8 - Contraception

Question 1

What percent of total pregnancies are planned?

Answer 1

50%

Question 2

Of the 50% of unplanned pregnancies, how many of these are aborted?

Answer 2

43% (of the 50%…so 22% of total)

Question 3

The number of contraceptive failures per 100 women over a one year period of use is called the ____________

Answer 3

pearl index

Question 4

What is theoretical effectiveness vs actual effectiveness in reference to contraceptives?

Answer 4

theoretical = a perfect world, taken exactly correctly 
actual = actual

Question 5

What are the natural family planning methods (acceptable to Catholics)?

Answer 5

1) basal body temp chart (BBTC)
2) mucosal observation
3) calendar rhythm

(effective in women with REGULAR predictable cycles)

Question 6

What are the 2 types of IUD’s?

Answer 6

1) copper - 7 years, ex: Paraguard

2) progesterone - 5 years, ex: Mirena

Question 7

How do IUD’s work? (Mechanism?)

Answer 7

1) Prevent conception by altering tube motility and sperm motility
2) also causes some inflammation in the endometrium that prevents implantation of a fertilized egg. (bad for catholics)

Question 8

_____________IUD’s reduce menstrual blood loss and cramping, while ______________IUD’s exacerbate dysmenorrhea and menorrhagia

Answer 8

progesterone, copper

Question 9

True or False: spermicidal jellies have been linked with a possible increase in HIV transmission.

Answer 9

true

Question 10

What contraceptive method can be used for 48 hours and is available without a prescription?

Answer 10

cervical cap

Question 11

Which contraceptive method requires a fitting and a prescription and should be used with spermicidal jelly and left in place for 6 hours after intercourse?

Answer 11

diaphragm

Question 12

What contraceptive method is associated with UTI’s and TSS (toxic shock syndrome)

Answer 12

diaphragm.

seriously, why would you use this?

Question 13

How effective are steroid contraceptives?

Answer 13

99%

Question 14

What is the failure rate for IUD’s?

Answer 14

2%

Question 15

What is the failure rate for progestin only pills?

Answer 15

5%

Question 16

What is the failure rate for barrier method and family planning?

Answer 16

5-10%

Question 17

When ranking eligibility criteria for contraceptive use, the CDC considers what scores to be acceptable?

Answer 17

1 or 2 –go ahead. (no restriction, adv>risk)

3 or 4 –stop! (risk>adv, unacceptable risk)

Question 18

What are some risks associated with IUD’s?

Answer 18

infection, perforation