the test.
One worker said, “They have left nothing.”
The US contraceptive guidelines were first announced in 2010 after the CDC adjusted the guidelines developed by the World Health Organization. The latest version was published in August. This includes information on the safety of various types of contraceptives for more than 60 medical conditions. The clinician said that it is the source of the best evidence of the safety of contraception.
Michael Policar, a doctor and professor of obstetrics and gynecology, gynecologist, and professor of obstetrics and gynecology at the California-San Francis College of Medicine, said,
“If you have a long -term type 2 diabetes and a combined tissue disease such as Lupus, someone who has a hypertension or a pioneer for breast cancer, it was really hard to know how to manage people in that situation,” Policar said.
The CDC updates the guidelines every five years. However, every week, public officials will monitor the use of the use of contraceptives and evidence of the safety of various methods, according to HHS when they suddenly fired this spring, two dismissed workers. He said that it doesn’t happen now.
Sometimes the institution will issue an intermediate change outside the larger update if a new evidence is guaranteed. If something new or urgent happens, there will be no way to update the guidelines.
For example, in 2020, there is a CDC. We have revised the recommendation of contraception For women with high risk of HIV infection, new evidence showed that various methods are safer than previously thought before.
HHS spokesman Emily Hilliard did not reveal why CDC employees were fired by CDC staff who solved contraceptive guidelines and other reproductive health problems.
In the United States, most women of reproductive age use contraception. The most recent available things, the CDC data of 2019, show the following: More than 47 million women I depended on contraception from 15 to 49 years old. About one of the 10 minutes is a long -term method of action such as an inner device and an implant; One in seven used oral contraceptives.
The latest guidelines included safety recommendations for women with humble red blood cells, lupus or ppcm and women who breastfeeding breastfeeding. The clinician has now heard that the merged hormonal contraceptives now have an unacceptable health risk to women with humility cell diseases. Because it can increase the risk of blood clots.
“It can actually lead to life or death.
“We saw the CDC guideline as a victory. I will actually pay attention,” she said.
In 2024, the guidelines for the first time included contraception for women with chronic kidney disease. Studies have shown that such women are at risk of serious pregnancy complications, including liver symptoms and premature birth. Their medical condition also said that it is important not to use hormonal contraceptives because it increases the risk of blood clots.
CDC information said, “It’s the final word in the field of safety.
Henderson said it took two years to recover. She created a nonprofit ‘LET’ S Talk PPCM to educate women, including the form of contraception methods that were educated on the type of heart failure diagnosed by women.
Henderson said, “We do not want blood clots and make heart failure worse.” “They already think they can’t believe the doctor, and we don’t need it.”
We want to talk to the components that believe that the current and all employees of the Ministry of Health and Welfare should understand the effects of what happens in federal health bureaucracy. (415) 519-8778 or Contact here.
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